Abstract:
:Salvage of nonunion and malunion of trauma of the foot and ankle is often challenging surgery. Internal fixation provides the mainstay of most orthopedic surgeons' treatment of these conditions. Patient systemic factors, local factors, and the complex nature of these often multiplanar deformities may make external fixation a more viable option. This article provides an overview of the principles and results of the use of external fixation.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Molloy AP,Roche A,Narayan Bdoi
10.1016/j.fcl.2009.03.007subject
Has Abstractpub_date
2009-09-01 00:00:00pages
563-87issue
3eissn
1083-7515issn
1558-1934pii
S1083-7515(09)00025-4journal_volume
14pub_type
杂志文章,评审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::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::Metatarsus adductus (MA) is a congenital condition resulting in adduction of the forefoot at the tarsometatarsal joint, medial metatarsal deviation, supination of the hindfoot through the subtalar joint, and plantarflexed first ray. The exact underlying pathophysiology remains elusive. There is increasing evidence hig...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2019.08.002
更新日期:2019-12-01 00:00:00
abstract::Nonunions of the tibia represent challenging orthopedic problems, which require the surgeon to analyze numerous factors and choose an appropriate treatment. Tibial nonunion treatment requires establishing its existence and cause. The treatment algorithm necessitates consideration of a wide variety of factors: the loca...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.12.003
更新日期:2006-03-01 00:00:00
abstract::This article reviews the indications and the operative technique for the medial calcaneal slide osteotomy for the treatment of posterior tibial insufficiency. Patient selection, expected results, and complications of this technique are discussed. When used in combination with flexor digitorum longus transfer, the medi...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00081-0
更新日期:2001-03-01 00:00:00
abstract::For years, OCD of the talus has been known as a symptomatic lesion that causes pain, recurrent synovitis, altered joint mechanism, and obstruction from loose bodies. It is a probable precursor of ankle osteoarthritis because of altered joint mechanics and recurrent synovitis. With the notable advance of diagnostic ima...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00017-2
更新日期:2003-06-01 00:00:00
abstract::The advancing technologies available to the orthopedist are a necessary adjunct to heal wounds about the foot and ankle successfully. Successful wound healing should be viewed as a multidisciplinary approach, using the strengths of each discipline. Critical to an integrated method is communication preoperatively betwe...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00009-8
更新日期:2001-12-01 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::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::Talar head and fracture injuries are not easily recognized and can create significant long-term disability when missed. Careful investigation of any injury about the ankle requires both clinical and radiographic examination. A computed tomography scan is extremely helpful in diagnosing and treating talus fractures. Di...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2008.08.005
更新日期:2008-12-01 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::Ankle arthroplasty is emerging as an alternative to arthrodesis. Restoring and maintaining proper bony alignment and muscle balance in the limb is essential if there is to be any chance for long-term survival. Deformity can arise above the ankle, in the joint itself, or in the foot. Secondary procedures in the foot an...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00055-4
更新日期:2002-12-01 00:00:00
abstract::This article details the experiences of United States military reconstructive surgeons in the soft tissue management of war wounds of the foot and ankle resulting from the conflicts in Iraq and Afghanistan. War wounds from this conflict are commonly caused by blast and fragmentation, and are characteristically extensi...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2009.10.006
更新日期:2010-03-01 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::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::Ankle sprains are common in both sport and leisure activities. Despite the high success rates of conservative management, approximately 10% to 30% patients develop chronic instability. Surgery yields high success rates, but clinical problems such as functional and mechanical instability, persistent talar tilt, range o...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2006.06.001
更新日期:2006-09-01 00:00:00
abstract::Considerable recent orthopedic literature is dedicated to either the surgical management of OLTs and correction of varus ankle alignment, but little is published on the combination of these 2 problems. We anticipate that future clinical and biomechanical research will address their simultaneous treatment; until then, ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2011.11.011
更新日期:2012-03-01 00:00:00
abstract::Posteromedial ankle complaints are most often caused by a disorder of the posterior tibial tendon. Two predominant groups of patients can be distinguished: the first involves younger patients who have some form of systemic inflammatory disease; the second involves older patients whose dysfunction is caused by chronic ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章
doi:10.1016/j.fcl.2006.03.001
更新日期:2006-06-01 00:00:00
abstract::Accessory tarsal navicular is a common anomaly in the human foot. It should be in the differential of medial foot pain. A proper history and physical, along with imaging modalities, can lead to the diagnosis. Often, classification of the ossicle and amount of morbidity guide treatment. Nonsurgical measures can provide...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2010.02.004
更新日期:2010-06-01 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::Sonography of the foot and ankle is a quick, relatively inexpensive imaging modality that can be used to diagnose a variety of pathologic conditions. Sonography is particularly well suited for the assessment of tendons, soft-tissue masses, and suspected foreign bodies. Visualization of internal structural detail typic...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:
更新日期:2000-03-01 00:00:00
abstract::Foot and ankle reconstruction following blast trauma is particularly challenging based on the devastating soft tissue injuries associated with open comminuted fractures. Considering the difficulties encountered in reconstruction, the functional limitations associated with many salvaged limbs, and the superior performa...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.10.002
更新日期:2006-03-01 00:00:00
abstract::Lateral talar process fractures (LTPF) are uncommon injuries but have become more relevant with snowboarding. Currently the fractures are classified according to McCrory-Bladin into 3 types, with advice for treatment that is not ideal anymore. This article proposes modifying the existing classification by differentiat...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2018.04.009
更新日期:2018-09-01 00:00:00
abstract::Distal tibial osteotomy is an effective treatment for a variety of pediatric and adult foot and ankle disorders. Exposure osteotomies provide access to the tibiotalar joint for such problems as talar body fractures and osteochondral lesions of the talus. The channel osteotomy provides improved access to posterior tala...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00115-3
更新日期:2001-09-01 00:00:00
abstract::This article discusses the complications after open reduction and internal fixation of ankle fractures. Complications are classified as perioperative (malreduction, inadequate fixation, and intra-articular penetration of hardware), early postoperative (wound edge dehiscence, necrosis, infection and compartment syndrom...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(02)00162-6
更新日期:2003-03-01 00:00:00
abstract::Clubfoot is a complex 4-dimensional deformity involving the hindfoot, midfoot, and forefoot. The fourth dimension is time. Treatment aims at achieving a pain-free, plantigrade, and mobile foot but, over time, flexible deformities become fixed and more difficult to manage. The Ponseti method of serial manipulation and ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2020.02.008
更新日期:2020-06-01 00:00:00
abstract::There are many psychologic effects to trauma and disease. Patients often exhibit a grief reaction and loss of identity in the early stages of recovery. Fear and anxiety about the physical condition and future independence can contribute to feelings of separation and loneliness in patients. Loss of self-confidence and ...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/s1083-7515(03)00100-1
更新日期:2001-06-01 00:00:00
abstract::A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curv...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2020.05.004
更新日期:2020-09-01 00:00:00
abstract::Although Achilles tendinopathy has been extensively studied, there is a clear lack of properly conducted scientific research to clarify its etiology, pathology and optimal management. Emerging non-operative management and heavy load eccentric strengthening protocols based on these theories have yielded encouraging ear...
journal_title:Foot and ankle clinics
pub_type: 杂志文章,评审
doi:10.1016/j.fcl.2005.01.007
更新日期:2005-06-01 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