Abstract:
:Obtaining functional alignment of a total ankle replacement, including physiologic sagittal plane range of motion, is paramount for a successful outcome. This article reviews the literature on techniques available for correction of osseous and soft-tissue equinus at the time of index total ankle replacement. These techniques include anterior tibiotalar joint cheilectomy, posterior superficial muscle compartment lengthening, posterior ankle capsule release, and release of the posterior portions of the medial and lateral collateral ligament complexes. The rationale for these procedures and the operative sequence of events for these procedures are presented.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Roukis TS,Simonson DCdoi
10.1016/j.cpm.2015.06.018subject
Has Abstractpub_date
2015-10-01 00:00:00pages
543-50issue
4eissn
0891-8422issn
1558-2302pii
S0891-8422(15)00059-2journal_volume
32pub_type
杂志文章,评审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::Revision hammertoe surgery can be extremely challenging for the foot and ankle surgeon given the scar tissue and available osseous and soft tissue. Although not a common procedure, lesser metatarsophalangeal joint arthrodesis is an option for the patient especially in lieu of an amputation. This article describes the ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2020.03.006
更新日期:2020-07-01 00:00:00
abstract::A case report and literature review on the association of nail changes and scleroderma was presented. The exact etiology of these nail changes seen in scleroderma and of the disease entity itself, has not yet been determined. The current treatment regimen, which is at best supportive, was discussed. Proper treatment o...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract::Ankle arthrodiastasis provides an alternative surgical treatment of the mild to moderate posttraumatic ankle arthritis. Ankle arthrodesis or ankle implant arthroplasty is usually reserved for the end-stage ankle arthritis and after conservative treatment options have been implicated for a long period of time. Ankle jo...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.05.001
更新日期:2017-10-01 00:00:00
abstract::Tibiotalocalcaneal arthrodesis is a successful and proven surgical procedure for patients who have significant arthritic changes, deformity, and failed previous operations. Surgical technique varies depending on the type of fixation. Basic surgical principles should not be violated. Correction of the deformity with ap...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2008.12.009
更新日期:2009-04-01 00:00:00
abstract::Total ankle replacement (TAR) has evolved over the past decade as a treatment for end-stage ankle arthritis with improved survivorship. Despite the improving outcomes, ankle deformity represents a challenge to the foot and ankle surgeon with increased risk of implant failure. The use of preoperative computer-assisted ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.08.004
更新日期:2018-01-01 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::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::The supination of the forefoot that develops with adult acquired flatfoot is defined as forefoot supinatus. This deformity is an acquired soft tissue adaptation in which the forefoot is inverted on the rearfoot. Forefoot supinatus is a reducible deformity. Forefoot supinatus can mimic, and often be mistaken for, a for...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2014.03.009
更新日期:2014-07-01 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::The authors discuss a novel technique not previously published that incorporates a subtalar joint arthrodesis with an ankle joint arthrodiastasis as an alternative to a tibiotalocalcaneal arthrodesis. Young and active patients who experience refractory pain and stiffness to the rearfoot and ankle secondary to combined...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2008.05.012
更新日期:2008-10-01 00:00:00
abstract::Arthroscopic treatment of osteochondral lesions (OCLs) of the ankle is a popular first-line surgical option after conservative therapy has failed. MRI is the preferred imaging modality to evaluate OCLs and aid in surgical planning. Associated soft tissue pathology must be appreciated and addressed surgically, because ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2011.04.006
更新日期:2011-06-01 00:00:00
abstract::Over the past several years there has been a dramatic rise in the incidence of tuberculosis. Peripheral skeletal tuberculosis is, more often than not, misdiagnosed as osteoarthritis or pyogenic osteomyelitis. Tuberculosis is no longer a "zebra" among differential diagnoses. This article reviews the pathogenesis, along...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1996-10-01 00:00:00
abstract::The clinical case presented in this article demonstrates the necessity of prompt treatment of suspicious mass lesions and highlights the importance of always sending tissue specimens for proper evaluation. In this case, the prognosis was directly related to extent of the disease. Delaying treatment or improper treatme...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 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::Few topics in foot and ankle surgery incite as much debate as artificial replacement of the great toe joint. As with other implant arthroplasty procedures, such as the hip and knee, the first metatarsalphalangeal joint (MTPJ) has most assuredly had its share of failed designs. This article reviews the shortcoming of n...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:10.1016/j.cpm.2006.09.001
更新日期:2006-10-01 00:00:00
abstract::Central metatarsal fractures are unique, secondary to biomechanical function, anatomy, and position within the foot. This article reviews the current and historical literature and the classic textbooks on fracture management to give a thorough understanding of the anatomy, biomechanics, incidence, mechanism of injury,...
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::Distinction must be made between tissue movability and tissue elasticity when considering tissue movement with the hope of predicting good results. Tissue movability is either inherent, as on the back of the thigh, or is created by undermining, back-cutting, or cutting out Bürow's triangles. The elasticity of skin is ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract::This article examines fundamental laser physics and the manner in which the laser transfers energy to the surface of the body and how living cells react. Topics include the significance of absorption and scattering coefficients, assumptions for analysis of laser-beam interactions with living tissue, depth of vaporizat...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract::As the body's point of contact with the weight-bearing surface, the foot resists abrasive forces and is constantly bombarded with dermatologic insults. It is the site of a variety of local and systemic afflictions, some which even indicate a state of relative emergency. Paying careful attention to the consideration an...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 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::Neuropathy is one of the most common long-term complications of diabetes. Sensorimotor polyneuropathy first affects the more distal parts of the lower extremities and then spreads more centrally and is therefore the most commonly involved in diabetic foot problems. Autonomic neuropathy causes increased arteriovenous s...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::Interdigital corns or soft corns are the accumulation of spongy, hyperkeratotic, circumscribed tissue between opposing surfaces of adjacent digits of the foot. The authors discuss the incidence, causes, locations, and treatment of these interdigital corns. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 00:00:00
abstract::The complete care of burns to the foot can be complex or straightforward, depending on the nature of the burn. Appropriate care requires experience and training. The keys to good management of burns to the feet are understanding the pathophysiology of burns, appropriate acute management of the burns, and appropriate i...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/S0891-8422(03)00083-1
更新日期:2002-01-01 00:00:00
abstract::Endoscopic decompression for forefoot nerve entrapments is discussed in this article from not only the perspective of preoperative indications, intraoperative technique, and postoperative management, but with reference to the changing paradigm for management of this condition. Surgical results are discussed and compar...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2006.05.002
更新日期:2006-07-01 00:00:00
abstract::Arthroscopic lateral ankle stabilization procedures have been described for many years. New technological advances and a deeper understanding of the pathobiomechanics involved in chronic lateral ankle instability have allowed an expansion of arthroscopic approaches to this common pathology. As experience is gained and...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2016.06.010
更新日期:2016-10-01 00:00:00
abstract::Stress fractures of the calcaneus and cuboid bones are not among the most common pathologies seen by the foot and ankle specialist on a day-to-day basis. Therefore, the clinician must be suspicious of these particular entities when conservative therapy has failed to alleviate the pain of a more common condition. The p...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2007.12.001
更新日期:2008-04-01 00:00:00
abstract::Arthrodesis of the first metatarsal-phalangeal joint has been proposed for treatment of severe hallux valgus, end-stage hallux rigidus, rheumatoid arthritis, and revision of failed surgery due to the perceived safety and efficacy. This article discusses the principles of first metatarsal-phalangeal joint arthrodesis i...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.02.002
更新日期:2017-07-01 00:00:00
abstract::Knowledge of diabetic Charcot neuroarthropathy (DCN) has grown tremendously since this condition was first described in 1936 by William Riely Jordan. Despite advancements in diagnostic approaches and treatment options making DCN limb salvage a more viable option, ongoing and additional research is needed to determine ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2016.07.001
更新日期:2017-01-01 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