ABSTRACT
The authors present a preliminary prospective study of the Synthes 7.3 mm. cannulated screw used in 31 rearfoot and ankle surgeries on 29 patients. The patients had a variety of rearfoot and ankle procedures performed, in which a total of 75 screws were placed across 47 arthrodesis or osteotomy sites. The percentage of union or healing was 95.74% for the joints or sites involved. The average healing time was 2.71 months. The techniques for placement of the screw are described.
Subject(s)
Ankle Joint/surgery , Arthrodesis/instrumentation , Bone Screws , Foot Diseases/surgery , Tarsal Joints/surgery , Adolescent , Adult , Aged , Arthrodesis/methods , Bone Screws/adverse effects , Calcaneus/surgery , Female , Follow-Up Studies , Humans , Male , Middle Aged , Osteotomy/instrumentation , Prospective StudiesABSTRACT
The authors present a case report of a subcutaneous phaeohypomycosis of the foot in an immuno-suppressed patient. The lesion was caused by Scytalidium dimidiatum, a dematiaceous fungus, which has only been reported to cause three previous similar lesions. To our knowledge, this is the first reported case of this fungus causing a deep-seated mycoses in the United States. A review of the literature concerning this organism is also presented.
Subject(s)
Dermatomycoses/diagnosis , Immunocompromised Host , Kidney Transplantation/immunology , Mitosporic Fungi/isolation & purification , Opportunistic Infections/diagnosis , Antifungal Agents/therapeutic use , Combined Modality Therapy , Dermatomycoses/physiopathology , Dermatomycoses/therapy , Female , Humans , Middle Aged , Opportunistic Infections/physiopathology , Opportunistic Infections/therapyABSTRACT
The efficacy of ultrasonography for the detection of wooden foreign bodies in the foot was analyzed retrospectively. Twenty patients underwent real-time, high-resolution ultrasound studies (7.5 or 10 MHz, linear array transducers) to rule out the presence of a wooden foreign body in their feet. Ten out of the 20 patients had positive ultrasound findings for a wooden foreign body. With the aid of the ultrasound study and preoperative markings, the subsequent mean surgical time was 20.8 minutes, with a 100% retrieval rate of the foreign body. Ultrasound was found to be 100% sensitive in the detection of wooden foreign bodies in the soft tissues of the foot. Ultrasonography should be considered an important diagnostic modality in the foot and ankle surgeon's armamentarium for the detection of retained wooden foreign bodies.
Subject(s)
Foot , Foreign Bodies/diagnostic imaging , Adolescent , Adult , Child , Child, Preschool , Female , Foot/diagnostic imaging , Foot/surgery , Foreign Bodies/surgery , Humans , Male , Middle Aged , Retrospective Studies , Ultrasonography , WoodABSTRACT
A new procedure for the correction of hallux valgus was performed on 39 patients (66 feet). The follow-up period averaged 29 months, with a range of 24 to 32 months. The new procedure is a horizontally directed displacement Z-osteotomy in the head and shaft region of the first metatarsal. Rigid internal fixation is obtained with 3.5 or 2.7-mm bone screws. The surgeons' satisfaction rate of 79% compares favorably with the patients' complete satisfaction rate of 85%.
