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 amputation, provides a detailed surgical description of the procedure, and discusses postoperative prosthetic considerations. In addition, three case reports are presented in which Syme's procedure was successfully used as an alternative to higher-level amputation.
journal_name
J Am Podiatr Med Assocjournal_title
Journal of the American Podiatric Medical Associationauthors
Hudson JR,Yu GV,Marzano R,Vincent ALdoi
10.7547/87507315-92-4-232subject
Has Abstractpub_date
2002-04-01 00:00:00pages
232-46issue
4eissn
8750-7315issn
1930-8264journal_volume
92pub_type
杂志文章abstract::Talar extrusion in a 13-year-old child was treated by means of open reduction and 10 weeks of cast immobilization. At 1.5 years of follow-up, the patient had full range of motion in the ankle and no signs of avascular necrosis or arthritis. ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0990431
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:In the presence of a large gap where end-to-end repair of the torn Achilles tendon is difficult and V-Y advancement would likely be insufficient, augmentation is sometimes required. At our institute we have used primarily the hamstring autograft augmentation technique for the past two decades. The aim of thi...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-014
更新日期:2020-03-01 00:00:00
abstract::Articular hyaline cartilage is of interest to both the clinician and the basic scientist because of its unique physical and chemical properties which are a consequence of its biochemical composition. Although it is a tissue which is hypocellular, avascular, and also lacks nerves and lymphatics, it is active in synthes...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-5-277
更新日期:1995-05-01 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
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0940395
更新日期:2004-07-01 00:00:00
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
pub_type: 杂志文章
doi:10.7547/0990529
更新日期:2009-11-01 00:00:00
abstract::Presented here is a preliminary report of 102 patients who underwent first metatarsocuneiform joint arthrodeses performed with external fixation for the correction of hallux valgus. The advantages of using external fixation are the ability to initiate early weightbearing, predictable fusion, and removal of all of the ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0950405
更新日期:2005-07-01 00:00:00
abstract::The authors report digital pressure changes in normal subjects following the 5-min postocclusive reactive hyperemia test. This test increases the sensitivity of using toe pressures to assess the adequacy of blood flow. ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-81-2-57
更新日期:1991-02-01 00:00:00
abstract:BACKGROUND:Transtibial (TTA) and transfemoral (TFA) amputations are rarely considered as distinct events when examining major lower-limb amputation outcomes. The objective of this study was to investigate the relationships among type 2 diabetes, diabetes management strategies, hemoglobin A1c levels, and other health fa...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0003-0538-105.3.238
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Biomechanical analysis of foot loading characteristics may provide insights into the injury mechanisms and guide orthotic prescription for basketball players. This study aimed to quantify in-shoe plantar pressure profiles in amateur players when executing typical basketball movements. METHODS:Twenty male un...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-123
更新日期:2018-05-01 00:00:00
abstract::Plantar pressure-measurement technology is being increasingly used by podiatric physicians and surgeons in both clinical practice and research. The authors present normal reference-range values for peak pressure, mean pressure, and pressure-time integral obtained from 30 healthy subjects using a two-step recording tec...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-90-6-295
更新日期:2000-06-01 00:00:00
abstract::Painful lesions on the plantar aspect of the interphalangeal joint of the great toe respond well to surgical excision of the accessory bone found lying superior to or within the flexor hallucis longus tendon. Several incisional approaches are available, each with potential advantages and disadvantages. Failure to cons...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-86-3-105
更新日期:1996-03-01 00:00:00
abstract::Poorly fitting footwear has frequently been cited as an etiologic factor in the pathway to diabetic foot ulceration. However, we are unaware of any reports in the medical literature specifically measuring shoe size versus foot size in this high-risk population. We assessed the prevalence of poorly fitting footwear in ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0960290
更新日期:2006-07-01 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:10.7547/0003-0538-104.3.291
更新日期:2014-05-01 00:00:00
abstract::The authors undertake an anatomical study of the sesamoid apparatus to determine its mechanical functions. The intersesamoid ligament is of particular interest, since its functions are diverse and complex. The sesamoid apparatus appears to coordinate the various forces that converge upon the forefoot into the great to...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-79-11-536
更新日期:1989-11-01 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::A single case of a tibial sesamoid fracture in a softball player is reported here. A review of the literature confirms that this is an unusual and difficult problem to treat in the athletic population given the significant loads placed on the sesamoids during athletic activity. In the case presented, conservative care...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0970085
更新日期:2007-01-01 00:00:00
abstract::Current biomechanical models of the midtarsal joint describe it as having two axes of rotation, the oblique and the longitudinal. The considerable freedom of movement available at the midtarsal joint means that kinematic assessment of its function and determination of its axis of rotation must be conducted under condi...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-91-2-68
更新日期:2001-02-01 00:00:00
abstract::Injuries involving the first metatarsophalangeal joint and its associated structures are common, especially in athletes. However, injuries to the hallucal sesamoid complex constituted only 3% of all podiatric sports medicine injuries reported by Agosta. This case study reports a female ballet dancer with an isolated f...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-052
更新日期:2019-03-01 00:00:00
abstract::In this review, the author presents the physiologic events in wound healing. A discussion is provided with emphasis on proper tissue handling and suture techniques. A variety of methods are demonstrated as they are applied to specific clinical situations in foot and ankle surgery. It is the intent of this discussion t...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-85-1-2
更新日期:1995-01-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-114
更新日期:2017-11-01 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:10.7547/0970134
更新日期:2007-03-01 00:00:00
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journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-118
更新日期:2019-11-01 00:00:00
abstract::To minimize injection anxiety and discomfort, the podiatric surgeon can choose from a variety of topical anesthetics. Available modalities include skin refrigerants (also referred to as vapocoolants), needleless injection systems, iontophoresis, and eutectic mixtures of topical anesthetic cream such as EMLA Cream. Man...
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:10.7547/87507315-88-2-73
更新日期:1998-02-01 00:00:00
abstract::A case of dislocated first and second metatarsophalangeal joints was reported along with the mechanics and mechanism of injury. The practitioner must be familiar with the mechanism of injury and radiographic classification to determine the proper indications for closed versus open reduction. The authors' review of the...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/87507315-82-12-630
更新日期:1992-12-01 00:00:00
abstract::Reduction in first metatarsophalangeal joint maximum degree of dorsiflexion with dorsiflexion of the first ray has been proposed to be the predominant cause of hallux abducto valgus and hallux rigidus. We sought to determine whether orthoses made from a cast with the first ray plantarflexed and a 4-mm medial skive cou...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/0960474
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Stenotrophomonas maltophilia is an uncommon gram-negative bacterium often found in individuals with long-standing broad-spectrum antibiotic use or catheter use; individuals undergoing hemodialysis; and individuals with prolonged respiratory disease, specifically, cystic fibrosis. To our knowledge, there are ...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/18-193
更新日期:2020-09-01 00:00:00
abstract::Heel pain is a complaint frequently encountered in orthopedic clinics that has peculiar symptoms and may have various etiologic causes. Calcaneal spur fracture is an extremely rare cause of heel pain, and only four cases had previously been reported in the English language literature. We present a 45-year-old woman wh...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/17-111
更新日期:2019-03-01 00:00:00
abstract::Osteomyelitis and osteoarthropathy may appear clinically and radiographically similar. Many retrospective and some prospective studies have shown that magnetic resonance imaging provides valuable information about the pathologic basis of disease, specifically in the differentiation of osteomyelitis from osteoarthropat...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章,评审
doi:10.7547/87507315-86-4-164
更新日期:1996-04-01 00:00:00
abstract::Lipofibromatous hamartoma (LFH) is a rare, benign, tumor-like soft-tissue lesion that affects the peripheral nerves and forms a palpable neurogenic mass. Lipofibromatous hamartoma is associated with pain and sensory and/or motor deficits in the area of innervation of the affected nerve. This report describes a rare ca...
journal_title:Journal of the American Podiatric Medical Association
pub_type: 杂志文章
doi:10.7547/16-168
更新日期:2018-03-01 00:00:00