Abstract:
:This article defines specific risks associated with rheumatoid arthritis, including an increased incidence of medical comorbidities, the use of steroids and other immunosuppressive agents, osteoporosis, vascular disease, and the common occurrence of severe deformity. This article suggests approaches for management and techniques that may improve specific surgical issues in this challenging patient population.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Sammarco VJdoi
10.1016/j.fcl.2007.04.002subject
Has Abstractpub_date
2007-09-01 00:00:00pages
475-95, viiissue
3eissn
1083-7515issn
1558-1934pii
S1083-7515(07)00030-7journal_volume
12pub_type
杂志文章,评审abstract::In the past few decades, total ankle replacement (TAR) has become an increasingly recommended and accepted treatment in patients with end-stage ankle osteoarthritis. However, controversy still exists about the appropriate indications for TAR, specifically in ankles with coronal plane deformities. Although not explicit...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2019.02.005
更新日期:2019-06-01 00:00:00
abstract::Cavovarus foot deformity is a result of a dysbalance of the extrinsic musculature about the foot. Because of the multi-articular bony structure of the foot and ankle, the slightest imbalance of muscular forces causes osteo-articular malalignment and consequent gross deformities. This article discusses hindfoot issues ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2008.02.005
更新日期:2008-06-01 00:00:00
abstract::External fixators have been used effectively for a variety of traumatic, congenital, and neuromuscular conditions of the lower extremity for many decades. The transition to management of Charcot foot and ankle deformities in the diabetic neuropathic patient is a logical application. External fixation can address the u...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00019-0
更新日期:2002-03-01 00:00:00
abstract::Freiberg disease, or osteochondrosis of the lesser metatarsal head, usually involves the second metatarsal and presents during the second or third decades of life. Conservative measures to relieve pressure on the affected metatarsal head are the first-line treatments, with good success for Smillie stage I to III disea...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2017.09.011
更新日期:2018-03-01 00:00:00
abstract::Avascular necrosis of the foot and ankle is a rare but important cause of pain and functional abnormality. This process may occur in any bone in the foot and ankle; however, it presents most often in characteristic locations. Understanding of key radiographic findings is important in management of these lesions. MRI i...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2018.10.002
更新日期:2019-03-01 00:00:00
abstract::According with to International Labor Office, the European Union gave the directions to improve the life of workers not only by regulating care, but also safety and return to work. Each European country is conforming to this. In Italy, INAIL, an independent body under the control of the Department of Labor and the Min...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00032-3
更新日期:2002-06-01 00:00:00
abstract::Opinions differ regarding the surgical treatment of posterior calcaneal exostosis. After failure of conservative treatment, open surgical bursectomy and resection of the calcaneal prominence is indicated by many investigators. Clinical studies have shown high rates of unsatisfactory results and complications. Endoscop...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.10.004
更新日期:2015-03-01 00:00:00
abstract::Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Up to 20% of these injuries are misdiagnosed or missed on initial radiographic assessment; therefore, a high index of suspicion is needed to accurately di...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2018.07.014
更新日期:2018-12-01 00:00:00
abstract::Plantar plate rupture is a common cause of forefoot pain, multiplanar malalignment, subluxation, or dislocation of the metatarsophalangeal joint (MTPJ). The treatments that have been described for MTPJ instability of lesser toes include amputation, lengthening and/or tendon transfer, periarticular soft-tissue release ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章
doi:10.1016/j.fcl.2012.06.004
更新日期:2012-09-01 00:00:00
abstract::There are more than 150 different procedures described for correction of the hallux valgus deformity, the treatment of which is usually guided by severity. Moderate to severe hallux valgus has traditionally been managed with a shaft or proximal osteotomy together with distal soft-tissue release. Proximal osteotomies c...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.02.004
更新日期:2014-06-01 00:00:00
abstract::Iatrogenic hallux varus is a relatively rare complication of corrective hallux valgus surgery that has multiple pathologic facets. It requires a comprehensive assessment that focuses on joint flexibility, joint integrity, soft tissue balance, and bony deformity. A step-wise treatment approach is used to address all el...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.06.004
更新日期:2014-09-01 00:00:00
abstract::Flexor to extensor transfer is a useful means for the correction of a flexible hammer toe deformity. Although satisfaction rates have varied in the literature, this technique remains a useful tool in the surgeon’s armamentarium to improve toe deformity, decrease pain, and aid in shoe wear. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章
doi:10.1016/j.fcl.2011.08.005
更新日期:2011-12-01 00:00:00
abstract::The paralytic drop foot represents a challenging problem for even the most experienced orthopedic surgeon. Careful patient selection, thorough preoperative examination and planning, and application of tendon transfer biomechanical and physiologic principles outlined in this article can lead to successful results, eith...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.12.002
更新日期:2014-03-01 00:00:00
abstract::Osteochondral lesions of the talus can present a challenge to the orthopedic surgeon. Because of its avascular nature, articular cartilage has a poor capacity for self-repair and regeneration. A wide variety of strategies have been developed to restore the structure and function of injured cartilage. Surgical strategi...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2012.12.005
更新日期:2013-03-01 00:00:00
abstract::This article reviews the role of cavus in foot and ankle injury and summarizes the current surgical and nonsurgical treatments. Recognition of foot position is crucial in the management of ankle instability associated with cavovarus. Correcting foot alignment with orthoses or surgery improves the mechanics of the ankl...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.08.005
更新日期:2013-12-01 00:00:00
abstract::Electric and electromagnetic fields regulate extra-cellular matrix synthesis and stimulate repair of fractures and nonunions. Studies of electric and electromagnetic fields suggest they (1) regulate proteoglycan and collagen synthesis and increase bone formation in models of endochondral ossification, (2) accelerate b...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.06.006
更新日期:2005-12-01 00:00:00
abstract::With advanced surgical techniques and orthotic, as well as prosthetic devices, partial foot amputations have become a viable alternative. Orthotics can help restore stability, maintain support, and protect function of the residual limb. The authors discuss orthotic and prosthetic management of patients who have underg...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00090-1
更新日期:2001-06-01 00:00:00
abstract::Approximately 3% of osseous tumors occur in the foot and ankle. Solitary bone cysts, chondroblastoma, intraosseous lipoma, osteoid osteoma, chondrosarcoma, and Ewing's sarcoma seem to have a predilection for the calcaneus. Biopsy is often a crucial step in management. Tumor-like conditions, such as cysts, reactive les...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.05.002
更新日期:2005-09-01 00:00:00
abstract::The incidence of AT rupture has increased in recent decades. AT ruptures frequently occur in the third or fourth decade of life in sedentary individuals who play sport occasionally. Ruptures also occur in elite athletes. Clinical examination must be followed by imaging. Conservative management and early mobilization c...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.02.009
更新日期:2013-06-01 00:00:00
abstract::These two morbidly obese patients with severe Charcot foot arthropathy were treated successfully with percutaneous correction of their deformity followed by a stepwise application of a pre-assembled neutrally aligned multiplane ring external fixator. This technique transfers well to the trauma environment in which ali...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2006.06.006
更新日期:2006-12-01 00:00:00
abstract::Malignant osseous and soft tissue tumors of the foot are rare and should be considered in patients who have foot-related symptoms. Most sarcomas affect patients who are older than 55 years; however, many young patients who are otherwise healthy, may present with malignant foot and ankle lesions. In addition to benign ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00150-5
更新日期:2003-12-01 00:00:00
abstract::Partial joint denervation or surgical neuroma therapy are alternative concepts to treat pain around the ankle joint that preserve joint function and relieve pain by interrupting neural pathways that transmit pain impulses from the joint to the brain. This review article summarizes the indication, anatomic background, ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2013.06.007
更新日期:2013-09-01 00:00:00
abstract::Peroneal tendon dislocation is an infrequent sports injury and can be difficult to diagnose. Posterior fibula tenderness and pain with eversion are useful signs to discriminate this from an ankle sprain. In the acute setting, a direct repair provides good results but may need to be augmented with additional soft tissu...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2007.07.001
更新日期:2007-12-01 00:00:00
abstract::Although a painful accessory navicula and a pes planus often coexist, they are not necessarily causally related, and each condition should be assessed and treated individually. A child or adolescent will notice the rubbing of an accessory navicula against footwear as the foot and boney swelling grows. The cause of per...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.06.010
更新日期:2014-09-01 00:00:00
abstract::The accessory navicular is a common presence in the human foot and must be included in the differential diagnosis of medial foot pain in patients who are of appropriate age. Imaging modalities aid in diagnosis of a symptomatic ossicle and guide classification and treatment. Often, a combination of studies is needed to...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/S1083-7515(03)00176-1
更新日期:2004-03-01 00:00:00
abstract::There are numerous options for imaging talar pathology. Of these, radiography, CT, scintigraphy, and MRI are used most commonly. Advantages and limitations of these techniques should be considered when formulating an imaging algorithm for evaluation of the patient's clinical problem. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2004.06.002
更新日期:2004-12-01 00:00:00
abstract::Chronic symptoms following lateral ankle sprain occasionally requires surgical intervention. Many options are available including thermal assisted capsular modification. The authors review the history of thermal modification of tissues, the indication for use in the ankle and report their experience with a consecutive...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00063-3
更新日期:2002-09-01 00:00:00
abstract::This article summarizes the various alternatives for direct gastrocnemius lengthening and elucidates the relative strengths and tradeoffs of each as a means of providing balanced perspective in selecting the appropriate procedure for any given patient. ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2014.08.007
更新日期:2014-12-01 00:00:00
abstract::Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based wor...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2009.04.001
更新日期:2009-06-01 00:00:00
abstract::The adult acquired flat foot requires assessment with unique casting and fabrication of support appliances. Conservative treatment is preferred as the initial protocol. Stabilization and control of affected joints can provide the patient with a decreased level of pain and an increased level of function. The orthosis d...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00119-0
更新日期:2003-09-01 00:00:00