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 noninvasive means fail to provide the answer to anterior frontier joint pain. Thorough arthroplasty must be performed and the joint placed through its end range of motion to verify reduction of all impingements. Extensive bony impingements are most effectively treated by conventional anterolateral arthrotomy. This is particularly true in posttraumatic cases with considerable arthrofibrosis infiltrate. Lesser degrees of osteophytosis confined, in particular, to the leading tibial edge are effectively reduced by arthroscopic technique. Anterior ankle arthroplasty by either technique offers symptomatic relief of pain with minimal morbidity. It can serve as a definitive treatment protocol for many patients or simply represent a temporary step along the way to more aggressive salvage surgery such as arthrodesis.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
Vogler HW,Stienstra JJ,Montgomery F,Kipp Lsubject
Has Abstractpub_date
1994-07-01 00:00:00pages
425-47issue
3eissn
0891-8422issn
1558-2302journal_volume
11pub_type
杂志文章,评审abstract：:The intent of this article is to present the current understanding of fracture repair and offer investigative evidence to the use of exogenous growth factors enhancing fracture healing. The authors believe that exogenous growth factors have tremendous clinical applications and will continue to influence bone healing i...
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：:Soft-tissue ankle equinus contracture is an important component of numerous foot and ankle deformities. In high-risk patients who have multiple co-morbidities, procedure selection and careful surgical technique are paramount to increase the likelihood of postoperative success. This article discusses the indications fo...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2008.05.009
更新日期：2008-10-01 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：:Dr. Port presents six cases, which he refers to as "zebras," with clinical descriptions and discussions that typify his excellent teaching style. He also alludes to the fact that podiatrists need to be thorough in their history and physical evaluations. After a lesion has been treated appropriately and does not respon...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-07-01 00:00:00
abstract：:Current literature disputes Whitman's belief that muscle action plays the primary role in foot stability. Because of this faulty premise, Whitman included an excessively high medial flange in his orthosis. The high medial flange caused many patients a great deal of discomfort. To avoid this pain, the patients would no...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 历史文章,杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:Combined flexor hallucis longus tendon transfer and bone-tendon allograft transplantation is a reasonable option for advanced distal-segment Achilles tendinopathy. This procedure provides anatomic restoration and improved function of the posterior muscle group without sacrificing the regional anatomy. Allograft transp...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2015.07.003
更新日期：2016-01-01 00:00:00
abstract：:An alternative donor site for osteochondral transplantation for medial osteochondral defects of the talus eliminates the need for a second surgical site and decreases operative time. Additionally, the donor osteochondral grafts topographical shape and contour more closely resembles the medical talar shoulder than graf...
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：: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：: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：: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：: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：: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：: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：: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：:Plantar fasciitis is a common cause of heel pain. The diagnosis is made clinically and validated with different diagnostic modalities ranging from ultrasound to magnetic resonance imaging. Treatments vary from stretching exercises to different surgical options. No single treatment is guaranteed to alleviate the heel p...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2010.03.002
更新日期：2010-07-01 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：: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 current understanding is that gastrocnemius equinus is caused by a pathologic tightening of the muscle leading to decreased ankle joint dorsiflexion. However, an alternative hypothesis is that it is a normal limitation of available muscle length. Passive muscular insufficiency of the gastrocnemius muscle acts on a...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2019.08.006
更新日期：2020-01-01 00:00:00
abstract：:The most important part of any surgical procedure is the consideration of all the available criteria and findings in choosing the procedure that will yield the optimum result for that particular deformity. This article addresses the rationale of the preoperative examination and criteria for office-based surgical corre...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1991-01-01 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
abstract：:Since wounds in patients with diabetes will heal slowly at best, and since they are so much more susceptible to infection and the infection will be more devastating, the old adage of "first do no harm" must be adhered to. Diabetics have poor circulation, poor resistance to infection, and poor local nutrition. Their wh...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1987-04-01 00:00:00
abstract：:Researchers often do not publish negative results; positive outcome reported bias remains rampant. This problem is pervasive throughout the medical continuum. Failure to release less than favorable results could be construed as ethically and morally inappropriate. Failure to make public less than favorable outcomes st...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2019.12.013
更新日期：2020-04-01 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：:Revision hammertoe surgery can be extremely challenging for the foot and ankle surgeon given the scar tissue and available osseous and soft tissue. Although not a common procedure, lesser metatarsophalangeal joint arthrodesis is an option for the patient especially in lieu of an amputation. This article describes the ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2020.03.006
更新日期：2020-07-01 00:00:00
abstract：:CVA comprises a large number of clinical entities, depending on the site of infarction in the brain. Accurate evaluation of deficits in the patient's sensory and/or motor systems and the patient's intellectual status are paramount in establishing realistic rehabilitation goals. With respect to the motor system, two ty...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1989-10-01 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：: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 ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-07-01 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：:Squamous cell carcinoma of the foot is a common malignant neoplasm with a high potential for metastasis. Squamous cell carcinoma arising in chronic osteomyelitis has been widely reported; however, its presence in combination with acute osteomyelitis of the foot is not well known. This article presents such a case that...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：10.1016/j.cpm.2010.06.010
更新日期：2010-10-01 00:00:00
