RESUMO
This study was designed to assess the value of combined magnetic field (CMF) bone growth stimulation in the treatment of acute, phase 1, Charcot neuroarthopathy. Thirty-one subjects were studied. Initially 10 controls and 11 study patients were examined. When the initial results were analyzed, 10 additional study patients were added. The result was a statistically significant reduction in time to consolidation, 23.8 weeks for the control versus 11 weeks for the study group. Additionally, less destruction of the bony architecture was noted in the study group as compared to the control. Thus the results of this expanded pilot study demonstrate the efficacy of CMF in accelerating the consolidation process of acute, phase 1, Charcot joint, and decreasing the amount of residual deformity.
Assuntos
Artropatia Neurogênica/terapia , Pé Diabético/terapia , Campos Eletromagnéticos , Doença Aguda , Adulto , Idoso , Artropatia Neurogênica/etiologia , Artropatia Neurogênica/fisiopatologia , Regeneração Óssea/efeitos da radiação , Terapia Combinada , Pé Diabético/complicações , Pé Diabético/fisiopatologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Resultado do TratamentoRESUMO
The literature is abundant with cases of crystalline deposition disorders of the lower extremity. Although acute gout and gouty tophi have commonly been described in the medical literature, findings of gouty deposits within the bone itself has been seldom reported. This paper presents an unusual case of intraosseous gout and its etiology and treatment.
Assuntos
Doenças do Pé/diagnóstico , Gota/diagnóstico , Pé/diagnóstico por imagem , Pé/patologia , Pé/cirurgia , Doenças do Pé/diagnóstico por imagem , Doenças do Pé/cirurgia , Gota/diagnóstico por imagem , Gota/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , RadiografiaRESUMO
Liposarcomas are among the most common soft tissue sarcomas, but are rarely found in the foot or ankle. Certain types of liposarcomas, which range from well-localized low-grade entities to highly aggressive neoplastic lesions, may resemble common benign soft tissue lesions. Myxoid liposarcoma is the most common type of liposarcoma and is important to recognize and differentiate from a benign soft tissue lesion because it may be a limb-threatening and/or life-threatening tumor. A thorough literature review and perplexing case study of myxoid liposarcoma of the ankle is presented.
Assuntos
Tornozelo , Lipossarcoma Mixoide , Neoplasias de Tecidos Moles , Adulto , Tornozelo/cirurgia , Humanos , Lipossarcoma Mixoide/diagnóstico , Lipossarcoma Mixoide/patologia , Lipossarcoma Mixoide/cirurgia , Masculino , Cuidados Pós-Operatórios , Neoplasias de Tecidos Moles/diagnóstico , Neoplasias de Tecidos Moles/patologia , Neoplasias de Tecidos Moles/cirurgiaRESUMO
This article focuses on materials used as bone substitutes. The materials may be used as substitutes for autografts or, in some cases, along with autografts. Each material has unique properties that may be beneficial for specific applications. Some future developments in bone substitute materials are also discussed.
