Abstract：
:Amputations of the lower extremity may result from several etiologic factors. Most amputations performed in the United States result from a dysvascular limb. A majority of the population with vascular impairment comprises people with diabetes. These individuals frequently have comorbidities that may also affect the ultimate outcome of amputation. Loss of protective sensation, propensity toward infection, and visual and balance impairment all create additional issues with postamputation gait in the population with diabetes. Amputations about the foot and ankle affect gait and energy consumption. More gait disturbances tend to be seen as amputation level becomes more proximal; however, loss of the metatarsophalangeal joints has a profound effect, regardless of the proximal level of amputation. Soft tissue balance is key to maximizing gait, particularly prevention of equinus and equinovarus deformity from unopposed plantarflexors. Orthotic, prosthetic, and shoe modifications can help minimize gait abnormalities; however alterations of ground reaction force and center of pressure may still remain.
journal_name
Foot Ankle Clinjournal_title
Foot and ankle clinicsauthors
Marks RM,Long JT,Exten ELdoi
10.1016/j.fcl.2010.05.001subject
Has Abstractpub_date
2010-09-01 00:00:00pages
501-7issue
3eissn
1083-7515issn
1558-1934pii
S1083-7515(10)00047-1journal_volume
15pub_type
杂志文章abstract：:Surgical decompression of peripheral nerves for the treatment of diabetic peripheral neuropathy has been studied and previously reported. These studies reported decreased pain and some studies showed improved sensory function. The role that this surgery can play remains controversial. ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2003.12.001
更新日期：2004-06-01 00:00:00
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：: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：: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：: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：: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：: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：: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：: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：:Hallux valgus is an extremely common and often disabling deformity. In addition to valgus deformity of the hallux, varying degrees of varus and supination of the first metatarsal and instability in the metatarsophalangeal and metatarsocuneiform joints are frequently present. Because of the complexity and multiplicity ...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2019.10.006
更新日期：2020-03-01 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：:Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplas...
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：:Acute injuries to the lateral ankle complex remain common and account for 20% to 25% of musculoskeletal injuries. Initial assessment should use the Ottawa ankle rules, and grading should take into account degree of mechanical instability. Nonoperative measures are preferable for all grades of injury; however, mechanic...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2018.07.001
更新日期：2018-12-01 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：: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：:Tibialis anterior (TA) tendon rupture is a rare injury that has been described and studied in orthopedic literature through case reports and low-volume case studies. This article reviews the current literature on TA tendinosis and acute and chronic ruptures. It discusses the patient presentation, physical examination,...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2017.07.009
更新日期：2017-12-01 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：:Triple arthrodesis is largely used to restore painful hindfoot deformity. However, the procedure has been connected to several postoperative complications. Therefore, an isolated fusion of the talonavicular and the subtalar joint through a single medial approach has gained popularity. This "diple" arthrodesis provides...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2010.11.006
更新日期：2011-03-01 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：: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：: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
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：:There is a paucity of information on adult coalitions without large, well-designed outcome studies. Current recommendations are thus similar to those for adolescents. Based on the available literature, current recommendations include an initial trial of adequate nonoperative treatment in symptomatic coalitions. Unlike...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2012.03.004
更新日期：2012-06-01 00:00:00
abstract：:Cyclooxygenase-2 (COX-2) inhibitors are an important adjunct in controlling postoperative pain. Concerns exist regarding the use of NSAIDs for postoperative pain management because of the possible deleterious impact on bone healing in patients undergoing hindfoot arthrodesis. Orthopedic surgeons are concerned with: (1...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2005.06.001
更新日期：2005-12-01 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：: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：: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：:Most nonoperative treatments for insertional Achilles tendinopathy (IAT) have insufficient evidence to support treatment recommendations. Exercise has the highest level of evidence supporting the ability of this treatment option to reduce IAT pain. The effects of exercise may be enhanced by a wide variety of other tre...
journal_title：Foot and ankle clinics
pub_type： 杂志文章,评审
doi：10.1016/j.fcl.2019.04.004
更新日期：2019-09-01 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：: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
