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 summarizing in the surgical approach to the ankle region are a complete anatomic knowledge, basic principles of lines of tension, thorough understanding of biomechanics, and good preoperative judgment. The atraumatic approach was presented by describing how to accomplish this objective--by protecting neurovascular bundles, by following normal skin lines or creases, by avoiding scars over a bony prominence, and by avoiding incisions on a weight-bearing surface. Certain basic anatomic and physiologic principles were stated, such as making incisions large enough, using tourniquets when possible, avoiding excessive and unnecessary dissection, and avoiding stretching, crushing, or allowing tissue to dry. Various approaches for surgical procedures to the ankle region were given. The approaches described the location of the incision, the anatomy to be seen while deepening the wound, and the reason for the surgical procedure.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Sullivan JDsubject
Has Abstractpub_date
1986-04-01 00:00:00pages
289-302issue
2eissn
0891-8422issn
1558-2302journal_volume
3pub_type
杂志文章abstract::The systemic treatment of fungal infections has changed considerably over the past 10 to 20 years. Griseofulvin, the only drug approved by the Food and Drug Administration for the systemic treatment of onychomycosis, has a cure rate that seldom exceeds 40%. Many new drugs are targeting the three main kinds of drug the...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 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
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abstract::Peripheral nerve disorders are difficult to manage. In the surgical treatment of patients with peripheral nerve pathology, there are a multitude of factors that may alter the outcome of the patient's recovery and lead to incomplete recovery or possibly worsening of symptoms. The anatomy and function of the peripheral ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2008.10.002
更新日期:2009-01-01 00:00:00
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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::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::Diabetes mellitus can be a devastating lifelong disease if not treated appropriately. The physician and the patient should be aware of both extremes involved with DM: hyperglycemia and hypoglycemia. Patient education and preventive care are perhaps more important in this disease than many others. A multidisciplinary a...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/S0891-8422(03)00066-1
更新日期:2003-10-01 00:00:00
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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::Pilon fractures are one of the most complicated injuries confronting the lower extremity traumatologist. When faced with the pilon fracture, the surgeon must adhere to the principles of anatomic reduction and rigid stabilization to achieve early range of motion. Open reduction and internal or external fixation or a co...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1999-10-01 00:00:00
abstract::This article focuses on the application of the carbon dioxide (CO2) laser at various levels of power density to achieve a level of efficacy in tissue ablation for cutaneous and deep indolent ulcerations that afflict the lower extremities. This article also supports theories of the CO2 laser generating a sterile nonpat...
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::This article reviews the causes of foot deformities in patients with cerebral palsy. The authors underscore the necessity for a total evaluation of such patients. It is believed that the patient described in this article showed a recurrence of the hallux deformity due to failure to control the causative factors of thi...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::Most authors agree that surgical decompression is the treatment of choice for tarsal tunnel syndrome when conservative treatment fails. Overall, the results of surgical treatment for tarsal tunnel have been favorable. Studies have shown that surgical release improves or resolves symptoms of tarsal tunnel syndrome in 8...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:2001-07-01 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::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::Relieving pain and preventing deformity in the rheumatoid foot are best accomplished early in the disease course. Although the treatment of digital deformities may not differ significantly in the rheumatoid versus the nonrheumatoid patient, early and more aggressive management is most important in the rheumatoid patie...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1988-01-01 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
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journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2004.08.002
更新日期:2005-01-01 00:00:00
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journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2015.06.007
更新日期:2016-01-01 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::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::The use of physical modalities to mediate mild to moderate foot pain is a part of podiatric practice. This article focuses on the primary indications and contraindications related to pain and some components of application. Institutional, ambulatory, and home care considerations are identified and presented. The focus...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::Charcot deformity is a challenge that foot and ankle surgeons struggle to manage successfully. Despite the advances in knowledge, technology, and treatment modalities, limb loss is still greater than 10%. This article discusses the efficacy of conservative measures and traditional surgical approaches. It proposes a mu...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2017.08.012
更新日期:2018-01-01 00:00:00
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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::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::The congenital convex pes valgus deformity has been presented in reference to its etiology, pathologic anatomy, diagnosis, and treatment. It is imperative that this deformity be diagnosed immediately and treatment instituted rapidly to achieve a functional plantigrade and asymptomatic foot. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1987-01-01 00:00:00
abstract::A review of current knowledge of autologous growth factors as used in foot and ankle surgery is presented. This knowledge is clinically correlated with 50 Charcot's foot reconstruction patients who had diabetes and who were randomized to a platelet-rich plasma (PRP) concentration system (Symphony, DePuy, Warsaw, India...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2005.07.003
更新日期:2005-10-01 00:00:00
abstract::This article has attempted to provide some insight into the subject of death, dying, and the patient with AIDS. Even though the thought of death and dying is common, it is a topic that at most times is left unspoken. This is especially true in relationship to an illness that, among many, is considered taboo. This arti...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 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::A physician has the primary responsibility of first causing no harm. Unfortunately, the myriad of pharmacologic agents available to the clinician at times may make this directive difficult. When the variable of age-related changes is introduced, the clinician's task may seem almost impossible. The most important aspec...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1993-04-01 00:00:00
abstract::The author provides a description of the deformity congenital vertical talus, including characteristics and contributing factors. Also outlined are the incidence, cause, and pathogenesis; radiographic features; anatomy; and treatment of the condition. The author includes results and discussion of surgical treatment. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 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