Abstract：
:Many factors contribute in the development of hyperkeratotic lesions in the elderly patient. The internal and external causes render the elderly foot more susceptible to limited ambulation, increased incidence of infection, ulceration, and eventual loss of the limb. Once the lesion is classified and the causes identified, a beneficial treatment plan can evolve. Reduction of the lesion(s), appropriate padding, shielding, splinting, accommodative orthoses, insoles, emollients, and mild keratolytics on regular treatment intervals are helpful in maintaining comfort and allowing function of the elderly foot. If the bony abnormalities or abnormal position of the foot do not respond to conservative measures, then surgical intervention should be considered based on the medical and vascular status of the patient. The evaluation of the elderly patient's presenting footwear, and patient education on the need for proper shoe gear size, shape, and materials cannot be overemphasized. Proper footwear and fitting is essential for the elderly in managing hyperkeratotic lesions. When regular footwear is not beneficial special shoes should be considered to accommodate the foot and treatment plan (e.g., accommodative orthoses, and so forth). The Extra Depth Inlay Thermold, Ambulator, Bunion last and Keystone last are options. If special shoes are too heavy for the elderly patient, there is a wide variety of athletic shoes that are shock absorbent and lightweight. Success in management includes a proper identification of the problem, relief of the symptoms, regular follow-up care, and periodic review of footwear to ascertain the need for repair or modification.
journal_name
Clin Podiatr Med Surgjournal_title
Clinics in podiatric medicine and surgeryauthors
George DHsubject
Has Abstractpub_date
1993-01-01 00:00:00pages
69-77issue
1eissn
0891-8422issn
1558-2302journal_volume
10pub_type
杂志文章,评审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：: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：:Over the past several years there has been a dramatic rise in the incidence of tuberculosis. Peripheral skeletal tuberculosis is, more often than not, misdiagnosed as osteoarthritis or pyogenic osteomyelitis. Tuberculosis is no longer a "zebra" among differential diagnoses. This article reviews the pathogenesis, along...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-10-01 00:00:00
abstract：:This article has attempted to address the surgical realm of the ankle region. With the advent of more interest in treating patients who require atraumatic and corrective surgical procedures of the ankle region, it is mandatory for us to become better trained and to improve our skills and expertise. The points worth su...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:Isolated subtalar joint arthrodesis has gained popularity more recently. Research has shown that it preserves rearfoot motion, does not increase the risk of arthritis in adjacent joints, and is not an especially complex operative procedure. It decreases the chance of midtarsal joint nonunion and malunion postoperative...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2011.09.003
更新日期：2012-01-01 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：: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：: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：: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：:This article discusses various aspects of mechanical testing for podiatric applications. Included is a brief overview of the terminology used to describe a variety of mechanical tests, suggestions for the preparation and storage of specimens, and an overview of various mechanical testing techniques that have been used...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1995-07-01 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：:Bone grafting, especially in rearfoot surgery, is occasionally required. Two main morphologic types of bone may be grafted, namely cortical and cancellous. Each type of bone has its unique characteristics, which, when used properly, will ensure a good surgical result. Other factors also play an important role in decis...
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：:Interdigital corns or soft corns are the accumulation of spongy, hyperkeratotic, circumscribed tissue between opposing surfaces of adjacent digits of the foot. The authors discuss the incidence, causes, locations, and treatment of these interdigital corns. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1996-04-01 00:00:00
abstract：:End-stage ankle arthritis is a debilitating condition that leads to pain and swelling in the ankle joint, with symptoms aggravated by standing and ambulation. Ankle arthritis commonly results from a history of trauma, or a series of recurrent injuries to the ankle. However, it may develop from other causes such as une...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章
doi：10.1016/j.cpm.2012.04.010
更新日期：2012-07-01 00:00:00
abstract：:As the body's point of contact with the weight-bearing surface, the foot resists abrasive forces and is constantly bombarded with dermatologic insults. It is the site of a variety of local and systemic afflictions, some which even indicate a state of relative emergency. Paying careful attention to the consideration an...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1998-07-01 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：: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：: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 impro...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2020.09.006
更新日期：2021-01-01 00:00:00
abstract：:Arthrodesis of the first metatarsal-phalangeal joint has been proposed for treatment of severe hallux valgus, end-stage hallux rigidus, rheumatoid arthritis, and revision of failed surgery due to the perceived safety and efficacy. This article discusses the principles of first metatarsal-phalangeal joint arthrodesis i...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2017.02.002
更新日期：2017-07-01 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：:Nail entities, the most commonly seen nail disorders in foot and their main etiologies are discussed. The reader is asked to consult other textbooks for complementary illustrated information. ...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1989-04-01 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 author presents an alternative approach to the pediatric flexible pes planovalgus patient. Hopefully, this algorithm can serve as a guide and not as a rule. It is meant to serve the foot and ankle surgeon as a means of eliminating the arbitrary assignment of a flatfoot to procedures. Instead, the algorithm assigns...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/j.cpm.2005.10.001
更新日期：2006-01-01 00:00:00
abstract：:Antibiotic-loaded bone cement is a useful adjunct in the management of chronic osteomyelitis and in the prevention of recurrent osteomyelitis after an initial attack. Additionally, antibiotic-loaded bone cement stimulated the formation of granulation tissue in excess of that which would normally be expected. Our exper...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：
更新日期：1990-07-01 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：: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 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：:There are many options for perioperative pain control available to surgeons. Given these options, adequate levels of analgesia should be achieved and maintained in all surgical patients. Data suggest that analgesia may be improved by combining different analgesic approaches. To avoid high-dose requirements, dose-depen...
journal_title：Clinics in podiatric medicine and surgery
pub_type： 杂志文章,评审
doi：10.1016/S0891-8422(03)00006-5
更新日期：2003-04-01 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：: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
