Abstract:
:The use of external fixators for distraction osteogenesis has revolutionized treatment options for segmental bone defects in the tibia. Following corticotomy, the latency phase allows the biologic environment to initiate healing, and optimized distraction rates produce regenerate. Regenerate consolidation can be improved with local and systemic biologic optimization. Consolidation time is often considered to be 3 to 4 times longer than distraction in adults. Soft tissue considerations are important during external fixation and distraction. Additionally, slow regenerate can be benefited by various techniques discussed in this article. Distraction osteogenesis is a beneficial tool for segmental bone defects.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Millonig K,Hutchinson Bdoi
10.1016/j.cpm.2020.09.006subject
Has Abstractpub_date
2021-01-01 00:00:00pages
111-116issue
1eissn
0891-8422issn
1558-2302pii
S0891-8422(20)30117-8journal_volume
38pub_type
杂志文章,评审abstract::We have attempted to show a correlation between heel pain and tumors and tumor-like conditions. The anatomy and size of the calcaneus predisposes it to increased incidence of trauma. Furthermore, the increased vascularity of the heel versus other areas of the foot may contribute to a higher incidence of both local and...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1990-04-01 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::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::The supination of the forefoot that develops with adult acquired flatfoot is defined as forefoot supinatus. This deformity is an acquired soft tissue adaptation in which the forefoot is inverted on the rearfoot. Forefoot supinatus is a reducible deformity. Forefoot supinatus can mimic, and often be mistaken for, a for...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2014.03.009
更新日期:2014-07-01 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::Surgical treatment of the elderly can be a very difficult and complex endeavor. Appropriate and thorough evaluation of this group of patients is essential to identify surgical candidates who may be at increased risk for developing age-related problems, such as cognitive impairment or postoperative delirium. Involvemen...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2018.08.006
更新日期:2019-01-01 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 complete care of burns to the foot can be complex or straightforward, depending on the nature of the burn. Appropriate care requires experience and training. The keys to good management of burns to the feet are understanding the pathophysiology of burns, appropriate acute management of the burns, and appropriate i...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/S0891-8422(03)00083-1
更新日期:2002-01-01 00:00:00
abstract::The modified Kidner procedure and flexor digitorum longus tendon transfer are common procedures used today when addressing posterior tibial tendon dysfunction. These techniques are often used in conjunction with a combination of osteotomies to correct flatfoot deformity, and have been proved to be reliable and predict...
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 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::Arthroscopic lateral ankle stabilization procedures have been described for many years. New technological advances and a deeper understanding of the pathobiomechanics involved in chronic lateral ankle instability have allowed an expansion of arthroscopic approaches to this common pathology. As experience is gained and...
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::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::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::Chronic ankle and subtalar joint (STJ) instability is a common clinical entity and the physician must be able to determine the exact pathologic condition for proper treatment. There are many diagnostic techniques that can be used to evaluate the ankle joint and STJ. These diagnostic techniques do not take the place of...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2010.10.001
更新日期:2011-01-01 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
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::Although the pediatric foot and ankle examination is essentially similar to that of the adult patient, there are subtle differences unique to a child's examination. The unique findings are discussed in this article based on the following: weight-bearing examination, gait evaluation, non-weight-bearing examination, vas...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2013.07.008
更新日期:2013-10-01 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::Plantar fibromatosis is defined as a benign fibrous disorder involving the plantar aponeurosis. Although its incidence is well described on the hands, it is less commonly seen on the feet, and its etiology is unknown. A differential diagnosis for the heel pain along the medial arch could be a benign thickening of the ...
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
abstract::Fractures of the distal tibial articular surface are complex injuries that can destroy the ankle joint. This article discusses the mechanism of injury, classifications and historical means of treating these fractures, the authors' approach to treating low- and high-energy pilon fractures, prognosis, and complications....
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:10.1016/j.cpm.2006.01.012
更新日期:2006-04-01 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::End-stage flatfoot is a challenging surgical deformity. It is most commonly rigid and painful, although it may be totally or partially reducible. Arthrosis may be a major feature causing pain, but not necessarily. The terminology "end-stage" means that the deformity and compensation has progressed as far as it will go...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::Posterior calcaneal osteotomy is a technically simple procedure that may be used to correct frontal, transverse, or sagittal plane displacement of the calcaneus associated with flatfoot deformity. In selected individuals, subluxation about the oblique axis of the midtarsal joint may be stabilized. Forefoot supinatus m...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1991-07-01 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
abstract::Selecting the appropriate surgical procedure for the treatment of hallux valgus not always is clear. Every procedure has its merits depending on the individual and circumstances. Correcting pain and deformity, avoiding recurrence, and preserving or re-establishing normal foot function should be the goals of bunion sur...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章
doi:10.1016/j.cpm.2009.03.005
更新日期:2009-07-01 00:00:00
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::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::This article provides a brief overview of the radiographic appearance of the more commonly encountered arthridities in the foot. Also reviewed is a stepwise approach to interpreting radiographs in a patient suspected of having a synovial-based disease. ...
journal_title:Clinics in podiatric medicine and surgery
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 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::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