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 extensive, heterogeneous, and severe. Multiple serial débridement episodes are routinely necessary because of deterioration of the wounds over time, which is in contrast to civilian trauma wherein fewer débridement episodes are generally required. Wound therapy adjuncts, such as subatmospheric wound dressing and synthetic dermal replacement, have been used extensively with favorable results. Pedicled flaps, such as the distally based sural neurofasciocutaneous flap, are reliable, and avoid the risks and technical demands associated with microsurgery. Free tissue transfer, such as the anterolateral thigh flap, the latissimus dorsi muscle flap, and the rectus abdominis muscle flap, are powerful reconstructive tools, and have been extensively used in the reconstruction of war wounds of the foot and ankle.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Baechler MF,Groth AT,Nesti LJ,Martin BDdoi
10.1016/j.fcl.2009.10.006subject
Has Abstractpub_date
2010-03-01 00:00:00pages
113-38issue
1eissn
1083-7515issn
1558-1934pii
S1083-7515(09)00108-9journal_volume
15pub_type
杂志文章,评审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：: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
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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：:Postoperative recurrence of hallux valgus is a relatively common complication and is associated with unsatisfactory surgical outcomes. Risk factors for postoperative recurrence include a round lateral edge of the first metatarsal head (a positive round sign) and incomplete reduction of the sesamoids. These risk factor...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2018.01.006
更新日期：2018-06-01 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：: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：: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...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2007.04.002
更新日期：2007-09-01 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：: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
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journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2004.09.002
更新日期：2005-03-01 00:00:00
abstract：:The orthopedic foot and ankle surgeon needs bone grafts in the clinical situation of fracture healing and in bone-fusion procedures. This article briefly outlines thought processes and techniques for 2 recent options for the surgeon. The Trinity product is a unique combination of allograft bone and allograft stem cell...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2010.09.003
更新日期：2010-12-01 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：:Ankle joint distraction has been shown to be a viable alternative to ankle arthrodesis or ankle replacement. The à la carte approach to ankle joint preservation (resection of blocking osteophytes, release of muscle/joint contractures, and realignment osseous ankle procedures) presented in this article as important for...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2008.05.001
更新日期：2008-09-01 00:00:00
abstract：:The treatment of the congruent hallux valgus deformity requires special consideration for a successful outcome to be obtained. The distal metatarsal articular angle is of critical importance in this deformity. The goal of correction is to achieve a realigned first ray and preserve the congruent first metatarsophalange...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2009.03.005
更新日期：2009-09-01 00:00:00
abstract：:The understanding of the pathology and treatment of hallux sesamoid disorders has improved considerably over the last few decades. It is interesting to speculate what further improvements are on the horizon. Newer imaging methods and possibly an increased use of small joint arthroscopy may make it possible to better d...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 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
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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
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journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/s1083-7515(03)00063-9
更新日期：2003-09-01 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
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journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
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更新日期：2002-12-01 00:00:00
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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
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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：: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
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journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：
更新日期：2000-12-01 00:00:00
abstract：:Interdigital neuralgia affects a significant number of individuals, with an average age of presentation in the sixth decade and a 4- to 15-fold increased prevalence in women. Historical descriptions date back to the 19th century. Nonoperative treatment with shoe modifications, metatarsal pads, and injections provides ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2011.01.010
更新日期：2011-06-01 00:00:00
abstract：:This review article summarizes the currently available (poor) evidence of conservative treatment of asymmetric ankle osteoarthritis in the literature and adds the authors' experience with the particular technique. The use of dietary supplementation, viscosupplementation, platelet-rich plasma, nonsteroidal anti-inflamm...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2013.06.003
更新日期：2013-09-01 00:00:00
abstract：:Achilles tendinopathy is a painful condition that occurs commonly in both active and inactive individuals. It seems that this condition is painful as a result of ingrowth of neural structures and neovessels leading to poor healing, rather than from inflammatory mediators. Traditional conservative measures are often su...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2009.07.003
更新日期：2009-12-01 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：: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：:The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2017.04.004
更新日期：2017-09-01 00:00:00
