Abstract:
BACKGROUND:Excisional toenail matrixectomies are performed on the area of the foot that has been reported to have the highest concentration of resident microorganisms. A retrospective infection audit was performed to identify whether this unique area of the foot was more susceptible to postoperative infection. METHODS:A retrospective audit reviewing the postoperative infection rate over a 6-year period after excisional nail matrixectomy in 111 patients was undertaken. RESULTS:The postoperative infection rate was found to be high (18.9%) relative to that of clean orthopedic foot and ankle surgery (0.5%-6.5%). CONCLUSIONS:The unique concentration of resident microbes found in the nail folds could help explain the high rate of postoperative infections identified in this study. This may provide some argument to classify excisional nail matrixectomy as clean-contaminated surgery and, thus, warrant routine antibiotic prophylaxis. Further research is recommended to confirm the results of this study and to determine whether appropriately timed oral antibiotic prophylaxis will reduce the infection rate after nail surgery.
journal_name
J Am Podiatr Med Assocjournal_title
Journal of the American Podiatric Medical Associationauthors
Rusmir A,Salerno Adoi
10.7547/1010316subject
Has Abstractpub_date
2011-07-01 00:00:00pages
316-22issue
4eissn
8750-7315issn
1930-8264pii
101/4/316journal_volume
101pub_type
杂志文章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 wit...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0003-0538-104.1.71
更新日期:2014-01-01 00:00:00
abstract::The elderly make more frequent use of general podiatric medical services than the younger population. It is therefore important for podiatric physicians to become familiar with the general principles of infectious disease as applied to an elderly population, which is susceptible to a wider spectrum of disease with mor...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
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abstract::The incidence of fifth metatarsal fracture is somewhat common in sports and can be complicated in nature. Fractures of the fifth metatarsal can occur at a number of locations. Although some of these fractures respond well to conservative treatment, others have been notoriously hard to heal, with high rates of nonunion...
journal_title:Journal of the American Podiatric Medical Association
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abstract::Pseudogout is frequently seen in painful arthritis of larger joints, especially the knees and shoulders. This case report describes a rare clinical entity of soft-tissue calcium pyrophosphate dihydrate crystal deposition disease surrounding the second metatarsal bone of an 81-year-old man with moderate painful swellin...
journal_title:Journal of the American Podiatric Medical Association
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doi:10.7547/1010462
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/8750-7315-105.1.8
更新日期:2015-01-01 00:00:00
abstract::Onychomycosis is an extremely common condition that is increasing in prevalence. Although often innocuous, it may be complicated by discomfort and secondary bacterial infections. Recently introduced oral medications may be highly effective in the eradication of this condition; however, they may carry with them signifi...
journal_title:Journal of the American Podiatric Medical Association
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abstract::Although it has yet to be determined which surgical procedure provides the least chance for recurrence, surgical treatment remains the preferred therapy for giant cell tumors of bone. Few cases of giant cell tumor of the tarsus have been reported in the literature, with less than 10 of these cases occurring in the cun...
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/15-037
更新日期:2016-07-01 00:00:00
abstract::Superficial acral fibromyxoma is a benign and slow-growing solitary soft-tissue neoplasm. Since being described in 2001, more than 100 cases of superficial acral fibromyxoma on the foot have been reported worldwide, none of which have been reported in the podiatric medical literature. Only nine cases of superficial ac...
journal_title:Journal of the American Podiatric Medical Association
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更新日期:2017-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 信件
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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
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更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Capsulorrhaphy restricts the motion of the first metatarsophalangeal joint (MTPJ) in hallux valgus surgery. However, changes in motion of the first MTPJ immediately after surgery that resulted from different capsulorrhaphy methods have not been compared. The primary aim of this study was to compare the immed...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-115
更新日期:2019-07-01 00:00:00
abstract::Rickets is a pediatric disorder not commonly encountered by physicians in the US. Nevertheless, the podiatric physician should be aware that it persists and may exist in children who initially present with gait disturbances or failure to thrive. By using routine plain film radiography of the child's foot, the podiatri...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-86-6-266
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND:Diabetes-related lower-extremity amputations are largely preventable. Eighty-five percent of amputations are preceded by a foot ulcer. Effective management of ulcers, which leads to healing, can prevent limb loss. METHODS:In a county hospital, we implemented a six-step approach to the diabetic limb at risk....
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/1000101
更新日期:2010-03-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0003-0538-104.1.1
更新日期:2014-01-01 00:00:00
abstract::Using data from a multicenter nationwide multispecialty survey, the authors investigated the efficacy of in-office dermatophyte test medium (DTM) and central laboratory cultures used to confirm onychomycosis across samples collected by podiatric, dermatologic, and primary-care physicians. The samples collected by podi...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,多中心研究
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更新日期:2003-05-01 00:00:00
abstract::A case report of a wooden toothpick as a foreign body in the foot was presented. Such lesions are visualized poorly, if at all, on standard radiographs, and localization of the foreign body may not be possible. Computed tomography, with its superior soft tissue imaging capabilities, can detect this otherwise radioluce...
journal_title:Journal of the American Podiatric Medical Association
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pub_type: 杂志文章
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更新日期:2004-03-01 00:00:00
abstract::Fish pedicure is considered to be an aesthetic treatment, first conceived in Turkey, in Kangal Hot Springs. These hot waters are rich in two species of fish of the Cyprinidae family that feed on the stratum corneum layer of patients with psoriasis. This treatment was later adapted to many spa resorts for "fish pedicur...
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pub_type: 杂志文章
doi:10.7547/19-006
更新日期:2020-09-01 00:00:00
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abstract::The case of a 27-year-old female, 5 years after a motor vehicle accident that resulted in spinal cord damage, is reviewed. She progressed well after her accident for 4 years, at which time she developed a neuropathic heel ulceration, aggravated by her calcaneal gait and pregnancy weight gain. The rarity of such a case...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
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abstract::Amputation at the level of the ankle joint is a valuable but underused procedure for a variety of conditions affecting the foot and ankle. The procedure provides a comfortable and durable stump that allows the lower-extremity amputee to function with minimal disability. This article reviews the indications for Syme's ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-92-4-232
更新日期:2002-04-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-84-3-127
更新日期:1994-03-01 00:00:00