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-dependent adverse effects, and potential toxicity associated with reliance on one agent or technique, "balanced" or multimodal analgesic regimens have been advocated. A multimodal recovery program consists of three major components: (1) early mobilization, (2) complete perioperative analgesia, and (3) early oral nutrition. The goal of multimodal programs is to accelerate patient rehabilitation and reduce hospital stays. Balanced multimodal programs are the present and future of perioperative pain control and will enhance patient care.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Davy TA,Sharp C,Lynch Sdoi
10.1016/S0891-8422(03)00006-5subject
Has Abstractpub_date
2003-04-01 00:00:00pages
257-67issue
2eissn
0891-8422issn
1558-2302pii
S0891-8422(03)00006-5journal_volume
20pub_type
杂志文章,评审abstract::The literature contains various nomenclature and classifications regarding the pigmented villonodular pathology that have proven to be quite confusing. This article clarifies this and emphasizes the fact that there is a spectrum of inflammatory pathologies that may affect synovial tissue. The primary focus of this art...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/s0891-8422(02)00049-6
更新日期:2002-10-01 00:00:00
abstract::The author provides a description of the deformity congenital vertical talus, including characteristics and contributing factors. Also outlined are the incidence, cause, and pathogenesis; radiographic features; anatomy; and treatment of the condition. The author includes results and discussion of surgical treatment. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
abstract::Current literature disputes Whitman's belief that muscle action plays the primary role in foot stability. Because of this faulty premise, Whitman included an excessively high medial flange in his orthosis. The high medial flange caused many patients a great deal of discomfort. To avoid this pain, the patients would no...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 历史文章,杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract::Researchers often do not publish negative results; positive outcome reported bias remains rampant. This problem is pervasive throughout the medical continuum. Failure to release less than favorable results could be construed as ethically and morally inappropriate. Failure to make public less than favorable outcomes st...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2019.12.013
更新日期:2020-04-01 00:00:00
abstract::This article has attempted to provide some insight into the subject of death, dying, and the patient with AIDS. Even though the thought of death and dying is common, it is a topic that at most times is left unspoken. This is especially true in relationship to an illness that, among many, is considered taboo. This arti...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::Antibiotic-loaded bone cement is a useful adjunct in the management of chronic osteomyelitis and in the prevention of recurrent osteomyelitis after an initial attack. Additionally, antibiotic-loaded bone cement stimulated the formation of granulation tissue in excess of that which would normally be expected. Our exper...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-07-01 00:00:00
abstract::The Agility total ankle replacement system was the most commonly performed implant in the United States for more than 20 years and has undergone four generations and seven phases of improvement. Much attention has been placed on intraoperative complications, such as malleolar fracture; nerve or tendon injury; and inci...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.cpm.2012.10.001
更新日期:2013-04-01 00:00:00
abstract::Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2018.10.012
更新日期:2019-04-01 00:00:00
abstract::Quantitative sensory testing techniques have been developed to yield more consistent and objective measures of sensory deficits than can be obtained through the traditional clinical evaluation of the patient. At the same time, these measures are less invasive and uncomfortable than typical electrophysiologic studies. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-01-01 00:00:00
abstract::Journal club is a structured meeting that is required at a residency program, which is designated to train residents in the necessary skills to evaluate and apply scientific literature critically to clinical decision making. A successful journal club is one in which residents develop competency in evaluating the scien...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:10.1016/j.cpm.2006.08.009
更新日期:2007-01-01 00:00:00
abstract::Charcot neuropathic osteoarthropathy (CN) of the foot and ankle is a poorly understood destructive process that poses a great clinical challenge to foot and ankle specialists. Neuropathic fractures or dislocations in the foot and ankle predispose patients to increased morbidity, premature mortality, and can greatly de...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2011.08.003
更新日期:2011-08-01 00:00:00
abstract::Isolated subtalar joint arthrodesis has gained popularity more recently. Research has shown that it preserves rearfoot motion, does not increase the risk of arthritis in adjacent joints, and is not an especially complex operative procedure. It decreases the chance of midtarsal joint nonunion and malunion postoperative...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2011.09.003
更新日期:2012-01-01 00:00:00
abstract::Absorbable fixation has evolved from sutures and pins to screws. The current biomaterials available are polyparadiaxanone (PDS), polygycolide acid (PGA), and poly-L-lactic acid (PLLA). Extensive evaluation of PDS and PGA over the last several years has identified their benefits and weaknesses in reconstructive foot su...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
abstract::Many factors contribute in the development of hyperkeratotic lesions in the elderly patient. The internal and external causes render the elderly foot more susceptible to limited ambulation, increased incidence of infection, ulceration, and eventual loss of the limb. Once the lesion is classified and the causes identif...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-01-01 00:00:00
abstract::Plantar fibromatosis is defined as a benign fibrous disorder involving the plantar aponeurosis. Although its incidence is well described on the hands, it is less commonly seen on the feet, and its etiology is unknown. A differential diagnosis for the heel pain along the medial arch could be a benign thickening of the ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2004.08.002
更新日期:2005-01-01 00:00:00
abstract::The use of external fixators for distraction osteogenesis has revolutionized treatment options for segmental bone defects in the tibia. Following corticotomy, the latency phase allows the biologic environment to initiate healing, and optimized distraction rates produce regenerate. Regenerate consolidation can be impro...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2020.09.006
更新日期:2021-01-01 00:00:00
abstract::Patients with ARC and AIDS develop a variety of symptoms that significantly affect their nutritional status. Podiatrists, although not directly involved with the intricacies of the nutritional management of people with AIDS, should be aware of the effect of the virus on the human body. Investigators are predicting tha...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 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::Nail infections are and will continue to be a diagnostic and therapeutic challenge to all foot physicians. Attention to basic concepts of accurate detailed history and physical examination will aid in the determination of the etiology of these infections. Following basic guidelines of incision and drainage, gram stain...
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 systemic treatment of fungal infections has changed considerably over the past 10 to 20 years. Griseofulvin, the only drug approved by the Food and Drug Administration for the systemic treatment of onychomycosis, has a cure rate that seldom exceeds 40%. Many new drugs are targeting the three main kinds of drug the...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract::The author presents an alternative approach to the pediatric flexible pes planovalgus patient. Hopefully, this algorithm can serve as a guide and not as a rule. It is meant to serve the foot and ankle surgeon as a means of eliminating the arbitrary assignment of a flatfoot to procedures. Instead, the algorithm assigns...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2005.10.001
更新日期:2006-01-01 00:00:00
abstract::The modified Kidner procedure and flexor digitorum longus tendon transfer are common procedures used today when addressing posterior tibial tendon dysfunction. These techniques are often used in conjunction with a combination of osteotomies to correct flatfoot deformity, and have been proved to be reliable and predict...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2015.06.007
更新日期:2016-01-01 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::The indications for arthroscopy have expanded over the years. Arthroscopic-assisted open reduction internal fixation in the setting of acute trauma is gaining popularity with foot and ankle surgeons. It serves to facilitate direct visualization of fracture fragments and allows for precise articular reduction with mini...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.12.004
更新日期:2018-04-01 00:00:00
abstract::Total ankle arthroplasty (TAA) and ankle arthrodesis (AA) are complicated surgeries that carry a learning curve with them. Complications are an aspect of all surgeries that must be considered. Surgeons must be prepared to handle these complications. The most important things are early identification and treatment of t...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.05.011
更新日期:2017-10-01 00:00:00
abstract::Compartment syndrome is a rare but severe complication of lower extremity trauma. This article provides an extensive review of the literature, including incidence, physical examination findings, pathophysiology, compartment pressure evaluation, and surgical decompression techniques. Most of the recent compartment synd...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2012.02.001
更新日期:2012-04-01 00:00:00
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...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-10-01 00:00:00
abstract::CVA comprises a large number of clinical entities, depending on the site of infarction in the brain. Accurate evaluation of deficits in the patient's sensory and/or motor systems and the patient's intellectual status are paramount in establishing realistic rehabilitation goals. With respect to the motor system, two ty...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 00:00:00
abstract::Surgical bone reconstructive procedures of the foot and ankle in diabetic patients must be considered when performing evaluation of a diabetic foot for patients with preulcerative lesions and preexisting wounds. Preventive deformity correction can reduce the potential risk of ulceration, infection, and possible amputa...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2019.02.007
更新日期:2019-07-01 00:00:00
abstract::Melanoma is a rare form of skin cancer that is responsible for most skin cancer deaths globally. Tumors arising on the foot continue to be a particular challenge. Patients present later and lesions are frequently misdiagnosed, leading to more advanced disease with an overall poorer prognosis then melanoma elsewhere. I...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2016.02.008
更新日期:2016-07-01 00:00:00