RESUMO
The adult-acquired flatfoot is a complex multiplanar deformity that requires the foot and ankle surgeon to balance soft tissue, correct hindfoot valgus, and address instability of the medial column. The naviculocuneiform joint is historically underappreciated in regard to its involvement in medial column instability relative to the talonavicular and tarsometatarsal joints. Proper clinical and radiographic evaluation of the medial column, specifically evaluating for deformity at each medial column joint, will allow the surgeon to ensure correction of deformity and decrease the recurrence of instability or failure of the reconstruction.
Assuntos
Pé Chato , Adulto , Humanos , Pé Chato/cirurgia , Artrodese , Articulações do Pé/cirurgia , Osteotomia , TornozeloRESUMO
Injuries to the Achilles tendon are a challenge to the foot and ankle surgeon. In recent years, research has led to a relative change in the way that many surgeons view acute Achilles tendon rupture. In an effort to fully evaluate these trends, as well as to evaluate all aspects of care for acute Achilles tendon rupture, the American College of Foot and Ankle Surgeons convened a panel of experts to create a clinical consensus statement to address selected aspects of care of the acute Achilles tendon injury.
Assuntos
Tendão do Calcâneo , Traumatismos dos Tendões , Tendão do Calcâneo/cirurgia , Articulação do Tornozelo , Humanos , Ruptura , Traumatismos dos Tendões/cirurgia , Resultado do TratamentoRESUMO
A wide range of factors contribute to the complexity of the management plan for an individual patient, and it is the surgeon's responsibility to consider the clinical variables and to guide the patient through the perioperative period. In an effort to address a number of important variables, the American College of Foot and Ankle Surgeons convened a panel of experts to derive a clinical consensus statement to address selected issues associated with the perioperative management of foot and ankle surgical patients.
Assuntos
Pé/cirurgia , Assistência Perioperatória/normas , Antibacterianos/uso terapêutico , Antibioticoprofilaxia , Anticoagulantes/uso terapêutico , Antirreumáticos/uso terapêutico , Fibrinolíticos/uso terapêutico , Hemoglobinas Glicadas/análise , Humanos , Hipoglicemiantes/uso terapêutico , Procedimentos Ortopédicos , Dor Pós-Operatória/prevenção & controle , Medidas de Resultados Relatados pelo Paciente , Complicações Pós-Operatórias/prevenção & controle , Fatores de Risco , Fumar/efeitos adversos , Sociedades Médicas , Torniquetes , Triagem/normasRESUMO
The arthroscopic approach to small joints of the foot has made many advances in recent years, which can be directly related to the improvement of the surgical equipment. This improvement has led to more indications for the use of arthroscopy as well as minimizing the complications. Several articles recently have presented experiences in arthroscopic surgery in the small joints of the foot; however, its use is still relatively limited. Approaches to small joints of the foot involve the first metatarsophalangeal joint, tarsometatarsal joint, and Chopart joint, as well as the interphalangeal joint to the great toe and lesser toes.
