Abstract:
BACKGROUND:Chronic calcaneal osteomyelitis is a difficult problem to eradicate. The infected bone and soft tissue can rarely be successfully treated conservatively. But after aggressive debridement, there is usually a large defect in the calcaneus and soft tissue. Free serratus anterior muscle flap can not only fill the defect but can help eliminate the infection of the bone and soft tissue. MATERIALS AND METHODS:Thirteen patients with calcaneal osteomyelitis were treated with free serratus anterior muscle flap transfer and skin graft from 2000 to 2006. The mean patient age was 36 (range, 18 to 48) years. Four patients were women and nine were men. The followup averaged 34 months (range, 6 months to 6 years). RESULTS:All flaps survived and there was no infection recurrence. The mean operation time was 6.3 +/- 1.3 hours. Partial skin graft necrosis was found in one patient, which resolved uneventfully after another skin graft. There was minimal donor site morbidity. Winged scapula or dysfunction of the shoulder was not found in any of the patients. CONCLUSION:The serratus anterior muscle has many advantages owing to its anatomical features. We believe it is a good option for treatment of calcaneal osteomyelitis.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Xu XY,Zhu Y,Liu JHdoi
10.3113/FAI.2009.1088subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1088-93issue
11eissn
1071-1007issn
1944-7876pii
50032715journal_volume
30pub_type
杂志文章abstract::The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone t...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/1071100718807738
更新日期:2019-01-01 00:00:00
abstract::Research by our group and others indicates that many amputations of the lower limb occur after foot ulceration in patients with diabetes. It has been proposed that diabetic foot ulcers are mainly caused by repetitive trauma in areas of high plantar pressure during walking. Recent technology permits in-shoe measurement...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801901004
更新日期:1998-10-01 00:00:00
abstract::Sixteen feet with retrocalcaneal bursitis (RB) and twenty-two feet with calcific Achilles insertional tendinosis (IAT-CS) underwent retrocalcaneal decompression after failure of nonoperative treatment. Follow-up evaluation at least two years after surgery included AOFAS Ankle-Hindfoot subscale scores, satisfaction, ti...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110070002100802
更新日期:2000-08-01 00:00:00
abstract::We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds c...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070102200509
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Symptomatic large hallux valgus deformities commonly require surgical intervention with a proximal metatarsal osteotomy. A number of fixation methods have been described for proximal chevron osteotomies; one of the most recent is locking plates. METHODS:We retrospectively reviewed the records of 16 consecut...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0361
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Nonunion risk factor identification and modification are subjective. We describe and validate a predictive nonunion risk factor model to identify foot and ankle operative patients at risk for nonunion. MATERIALS AND METHODS:One hundred international experts in foot and ankle surgery were surveyed. Nineteen ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715577789
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dors...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716681139
更新日期:2017-04-01 00:00:00
abstract::A retrospective review was performed on industrial patients who sustained calcaneal fractures within the State of Idaho during the years 1992 to 1994, and these patients were insured by the Idaho State Insurance Fund. Of 48 calcaneal fractures that occurred during this period, 18 were non-displaced extra-articular fra...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070002101102
更新日期:2000-11-01 00:00:00
abstract::Plantar heel pain syndrome has been attributed to entrapment neuropathy, plantar fasciitis, calcaneal spurs, and stress fractures of the calcaneus. Although deteriorated mechanical properties of the heel pads may play an important role in the pathogenesis of heel pain syndrome, this has received little notice. In this...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079902001010
更新日期:1999-10-01 00:00:00
abstract:BACKGROUND:The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial. SPECT/CT combines bone scan with high-resolution CT and can provide functional-anatomical images in a single stage. The purpose of this study was to assess the value of SPECT...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0233
更新日期:2011-03-01 00:00:00
abstract:UNLABELLED:We developed a continuous lateral sciatic nerve infusion technique for postoperative analgesia. METHODS:A 10-cm insulated Tuohy needle connected to a nerve stimulator was introduced posteriorly between the biceps femoris and vastus lateralis groove 10 cm cephalad from the tip of the patella. After proper po...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300812
更新日期:2002-08-01 00:00:00
abstract::Improved designs and surgical technique has led to much better mid-term and longer term outcomes than the first generation ankle replacements of the 1970's. However, there remains multiple recent papers discussing the many potential complications with total ankle replacement surgery. As we proceed into the future, one...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2010.0267
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Limited ankle joint dorsiflexion passive range of motion (PROM) has been associated with common chronic lower extremity conditions, and clinicians often instruct patients in stretching exercises to increase dorsiflexion. However, little is known about how subtalar joint (STJ) position affects dorsiflexion at...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
doi:10.1177/1071100713513433
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Increased surgeon volume may be associated with improved outcomes following operative procedures. However, there is a lack of information on the effect of surgeon volume on inpatient adverse events and resource utilization following total ankle arthroplasty (TAA). METHODS:A retrospective cohort study of TAA...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100716664871
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Recently, peripheral nerve blocks have increasingly been used in orthopedic surgery. The foot block is an alternative for anesthesia in cases of forefoot and midfoot operations. We propose a modification of the block technique due to potential difficulties concerning the tibial nerve. MATERIALS AND METHODS:...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.3113/FAI.2010.0619
更新日期:2010-07-01 00:00:00
abstract::A sprain to the tibial-fibular syndesmosis often results in prolonged rehabilitation or surgical intervention before recovery occurs. This paper documents gait recovery both before and after surgery for a syndesmosis sprain. Ground reaction force (GRF) data were available before injury and before surgery. Data were al...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079501601014
更新日期:1995-10-01 00:00:00
abstract::The free vascularized fibula graft has been an increasingly useful tool in orthopaedic surgery. In addition to its many applications, the reported low donor site morbidity has helped make this a popular treatment modality. Isolated flexor hallucis longus flexion contracture has been reported in the literature; however...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079501601004
更新日期:1995-10-01 00:00:00
abstract::Traumatic injuries to the midtarsal joint are quite uncommon and usually involve fractures of adjacent bones. Pure dislocations without fracture are very rare. A patient sustained a pure dislocation that was treated with a nonweight-bearing cast for six weeks, but she went on to present with chronic subluxation at the...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070202300312
更新日期:2002-03-01 00:00:00
abstract::The purpose of this study was to define the amount of lateral displacement of the chevron osteotomy to obtain a 50% displacement of the capital fragment. While mathematical analyses exist to predict the degree of correction of the intermetartarsal 1-2 angle with a distal metatarsal osteotomy, no guidelines exist regar...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079701800405
更新日期:1997-04-01 00:00:00
abstract::A new protocol for the selected omission of transsyndesmotic fixation in Weber class C ankle fractures was prospectively evaluated in 21 consecutive patients. As proposed in a previous cadaveric study (J. Bone Joint Surg., 71A:1548-1555, 1989), the protocol suggested that transsyndesmotic fixation was not required if ...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079401500801
更新日期:1994-08-01 00:00:00
abstract::Eleven consecutive patients with 12 stress fractures of the foot or ankle were seen between October 1992 and July 1995. Charts were reviewed retrospectively for clinical information. The patients were all postmenopausal females. Average age was 62 years. Onset of symptoms was not associated with a specific episode of ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801900406
更新日期:1998-04-01 00:00:00
abstract::This study examined 76 consecutive patients (100 feet) treated by a single surgeon for both flexible and rigid hammertoes with a PIP arthrodesis using custom-machined drills, a peg cutter, and hole cutter, combined with an extensor tenotomy and dorsal capsulotomy. Forty-eight percent of patients were defined as satisf...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章
doi:10.1177/107110079501600904
更新日期:1995-09-01 00:00:00
abstract::The Austin osteotomy is a widely accepted method for correction of mild and moderate hallux valgus. In view of publications by Kitaoka et al. in 1991 and by Mann and colleagues, a more radical lateral soft tissue procedure was added to the originally described procedure. From September 1992 to January 1994, 85 patient...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
doi:10.1177/107110079701800302
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Aseptic component loosening is a leading cause of revision for total ankle replacement. Different operative approaches for resecting the tibia and talus impact the bony support for the prostheses due to variations in both bone density and resection area, and may therefore impact loosening performance. METHO...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100717712508
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:In cases with total ankle replacement (TAR) failure, a decision between revision TAR and salvage arthrodesis (SA) must be made. In a previous study, we analyzed revision TAR and found low functional outcome and satisfaction. The aims of the current study were to analyze SA concerning failure rate and patient...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100715617508
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Endoscopic release of the plantar fascia is becoming an increasingly popular alternative to open procedures for the treatment of chronic plantar fasciitis. Although most patients can be successfully treated with Achilles tendon stretching, orthoses, physical therapy and corticosteroid injections, a small per...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070402501206
更新日期:2004-12-01 00:00:00
abstract::The purpose of the study was to investigate effects of adhesive ankle taping. Using electromyographic, goniometric, and thermologic methods, different ankle tapes were tested before and after athletic exercise in simulated inversion trauma. Twelve subjects with stable ankle joints performed five trials: with two diffe...
journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/107110079902000406
更新日期:1999-04-01 00:00:00
abstract::Contemporary methods of bone grafting osteochondral defects, in which the remaining overlying cartilage is relatively well preserved, have inherent problems. The bony defects are often saucer-shaped and the cylindrical graft may not fill the void, leaving areas of cartilage with no underlying scaffold and obviating ea...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2008.0616
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:The flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons are commonly used for tendon transfer in reconstructive foot and ankle procedures. Some patients experience great toe weakness and loss of push-off strength. The objective of this biomechanical study was to quantify plantarflexion for...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/1071100719875229
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:We investigated a previously reported technique for the repair of acute Achilles tendon ruptures using the percutaneous Achillon suture system (Intega Life Sciences Corporation, Plainsboro, NJ). METHODS:Twenty-five patients with Achilles tendon ruptures were studied prospectively with a minimum of 12 months...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110070602700204
更新日期:2006-02-01 00:00:00