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 inherent everywhere and is difficult to accurately predict. Elastic tissue will gape when cut, whereas inelastic tissue will not. Finally, elastic tissue will rotate with little puckering but inelastic tissue will form large dog-ears when rotated. For these reasons, as soon as the decision has been made to use a flap it is important to "prethink" the dynamics of flap movement and decide which type of flap to use and what is to be accomplished. If consideration is given to which flap will best allow proper transfer of tissue and at the same time give the best cosmetic result, the task is usually simpler. By further considering the secondary movement of surrounding tissues (as well as the primary movement), the number of potential techniques and designs are greatly increased.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Dockery GL,Christensen JCsubject
Has Abstractpub_date
1986-07-01 00:00:00pages
563-77issue
3eissn
0891-8422issn
1558-2302journal_volume
3pub_type
杂志文章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：:Compartment syndrome is a rare but severe complication of lower extremity trauma. This article provides an extensive review of the literature, including incidence, physical examination findings, pathophysiology, compartment pressure evaluation, and surgical decompression techniques. Most of the recent compartment synd...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2012.02.001
更新日期：2012-04-01 00:00:00
abstract：:The use of external fixation in foot and ankle arthrodesis can be beneficial. Its advantages, disadvantages, and indications were reviewed in this article. External fixation offers the surgeon an opportunity to treat complex foot and ankle deformities, trauma, chronic infections, pseudoarthroses, soft tissue contractu...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/S0891-8422(03)00108-3
更新日期：2004-01-01 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 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：:Absorbable fixation has evolved from sutures and pins to screws. The current biomaterials available are polyparadiaxanone (PDS), polygycolide acid (PGA), and poly-L-lactic acid (PLLA). Extensive evaluation of PDS and PGA over the last several years has identified their benefits and weaknesses in reconstructive foot su...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-07-01 00:00:00
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
abstract：:Arthritis-affected foot joints can create function-related changes with regard to foot stability, shock attenuation, and normal foot function in gait. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1999-04-01 00:00:00
abstract：:Of all superficial fungal infections, onychomycosis is the most difficult to manage. Practitioners of all disciplines realize its chronic nature, difficulty in eradication, and propensity to recur. Topical treatment of onychomycosis, as opposed to oral therapies, offers a distinct advantage by allowing the patient to ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2004.05.001
更新日期：2004-10-01 00:00:00
abstract：:Rheumatoid arthritis (RA) is a chronic, degenerative, systemic disease that leads to the destruction of articular cartilage of the joints. Complications, including infection, delays in wound healing, malunion, nonunion, implant failure, and degeneration of adjacent joints soon after primary fusion, have been described...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2009.12.002
更新日期：2010-04-01 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：: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 choice of anterior ankle arthroplasty conducted by anterolateral arthrotomy versus arthroscopic techniques depends on the severity of the osteophytosis and the dominance type. This can be determined in most cases by conventional radiology, contrast arthrography, or MRI. Diagnostic arthroscopy may be required when ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1994-07-01 00:00:00
abstract：:Advanced ankle arthritis, avascular osteonecrosis, and osteomyelitis of the ankle remain a surgical challenge in the foot and ankle arena with limited treatment options. Multiple medical comorbidities contribute to total loss of the talus. Collapse of the talar body as a complication of total ankle arthroplasty, talec...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2018.06.002
更新日期：2018-10-01 00:00:00
abstract：:This study shows that equinus has a definite impact on predisposing a child to Sever's disease. The clinician may still need to rule out other possible causes of this condition, but equinus is a probable cause and must be treated appropriately. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
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 tec...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2015.06.018
更新日期：2015-10-01 00:00:00
abstract：:Hyaline cartilage is avascular in nature, relying on surrounding synovial fluid for its nutrient supply. Lacking an inflammatory response, hyaline cartilage is unable to be repaired itself after injury. BMS technique allows reparative cartilage to be produced, taking the form of fibrocartilage. Fibrocartilage is weake...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2014.09.012
更新日期：2015-01-01 00:00:00
abstract：:Ankle joint arthrodesis should be considered the gold standard procedure for end-stage ankle arthritis in the appropriate patient. Incisional approach and fixation technique should be based on the patient and specific needs. Arthrodesis can be achieved with adequate resection of cartilage, good compression across the ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2012.07.001
更新日期：2012-10-01 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：: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：: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：: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：: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：: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：:The Agility total ankle replacement system was the most commonly performed implant in the United States for more than 20 years and has undergone four generations and seven phases of improvement. Much attention has been placed on intraoperative complications, such as malleolar fracture; nerve or tendon injury; and inci...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 历史文章,杂志文章,评审
doi：10.1016/j.cpm.2012.10.001
更新日期：2013-04-01 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：: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：:Soft tissue defects and wound healing complications related to calcaneus fractures may result in significant morbidity. The management of these soft tissue complications requires following reconstructive principles that provide the requisites for preservation of the injured limb and the maximization of function. Soft ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2018.10.012
更新日期：2019-04-01 00:00:00
abstract：:Over the last 30 years, the impurities in the vancomycin product have been reduced, perhaps resulting in a lower rate of adverse reactions. Vancomycin is bactericidal against most susceptible organisms, but is bacteriostatic against the enterococcus. Vancomycin is the drug of choice for methicillin-resistant Staphyloc...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：:Achilles tendon pathologic conditions are implicated in contributing to the development of many diabetic foot complications including diabetic foot ulceration and Charcot neuroarthropathy. Surgical correction of the diabetic equinus deformity has been studied as an isolated or adjunctive treatment when dealing with di...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2016.10.013
更新日期：2017-04-01 00:00:00
