Abstract:
BACKGROUND:Amputation has been most commonly considered the only option to achieve local tumor control for calcaneal malignancies. Advances in oncologic treatment modalities and wide resection have made limb salvage increasingly possible. We retrospectively reviewed nine patients with calcaneal malignancies treated with different surgical options. METHODS:The diagnoses included chondrosarcoma in three patients, Ewing's sarcoma in three, osteosarcoma in two, and small round cell sarcoma in one. Four patients were managed by below-the-knee amputation owing to neurovascular invasion. Five patients were managed by limb salvage procedures. Pedicled osteomyocutaneous fibular grafts were used to reconstruct the defects created after total calcanectomy in limb salvage procedures. Clinical and radiographic evaluations were performed, and functional outcomes were assessed using the Musculoskeletal Tumor Society score. RESULTS:The patients were followed up for a mean of 42.3 months. Wide resection margins were achieved in all of the patients with limb salvage surgery. At the final follow-up, two patients had died of disease. Lung metastasis was found in two patients who were alive with disease. Five patients had no evidence of disease. No local recurrence occurred in this series. All of the fibular flaps survived, and fibula hypertrophies were observed in three patients. Average Musculoskeletal Tumor Society scores were 74.6% and 83.2% in patients with amputation and limb salvage, respectively. CONCLUSIONS:After wide resection of a calcaneal malignancy, biological reconstruction using pedicled osteocutaneous fibular flaps has proved to be a successful limb salvage procedure, offering a satisfactory oncologic and functional outcome alternative to amputation in selected patients.
journal_name
J Am Podiatr Med Assocjournal_title
Journal of the American Podiatric Medical Associationauthors
Li J,Wang Zdoi
10.7547/0003-0538-104.1.71subject
Has Abstractpub_date
2014-01-01 00:00:00pages
71-6issue
1eissn
8750-7315issn
1930-8264pii
104/1/71journal_volume
104pub_type
杂志文章abstract:BACKGROUND:Anisomelia, or limb-length discrepancy, has disruptive effects on gait, posture, and ambulation. Limb-length discrepancy has been shown to be a factor in stress fractures in the femur and tibia, and the longer limb, a contributing factor in the development of low-back pain, a cause of scoliosis. We sought to...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1000452
更新日期:2010-11-01 00:00:00
abstract::Commercial disinfectants classified as fungicides may not be effective against commonly encountered fungi within reasonable periods. Cell suspensions of clinical fungal isolates were exposed to use-dilutions of various disinfectants. Quaternary ammonium compounds, iodophors, and phenolics were not fungicidal against a...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-83-7-386
更新日期:1993-07-01 00:00:00
abstract::The lateral intermetatarsal angle, a measurement of the sagittal plane angular divergence between the dorsal cortices of the first and second metatarsals of lateral weightbearing foot radiographs, was compared in 30 normal and 30 hallux limitus feet. The results suggest that the angle may be measured reliably and that...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.7547/87507315-91-5-251
更新日期:2001-05-01 00:00:00
abstract::A review of 12 cases of bony tumors involving the talus is presented. Giant cell tumor was the most common tumor. Malignant tumors should be treated by surgical ablation followed by chemotherapy. There are good results after excision or curettage and bone grafting in the treatment of benign neoplasms. Giant cell tumor...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-84-8-379
更新日期:1994-08-01 00:00:00
abstract::Growth factors are increasingly investigated for their role in wound healing. The authors present evidence from human and animal studies suggesting that growth hormone induces a positive nitrogen balance, enhances connective-tissue synthesis, and increases lean body mass. The physiology of diabetes and wound healing i...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-88-1-25
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Use of thicker and longer (four cortices) screws or of multiple screws seems to be more stable and efficient for syndesmosis fixation. METHODS:A three-dimensional finite element model of an ankle was constructed from serial axial sections from an existing two-dimensional computed tomographic image. Construc...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1030174
更新日期:2013-05-01 00:00:00
abstract::Surgery involving diabetic patients requires special consideration of the possible effects of anesthesia. The authors discuss factors that affect the choice of anesthetic agent and recommendations for preparing the diabetic patient for surgery, along with potential complications. ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-80-6-319
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:Human amniotic membrane is used to prevent peritendinous adhesions after tendon injuries. This study compares the mechanical properties of modified Kessler repairs and modified Kessler repairs strengthened using multiple layers of human amniotic membrane. METHODS:Twenty flexor digitorum profundus tendons of...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/15-036
更新日期:2016-09-02 00:00:00
abstract:BACKGROUND:Osteochondromas are benign osseous tumors encountered most routinely by physicians responsible for diagnosing musculoskeletal disorders. Often, these osseous lesions are identified following symptoms related to their impingement on adjacent soft tissue or bone. METHODS:This article presents a unique case of...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/18-013
更新日期:2019-05-01 00:00:00
abstract:BACKGROUND:Monitoring footprints during walking can lead to better identification of foot structure and abnormalities. Current techniques for footprint measurements are either static or dynamic, with low resolution. This work presents an approach to monitor the plantar contact area when walking using high-speed videogr...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-118
更新日期:2019-11-01 00:00:00
abstract::Sesamoid bones and accessory ossicles are common incidental findings on radiographs. These can occasionally become symptomatic, usually after a precipitating event such as an injury or overuse, or they can be incidental findings unrelated to the presenting pathology. The aim of this study was to highlight a rare case ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-114
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Maintaining balance is a complex phenomenon that is influenced by a range of sensorimotor factors. Foot posture and mobility may also influence balance and postural sway. Recently, three-dimensional foot scanners have been used to assess foot posture. This tool allows many individuals to be scanned quickly a...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/14-021
更新日期:2015-09-01 00:00:00
abstract::This report presents the results of analyses of statistical data from 4,328 members of the American Podiatric Medical Association (APMA) who responded to the 1996 Podiatric Practice Survey, conducted from July through August 1996. Written comments from a sample of 200 respondents were also extracted for review and ana...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-86-12-576
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:In this study, we aimed to evaluate the potential use of a 3-phase bone scintigraphy method to determine the level of amputation on treatment cost, morbidity and mortality, reamputation rates, and the duration of hospitalization in diabetic foot. METHODS:Thirty patients who were admitted to our clinic betwe...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0003-0538-104.3.227
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:A variety of musculoskeletal problems have been associated with excessive body mass in children, including structural foot problems. METHODS:Two hundred children aged 9 to 12 years were recruited to evaluate the effect of body mass on foot structure. Three reliable anthropometric measures were recorded: foo...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0970366
更新日期:2007-09-01 00:00:00
abstract::Data from 37 patients who underwent a transmetatarsal amputation from January 1993 to April 1996 were reviewed. The mean age and diabetes duration of the subjects were 54.9 (+/- 13.2) years and 16.6 (+/- 8.9) years, respectively. The follow-up period averaged 42.1 (+/- 11.2) months. At the time of follow-up, 29 (78.4%...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-91-10-533
更新日期:2001-11-01 00:00:00
abstract::The management of pain in children is a complex process that has significant differences from adult pain management. The authors describe the myth of children's lack of pain and how that myth has resulted in frequent undermedication of children's pain. The authors describe the physical and psychological aspects of pai...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-81-5-231
更新日期:1991-05-01 00:00:00
abstract::Surgical treatment of posteromedial talar dome lesions is frequently necessary for Berndt and Harty grade IV osteochondral defects and nondisplaced osteochondral fragments resistant to conservative modalities. When operative intervention is indicated, the approach and management can be complicated by the location and ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0960260
更新日期:2006-05-01 00:00:00
abstract::After resection of bone or amputation, postoperative stump breakdown occurs frequently. Furthermore, the altered mechanics with ambulation are difficult to control with bracing and orthoses alone. During the past 10 years, the peroneus brevis tendon has been transferred to various locations in the foot after resection...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0940594
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:The Fowler-Philip, calcaneal pitch, and total calcaneal angles define the radiologic morphology of the rearfoot. We studied these angles in healthy adolescents. METHODS:We studied 141 feet. Patients with inflammatory or traumatic injuries were excluded. The mean participant age was 11.5 years. The Fowler-Ph...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1030032
更新日期:2013-01-01 00:00:00
abstract::Accidental falls in the older population are common and often result in serious injury. Although a number of factors have been recognized as risk factors for falling, the effect of footwear on postural stability is often overlooked. This article reviews the literature on the effect of various footwear features on post...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-89-7-346
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Spectral Doppler ultrasound examination of pedal arteries is one of the most frequently used noninvasive assessment methods by health-care professionals for the diagnosis and ongoing monitoring of people at risk for or living with peripheral arterial disease. The aim of this study was to determine the interr...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-026
更新日期:2018-07-01 00:00:00
abstract::Tendinopathy in the presence of gouty arthropathy is relatively common, yet the clinical suspicion for gout involvement in acute tendon pain remains low. A 49-year-old man presented with an acute, tender, erythematous mass to the right posterior heel. A computed tomographic scan was obtained, which revealed a septated...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-129
更新日期:2019-07-01 00:00:00
abstract::Magnetic resonance is a relatively new imaging technique. Its applications are rapidly evolving. The authors discuss new applications for its use in the foot and ankle of the pediatric patient. ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-81-3-112
更新日期:1991-03-01 00:00:00
abstract::Administration of air under the skin produced a pouch wall that closely resembled a synovium in that the inner lining was made up of macrophages and fibroblasts. Administration of 1% carrageenan directly into the 7-day-old air pouch produced an inflammation characterized by an increased number of mast cells in pouch f...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-82-3-140
更新日期:1992-03-01 00:00:00
abstract::The treatment of diabetic foot ulcerations has been a difficult task for podiatrists. Numerous methods and materials have been used in an attempt to alleviate this frustrating and complex treatment dilemma. However, there is one treatment method that has been used successfully for decades on plantar ulcerations of the...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-3-172
更新日期:1995-03-01 00:00:00
abstract::Numerous types of soft tissue surgical procedures can be performed using radiowave techniques. The Ellman International Surgitron is a versatile surgical instrument capable of making incisions, excisions, dessication, and coagulation. It converts electrical current into controlled energy in the radiowave frequency of ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-87-3-131
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:We assessed the efficacy of customized foot orthotic therapy by comparing reulceration rates, minor amputation rates, and work and daily living activities before and after therapy. Peak plantar pressures and peak plantar impulses were compared with the patients not wearing and wearing their prescribed footwe...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1030281
更新日期:2013-07-01 00:00:00
abstract::Multiple surgical procedures have been described for the correction of hallux limitus deformity. We describe a new modification of the Youngswick procedure for the surgical treatment of hallux limitus. Other procedures for hallux limitus correction are also discussed. This modified Youngswick procedure will provide a ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0970420
更新日期:2007-09-01 00:00:00
abstract::The authors undertook a retrospective analysis of the long-term efficacy of the Green-Watermann procedure for the treatment of painful hallux limitus or rigidus. Questionnaires were sent to 80 consecutive patients who had such procedures performed between 1990 and 1999. Medical records and radiographs were reviewed fo...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-92-10-543
更新日期:2002-11-01 00:00:00