Abstract:
BACKGROUND:Staged care with interval external fixation is a successful established treatment strategy for high energy periarticular fractures with often extensive soft tissue damage such as the tibial plateau and plafond. The aim of the current study was to determine whether staged care of high energy midfoot fracture/dislocation with interval external fixation prior to definitive open reconstruction in the polytraumatized patient was both safe and efficacious. METHODS:One hundred twenty-three patients were operated on for high energy midfoot fracture/dislocation during the 8-year study period. Eighteen polytrauma patients were selectively treated with a staged protocol. Radiographic assessment was utilized to determine if the fixator achieved gross skeletal alignment. Further, final alignment after definitive reconstruction and postoperative complications were analyzed. RESULTS:The fixator improved both length and alignment of all high energy midfoot fracture/dislocations. Loss of acceptable reduction while in the temporary frame occurred in only 1 case. Final alignment after definitive reconstruction was anatomic in all cases. No cases of wound-related complication and/or deep infection occurred. CONCLUSION:Delayed reconstruction of high energy midfoot fracture/dislocation using interval external fixation should be an accepted care paradigm in selected polytrauma patients. LEVEL OF EVIDENCE:Level III, retrospective comparative study.
journal_name
Foot Ankle Intjournal_title
Foot & ankle internationalauthors
Kadow TR,Siska PA,Evans AR,Sands SS,Tarkin ISdoi
10.1177/1071100714552077subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1287-91issue
12eissn
1071-1007issn
1944-7876pii
1071100714552077journal_volume
35pub_type
杂志文章abstract::The purpose of this study was to determine whether modification of a surgical practice by using regional anesthesia and local bone grafting would yield the same surgical results as traditional anesthesia and iliac crest bone graft, with a cost reduction. All patients were matched by preoperative disease and were asses...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.1177/107110079801901104
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abstract:BACKGROUND:In Chopart-level amputations the heel often deviates into equinus and varus when, due to the lack of healthy anterior soft tissue, rebalancing tendon transfers to the talar head are not possible. Consequently, anterior and lateral wound dehiscence and ulceration may occur requiring higher-level amputation to...
journal_title:Foot & ankle international
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doi:10.1177/1071100713495380
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abstract:BACKGROUND:Morton's neuroma is a common primary diagnosis for referral to foot and ankle surgeons. On presentation, many patients have had an ultrasound reporting the presence of Morton's neuroma, which may not correlate with the clinical examination findings. The prevalence of such sonographic findings in the general ...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2012.0543
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abstract:BACKGROUND:Patients undergoing ankle arthrodesis often have coronal or sagittal plane malalignment. Correction of this deformity can be technically challenging. This retrospective review examines the use of an augmented interposition wedge allograft for deformity correction in ankle arthrodesis. MATERIALS AND METHODS:...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2011.0380
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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
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更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:Specialized treatment of plantar fasciitis that can reduce inflammation and promote healing may be a possible alternative prior to surgical intervention. We report the results of a randomized clinical trial examining the efficacy of micronized dehydrated human amniotic/chorionic membrane (mDHACM) injection a...
journal_title:Foot & ankle international
pub_type: 杂志文章,随机对照试验
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更新日期:2013-10-01 00:00:00
abstract:BACKGROUND:Highly comminuted pilon fractures, especially with a compromised soft tissue envelope, present a challenging treatment scenario. This study presents our results for patients managed with ankle fusion rather than ORIF. MATERIALS AND METHODS:Fourteen patients with ankle joint incongruence after non-reconstruc...
journal_title:Foot & ankle international
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doi:10.3113/FAI.2008.0914
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journal_title:Foot & ankle international
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Isolated lateral calcaneocuboid joint instability rarely is described. Missed or delayed diagnosis resulting in inadequate treatment may lead to chronic instability, followed by sports inability and handicap in daily life. Besides arthrodesis, anatomic repair augmenting the elongated dorsal calcaneocuboid li...
journal_title:Foot & ankle international
pub_type: 杂志文章
doi:10.3113/FAI.2007.0202
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abstract::Dorsal dislocation of the first metatarsophalangeal joint without a fracture is a rare injury, although it has been well described in the literature. The pathologic anatomy of the case presented has not been documented previously. We suggest a new method of open repair using a sling procedure. ...
journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1995-02-01 00:00:00
abstract::Thirty-three patients treated for tumors of the foot and ankle at one cancer institution over a 14-year period were reviewed. There were 15 females and 18 males, with an age range of 1 to 64 years (average 22.6 years). Twenty-one tumors were benign, 11 were malignant, and 1 tumor had metastasized. The most common diag...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Both clinical and radiographic techniques have been used to evaluate foot and ankle position and orientation. Clinical measurements have been shown to be less reliable than radiographic measurements. Because midfoot equinus deformity may coexist with ankle joint equinus deformity, a radiographic method of se...
journal_title:Foot & ankle international
pub_type: 杂志文章
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abstract:BACKGROUND:Although a variety of surgical techniques are available for the treatment of ankle degenerative disease, arthrodesis is a common treatment especially for unilateral posttraumatic arthritis in young patients. A clear trend toward internal fixation for ankle arthrodesis is evident, but fusion site compression ...
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pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:The goal of this study was to discuss the outcomes of treating calcaneal fracture malunion by restoring the subtalar joint with a reconstructive osteotomy. METHODS:From May 2005 to November 2008, 24 patients (26 feet) with calcaneal malunions after a displaced intra-articular calcaneal fracture were treated...
journal_title:Foot & ankle international
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abstract:BACKGROUND:Static footprints have been widely used clinically. However, since this measure provides only indirect information about the medial longitudinal arch height, it is not clear if it can be indicative of dynamic foot function especially in obese children. This study aimed to verify whether static footprints can...
journal_title:Foot & ankle international
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更新日期:2008-11-01 00:00:00
abstract::We report a case of bilateral Achilles tendon xanthoma as the first clinical manifestation of familial hypercholesterolemia. We review the literature and stress the need for orthopaedic surgeons to be familiar with this disease. An early diagnosis of this metabolic disorder is important to institute medical therapy an...
journal_title:Foot & ankle international
pub_type: 杂志文章,评审
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更新日期:1999-05-01 00:00:00
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abstract:BACKGROUND:The etiology of navicular stress fractures is a topic of interest due to the implications in high-level athletes. Previous studies suggest an avascular zone in the central one-third of the bone as a potential causative factor. This study investigated the extraosseous and intraosseous arterial anatomy of the ...
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pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:Foot & ankle international
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更新日期:1996-03-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:Lateral release (LR) for the treatment of hallux valgus is a routinely performed technique, either by means of open or minimally invasive (MI) surgery. Despite this, there is no available evidence of the efficacy and safety of MI lateral release. Our aim was to study 2 popular techniques for MI LR in cadaver...
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abstract:BACKGROUND:Plantar fasciitis is a relatively common disorder of the foot, yet little is known about its prevalence, what types of physicians see patients with the disorder, or how, on a national scale, patients are typically managed. The purpose of this study was to generate national estimates of the volume of patient ...
journal_title:Foot & ankle international
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journal_title:Foot & ankle international
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更新日期:2004-01-01 00:00:00
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journal_title:Foot & ankle international
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00