Abstract：
:Pedicled muscle flaps always should be considered as a reconstructive option when evaluating possible options to filling a defect around the foot and ankle. To gain confidence in using this option, multiple anatomic dissections with special attention to the vascular anatomy are necessary. These dissections also should give the surgeon a feel for the reach of the various flaps and their applicability in various circumstances. For optimal results, the interoperative dissections should be performed with loupes and the Doppler. This allows the surgeon to identify and protect the dominant pedicle. When insetting the flap, special attention is directed to avoid placing excessive torsion or tension on the pedicle so that the blood flow is not compromised. The flow, both arterial and venous, should be assessed after insetting the muscle with a Doppler. Pedicled muscle flaps offer a rapid and easy solution to difficult soft tissue problems around the foot and ankle. The operation can be performed with a regional block in under two hours. The postoperative stay is short, and the donor defect is minimal. Pedicled muscle flaps offer a great alternative to microsurgical free flaps, especially in the sick patient. They should be considered more often when looking at how to fill small defects with exposed bone or osteomyelitis around the foot and ankle.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Attinger CE,Ducic I,Zelen Csubject
Has Abstractpub_date
2000-10-01 00:00:00pages
681-711issue
4eissn
0891-8422issn
1558-2302journal_volume
17pub_type
杂志文章,评审abstract：:When calcaneal fractures occur, the treating physician is faced with many decisions that are required to bring about a good clinical outcome. From a surgical perspective, decisions must be made regarding whether or not fixation is necessary, and if so, what will be used. Implicit in that thought process is planning of...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2018.10.014
更新日期：2019-04-01 00:00:00
abstract：:Fractures of the distal tibial articular surface are complex injuries that can destroy the ankle joint. This article discusses the mechanism of injury, classifications and historical means of treating these fractures, the authors' approach to treating low- and high-energy pilon fractures, prognosis, and complications....
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2006.01.012
更新日期：2006-04-01 00:00:00
abstract：:Pathology of the fifth ray has been reviewed with emphasis on the tailor's bunion. Based on a thorough radiographic analysis, the bunionette has been grouped into four types, and surgical criteria has been proposed. The goal of this study is to provide guidelines that may enable both podiatric and orthopedic surgeons ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1990-10-01 00:00:00
abstract：:Amputation may be the most appropriate therapy for an ischemic or infected limb, but the level at which to amputate is often difficult to determine. Selecting the appropriate level is crucial when performing an amputation. The goals of surgery are to maintain maximal limb length and ensure successful healing. When mor...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2005.03.002
更新日期：2005-07-01 00:00:00
abstract：:This article deals with the etiology, pathomechanics, and treatment of the varus rotated toe. Various surgical principles and techniques are demonstrated, from elliptical derotating procedures to Z and V-Y skin flaps for the more severe deformity. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-01-01 00:00:00
abstract：:A patient's HIV status often has significant impact on a physician's willingness and ability to provide quality medical care. A physician may face substantial penalties for refusing to treat a patient who has HIV. Even the referral of a patient with HIV to an HIV specialist may constitute a discriminatory act. The law...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1998-04-01 00:00:00
abstract：:There are many options for perioperative pain control available to surgeons. Given these options, adequate levels of analgesia should be achieved and maintained in all surgical patients. Data suggest that analgesia may be improved by combining different analgesic approaches. To avoid high-dose requirements, dose-depen...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/S0891-8422(03)00006-5
更新日期：2003-04-01 00:00:00
abstract：:Charcot deformity is a challenge that foot and ankle surgeons struggle to manage successfully. Despite the advances in knowledge, technology, and treatment modalities, limb loss is still greater than 10%. This article discusses the efficacy of conservative measures and traditional surgical approaches. It proposes a mu...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2017.08.012
更新日期：2018-01-01 00:00:00
abstract：:Burning sensation in the feet is a common problem encountered in podiatric medicine. When this pain is bilateral, symmetric, and includes the top and bottom of both feet, small nerve fiber involvement must be considered in the differential diagnosis. With the now available, in-office, skin biopsy quantification of int...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2015.12.001
更新日期：2016-04-01 00:00:00
abstract：:Management of the medially deviated and overlapping second digit is often frustrating because of inconsistent surgical results. After a review of the pertinent anatomy and previous forms of treatment, both conservative and surgical, the author discusses the concept of a laterally closing metatarsal head osteotomy. Exp...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-04-01 00:00:00
abstract：:An alternative donor site for osteochondral transplantation for medial osteochondral defects of the talus eliminates the need for a second surgical site and decreases operative time. Additionally, the donor osteochondral grafts topographical shape and contour more closely resembles the medical talar shoulder than graf...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：2001-07-01 00:00:00
abstract：:This article examines fundamental laser physics and the manner in which the laser transfers energy to the surface of the body and how living cells react. Topics include the significance of absorption and scattering coefficients, assumptions for analysis of laser-beam interactions with living tissue, depth of vaporizat...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：:Revision hammertoe surgery can be extremely challenging for the foot and ankle surgeon given the scar tissue and available osseous and soft tissue. Although not a common procedure, lesser metatarsophalangeal joint arthrodesis is an option for the patient especially in lieu of an amputation. This article describes the ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2020.03.006
更新日期：2020-07-01 00:00:00
abstract：:The use of physical modalities to mediate mild to moderate foot pain is a part of podiatric practice. This article focuses on the primary indications and contraindications related to pain and some components of application. Institutional, ambulatory, and home care considerations are identified and presented. The focus...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-01-01 00:00:00
abstract：:Chronic ankle and subtalar joint (STJ) instability is a common clinical entity and the physician must be able to determine the exact pathologic condition for proper treatment. There are many diagnostic techniques that can be used to evaluate the ankle joint and STJ. These diagnostic techniques do not take the place of...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2010.10.001
更新日期：2011-01-01 00:00:00
abstract：:Dr. Port presents six cases, which he refers to as "zebras," with clinical descriptions and discussions that typify his excellent teaching style. He also alludes to the fact that podiatrists need to be thorough in their history and physical evaluations. After a lesion has been treated appropriately and does not respon...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-07-01 00:00:00
abstract：:Of all superficial fungal infections, onychomycosis is the most difficult to manage. Practitioners of all disciplines realize its chronic nature, difficulty in eradication, and propensity to recur. Topical treatment of onychomycosis, as opposed to oral therapies, offers a distinct advantage by allowing the patient to ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2004.05.001
更新日期：2004-10-01 00:00:00
abstract：:The current understanding is that gastrocnemius equinus is caused by a pathologic tightening of the muscle leading to decreased ankle joint dorsiflexion. However, an alternative hypothesis is that it is a normal limitation of available muscle length. Passive muscular insufficiency of the gastrocnemius muscle acts on a...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2019.08.006
更新日期：2020-01-01 00:00:00
abstract：:Intra-articular fractures of the calcaneus should be treated like any other fractures of major weight-bearing joints. Technology has advanced significantly in the evaluation of such complex pathology. Surgical instrumentation is now available to address any fracture classification. In the past, this had been a problem...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:This article provides a brief overview of the radiographic appearance of the more commonly encountered arthridities in the foot. Also reviewed is a stepwise approach to interpreting radiographs in a patient suspected of having a synovial-based disease. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1988-10-01 00:00:00
abstract：:Ankle stability in basketball players is affected by footwear. Athletic shoe manufacturers have introduced specialized lacing systems and high-top performance shoes to improve ankle stability. These performance shoes not only aid in preventing ankle injuries, but also protect injured ankles. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1988-04-01 00:00:00
abstract：:Central metatarsal fractures are unique, secondary to biomechanical function, anatomy, and position within the foot. This article reviews the current and historical literature and the classic textbooks on fracture management to give a thorough understanding of the anatomy, biomechanics, incidence, mechanism of injury,...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1995-10-01 00:00:00
abstract：:A physician has the primary responsibility of first causing no harm. Unfortunately, the myriad of pharmacologic agents available to the clinician at times may make this directive difficult. When the variable of age-related changes is introduced, the clinician's task may seem almost impossible. The most important aspec...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:Distinction must be made between tissue movability and tissue elasticity when considering tissue movement with the hope of predicting good results. Tissue movability is either inherent, as on the back of the thigh, or is created by undermining, back-cutting, or cutting out Bürow's triangles. The elasticity of skin is ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-07-01 00:00:00
abstract：:Endoscopic decompression for forefoot nerve entrapments is discussed in this article from not only the perspective of preoperative indications, intraoperative technique, and postoperative management, but with reference to the changing paradigm for management of this condition. Surgical results are discussed and compar...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2006.05.002
更新日期：2006-07-01 00:00:00
abstract：:Over the last 30 years, the impurities in the vancomycin product have been reduced, perhaps resulting in a lower rate of adverse reactions. Vancomycin is bactericidal against most susceptible organisms, but is bacteriostatic against the enterococcus. Vancomycin is the drug of choice for methicillin-resistant Staphyloc...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：:The most important part of any surgical procedure is the consideration of all the available criteria and findings in choosing the procedure that will yield the optimum result for that particular deformity. This article addresses the rationale of the preoperative examination and criteria for office-based surgical corre...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 00:00:00
abstract：:Nail entities, the most commonly seen nail disorders in foot and their main etiologies are discussed. The reader is asked to consult other textbooks for complementary illustrated information. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1989-04-01 00:00:00
abstract：:The ankle sprain is the most common injury in sport and has a high incidence of long-term disability. This disability may be partly due to early return to sport before ligament healing has been completed. The podiatric physician can follow sound guidelines for making a return-to-play decision for athletes suffering fr...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2014.11.003
更新日期：2015-04-01 00:00:00
abstract：:The carbon dioxide laser, when used surgically, is a possible source of complications. Knowledge of laser physics, tissue effects, and target tissue anatomy are of the utmost importance for minimizing complications. This article seeks to elucidate the factors involved in laser beam physics and the effect of these fact...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
