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, soaks, and antibiotics will be the cornerstone of initial treatment of pyogenic infections. Upon resolution of the acute infection a permanent treatment plan can be constituted based on the etiology. Nail infections of mycotic nature require an understanding by both patient and doctor as to the difficulty and resistance to treatment of this problem. It is the authors' opinion that aggressive persistent treatment will provide the best long-term result when dealing with mycotic infections. This may require nail removal, local and systemic treatment as well as change in shoe environment. As we have seen and is stated throughout this text, the nail and its pathologic processes can be a mirror of systemic disease. Many times a dystrophic infected nail may be the initial clinical presentation of a much more involved disease process. It is the responsibility and duty of all foot physicians to have a total understanding of knowledge of normal and pathologic process that affect the nail plates, nail bed, and surrounding nail proper. I hope this article will stimulate the foot physician to approach the disease of the nail with a high index of suspicion and respect.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Jules KT,Bonar PLsubject
Has Abstractpub_date
1989-04-01 00:00:00pages
403-16issue
2eissn
0891-8422issn
1558-2302journal_volume
6pub_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：:Wounds of the lower extremity involving the distal third of the leg remain a significant challenge due to anatomic location and often poor host physiology. Perforator-based propeller flaps may provide rapid coverage of these wounds with a relatively low rate of major complications and often readily managed minor compl...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2020.06.001
更新日期：2020-10-01 00:00:00
abstract：:Successful management of the flexible flatfoot deformity relies not only on correcting causal factors, but also on addressing the adaptive changes that have occurred and any coexisting deformities present. The three primary goals of any therapy--relief of pain, biomechanical control of excessive pronation, and prevent...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1999-07-01 00:00:00
abstract：:There are many options for perioperative pain control available to surgeons. Given these options, adequate levels of analgesia should be achieved and maintained in all surgical patients. Data suggest that analgesia may be improved by combining different analgesic approaches. To avoid high-dose requirements, dose-depen...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/S0891-8422(03)00006-5
更新日期：2003-04-01 00:00:00
abstract：:Pedicled muscle flaps always should be considered as a reconstructive option when evaluating possible options to filling a defect around the foot and ankle. To gain confidence in using this option, multiple anatomic dissections with special attention to the vascular anatomy are necessary. These dissections also should...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：2000-10-01 00:00:00
abstract：:Although there is strong evidence that cigarette smoking is perhaps the major risk factor associated with peripheral occlusive vascular disease, there still appears to be little indication that clinicians in podiatric medicine and patients recognize this. When smoking is combined with other risk factors such as diabet...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：:Ankle stability in basketball players is affected by footwear. Athletic shoe manufacturers have introduced specialized lacing systems and high-top performance shoes to improve ankle stability. These performance shoes not only aid in preventing ankle injuries, but also protect injured ankles. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1988-04-01 00:00:00
abstract：:In reconstructive foot and ankle surgery, the use of bone graft is common. Whether for trauma, acquired or congenital deformities, arthrodeses, joint replacement, bone loss from infection, or bone tumor resection, the foot and ankle surgeon must be knowledgeable about current bone grafting options to make informed dec...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2009.07.003
更新日期：2009-10-01 00:00:00
abstract：:The goal of this article is to provide an introductory look into current concepts regarding chronic regional pain syndrome. Great advances have been made over the last 15 years, but we are far from a complete understanding of this disorder. This article places great emphasis on early clinical recognition and treatment...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2008.02.011
更新日期：2008-07-01 00:00:00
abstract：:Bioengineered alternative tissues (BATs) are heterogeneous processed materials used to aid in wound closure of diabetic foot ulcers. There has been significant progress in the development and clinical use of BATs in the last decade. BATs may be derived from an autograft, allograft, or xenograft source. They may be a s...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2013.09.010
更新日期：2014-01-01 00:00:00
abstract：:Burning sensation in the feet is a common problem encountered in podiatric medicine. When this pain is bilateral, symmetric, and includes the top and bottom of both feet, small nerve fiber involvement must be considered in the differential diagnosis. With the now available, in-office, skin biopsy quantification of int...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2015.12.001
更新日期：2016-04-01 00:00:00
abstract：:The carbon dioxide laser, when used surgically, is a possible source of complications. Knowledge of laser physics, tissue effects, and target tissue anatomy are of the utmost importance for minimizing complications. This article seeks to elucidate the factors involved in laser beam physics and the effect of these fact...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：:The authors review the common dermatophyte genera and the forms of tinea pedia they cause. They also provide a differential diagnosis, review diagnostic procedures, and outline the pathophysiology of this complex condition. A classification and treatment plan is provided, with an extensive review of recent clinical tr...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-01-01 00:00:00
abstract：:A patient's HIV status often has significant impact on a physician's willingness and ability to provide quality medical care. A physician may face substantial penalties for refusing to treat a patient who has HIV. Even the referral of a patient with HIV to an HIV specialist may constitute a discriminatory act. The law...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1998-04-01 00:00:00
abstract：:This article has attempted to address the surgical realm of the ankle region. With the advent of more interest in treating patients who require atraumatic and corrective surgical procedures of the ankle region, it is mandatory for us to become better trained and to improve our skills and expertise. The points worth su...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:Since wounds in patients with diabetes will heal slowly at best, and since they are so much more susceptible to infection and the infection will be more devastating, the old adage of "first do no harm" must be adhered to. Diabetics have poor circulation, poor resistance to infection, and poor local nutrition. Their wh...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
abstract：:The intent of this article is to present the current understanding of fracture repair and offer investigative evidence to the use of exogenous growth factors enhancing fracture healing. The authors believe that exogenous growth factors have tremendous clinical applications and will continue to influence bone healing i...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：2001-01-01 00:00:00
abstract：:This article describes some of the common techniques used in percutaneous surgery of the forefoot. Techniques such as minimally invasive chevron Akin osteotomy for correction of hallux valgus, first metatarsophalangeal joint cheilectomy, distal minimally invasive metatarsal osteotomies, bunionette correction, and hamm...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2015.03.007
更新日期：2015-07-01 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：:One of the most devastating foot and/or ankle complications in the diabetic population with peripheral neuropathy is the presence of Charcot neuroarthropathy (CN). In recent years, diabetic limb salvage has been attempted more frequently as opposed to major lower extremity amputation for CN of the foot and ankle with ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2013.12.001
更新日期：2014-10-01 00:00:00
abstract：:With the advent and clinical application of recombinant chemical and cellular mediators of wound healing and a better understanding of the importance of serial debridement, most foot wounds can be healed with little morbidity. Despite these advances, there remains the recalcitrant wound for which more heroic efforts s...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2007.03.011
更新日期：2007-07-01 00:00:00
abstract：:The ankle sprain is the most common injury in sport and has a high incidence of long-term disability. This disability may be partly due to early return to sport before ligament healing has been completed. The podiatric physician can follow sound guidelines for making a return-to-play decision for athletes suffering fr...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2014.11.003
更新日期：2015-04-01 00:00:00
abstract：:Amputation may be the most appropriate therapy for an ischemic or infected limb, but the level at which to amputate is often difficult to determine. Selecting the appropriate level is crucial when performing an amputation. The goals of surgery are to maintain maximal limb length and ensure successful healing. When mor...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2005.03.002
更新日期：2005-07-01 00:00:00
abstract：:Pain in the second metatarsophalangeal joint (MTPJ) is a complaint frequently encountered by foot and ankle specialists. The pathology associated with this joint is often painful and debilitating for the patient. In the past, typical treatment protocols for second MTPJ pathology were aimed at relief of patient symptom...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2013.04.009
更新日期：2013-07-01 00:00:00
abstract：:The Evans calcaneal osteotomy is currently the premier procedure for lateral column lengthening of the flexible flatfoot deformity. It has withstood the test of time, proving itself an effective procedure for the correction of pediatric flexible flatfoot. Current understanding of the osteotomy has allowed the Evans ca...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2004.10.002
更新日期：2005-04-01 00:00:00
abstract：:Pediatric and adolescent flexible flatfoot is a pathomechanically complex deformity. Conservative and surgical treatment is directed at realigning the foot and alleviating symptoms. When surgical intervention is considered, there are various methods and techniques that may be performed to realign the foot. The treatme...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2009.09.001
更新日期：2010-01-01 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：:The author presents an alternative approach to the pediatric flexible pes planovalgus patient. Hopefully, this algorithm can serve as a guide and not as a rule. It is meant to serve the foot and ankle surgeon as a means of eliminating the arbitrary assignment of a flatfoot to procedures. Instead, the algorithm assigns...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2005.10.001
更新日期：2006-01-01 00:00:00
abstract：:The triple arthrodesis is a definitive, end-stage procedure for multiple pedal deformities. Appropriate patient selection, operative technique, and postoperative management are essential to achieve the desired outcome for the patient and the surgeon. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2004.01.002
更新日期：2004-04-01 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
