abstract：:Amputations of the lower extremity may result from several etiologic factors. Most amputations performed in the United States result from a dysvascular limb. A majority of the population with vascular impairment comprises people with diabetes. These individuals frequently have comorbidities that may also affect the ul...

journal_title：Foot and ankle clinics

authors： Marks RM,Long JT,Exten EL

更新日期：2010-09-01 00:00:00

abstract：:Accessory tarsal navicular is a common anomaly in the human foot. It should be in the differential of medial foot pain. A proper history and physical, along with imaging modalities, can lead to the diagnosis. Often, classification of the ossicle and amount of morbidity guide treatment. Nonsurgical measures can provide...

journal_title：Foot and ankle clinics

authors： Leonard ZC,Fortin PT

更新日期：2010-06-01 00:00:00

abstract：:This article details the experiences of United States military reconstructive surgeons in the soft tissue management of war wounds of the foot and ankle resulting from the conflicts in Iraq and Afghanistan. War wounds from this conflict are commonly caused by blast and fragmentation, and are characteristically extensi...

journal_title：Foot and ankle clinics

authors： Baechler MF,Groth AT,Nesti LJ,Martin BD

更新日期：2010-03-01 00:00:00

abstract：:Achilles tendinopathy is a painful condition that occurs commonly in both active and inactive individuals. It seems that this condition is painful as a result of ingrowth of neural structures and neovessels leading to poor healing, rather than from inflammatory mediators. Traditional conservative measures are often su...

journal_title：Foot and ankle clinics

authors： Lake JE,Ishikawa SN

更新日期：2009-12-01 00:00:00

abstract：:The treatment of the congruent hallux valgus deformity requires special consideration for a successful outcome to be obtained. The distal metatarsal articular angle is of critical importance in this deformity. The goal of correction is to achieve a realigned first ray and preserve the congruent first metatarsophalange...

journal_title：Foot and ankle clinics

authors： Smith BW,Coughlin MJ

更新日期：2009-09-01 00:00:00

abstract：:Salvage of nonunion and malunion of trauma of the foot and ankle is often challenging surgery. Internal fixation provides the mainstay of most orthopedic surgeons' treatment of these conditions. Patient systemic factors, local factors, and the complex nature of these often multiplanar deformities may make external fix...

journal_title：Foot and ankle clinics

authors： Molloy AP,Roche A,Narayan B

更新日期：2009-09-01 00:00:00

abstract：:Using radiographs culled over a 33-month period, the treatment, complications, revision, and rehabilitation of complicated Jones fractures and stress fractures involving the proximal diaphysis are examined. Although the non-operative approach remains viable, the exigencies and desires of the athletic and leg-based wor...

journal_title：Foot and ankle clinics

authors： McBryde AM Jr

更新日期：2009-06-01 00:00:00

abstract：:Hallux rigidus or osteoarthritis of the first metatarsophalangeal joint is characterized by pain, stiffness of the joint, and alterations of gait. The appeal of joint arthroplasty for hallux rigidus is similar to its benefits in other joints in the body. The ideal implant should relieve pain, restore motion, improve f...

journal_title：Foot and ankle clinics

authors： Sullivan MR

更新日期：2009-03-01 00:00:00

abstract：:Talar head and fracture injuries are not easily recognized and can create significant long-term disability when missed. Careful investigation of any injury about the ankle requires both clinical and radiographic examination. A computed tomography scan is extremely helpful in diagnosing and treating talus fractures. Di...

journal_title：Foot and ankle clinics

authors： Early JS

更新日期：2008-12-01 00:00:00

abstract：:Ankle joint distraction has been shown to be a viable alternative to ankle arthrodesis or ankle replacement. The à la carte approach to ankle joint preservation (resection of blocking osteophytes, release of muscle/joint contractures, and realignment osseous ankle procedures) presented in this article as important for...

journal_title：Foot and ankle clinics

authors： Paley D,Lamm BM,Purohit RM,Specht SC

更新日期：2008-09-01 00:00:00

abstract：:Cavovarus foot deformity is a result of a dysbalance of the extrinsic musculature about the foot. Because of the multi-articular bony structure of the foot and ankle, the slightest imbalance of muscular forces causes osteo-articular malalignment and consequent gross deformities. This article discusses hindfoot issues ...

journal_title：Foot and ankle clinics

authors： Klaue K

更新日期：2008-06-01 00:00:00

abstract：:Peroneal tendon dislocation is an infrequent sports injury and can be difficult to diagnose. Posterior fibula tenderness and pain with eversion are useful signs to discriminate this from an ankle sprain. In the acute setting, a direct repair provides good results but may need to be augmented with additional soft tissu...

journal_title：Foot and ankle clinics

authors： Rosenfeld P

更新日期：2007-12-01 00:00:00

abstract：:This article defines specific risks associated with rheumatoid arthritis, including an increased incidence of medical comorbidities, the use of steroids and other immunosuppressive agents, osteoporosis, vascular disease, and the common occurrence of severe deformity. This article suggests approaches for management and...

journal_title：Foot and ankle clinics

authors： Sammarco VJ

更新日期：2007-09-01 00:00:00

abstract：:Posterior tibial tendon dysfunction (PTTD) has been approached with a multitude of surgical techniques. This article outlines the current understanding of the flexor digitorum longus transfer and flexor hallucis longus transfer in the context of various osteotomy techniques for the correction of stage II PTTD. Pertine...

journal_title：Foot and ankle clinics

authors： DiPaola M,Raikin SM

更新日期：2007-06-01 00:00:00

abstract：:Severe ankle degeneration can be a devastating problem for young adults. Although ankle fusion continues to be the gold standard, inherent long-term problems are related to this treatment option. Further advances in total ankle prosthetic arthroplasty are needed before this treatment option can be considered suitable ...

journal_title：Foot and ankle clinics

authors： Irwin TA,Kou JX,Fortin PT

更新日期：2007-03-01 00:00:00

abstract：:These two morbidly obese patients with severe Charcot foot arthropathy were treated successfully with percutaneous correction of their deformity followed by a stepwise application of a pre-assembled neutrally aligned multiplane ring external fixator. This technique transfers well to the trauma environment in which ali...

journal_title：Foot and ankle clinics

authors： Pinzur MS

更新日期：2006-12-01 00:00:00

abstract：:Ankle sprains are common in both sport and leisure activities. Despite the high success rates of conservative management, approximately 10% to 30% patients develop chronic instability. Surgery yields high success rates, but clinical problems such as functional and mechanical instability, persistent talar tilt, range o...

journal_title：Foot and ankle clinics

authors： Bozkurt M,Doral MN

更新日期：2006-09-01 00:00:00

abstract：:Many techniques have been described for surgical management of lateral ankle instability. Anatomic repair and nonanatomic reconstruction have higher recurrence rates, and may be complicated by ankle stiffness. Anatomic reconstruction should be considered in stabilization for deficiencies of the lateral ankle ligament ...

journal_title：Foot and ankle clinics

authors： Boyer DS,Younger AS

更新日期：2006-09-01 00:00:00

abstract：:Posteromedial ankle complaints are most often caused by a disorder of the posterior tibial tendon. Two predominant groups of patients can be distinguished: the first involves younger patients who have some form of systemic inflammatory disease; the second involves older patients whose dysfunction is caused by chronic ...

journal_title：Foot and ankle clinics

authors： Bulstra GH,Olsthoorn PG,Niek van Dijk C

更新日期：2006-06-01 00:00:00

abstract：:Nonunions of the tibia represent challenging orthopedic problems, which require the surgeon to analyze numerous factors and choose an appropriate treatment. Tibial nonunion treatment requires establishing its existence and cause. The treatment algorithm necessitates consideration of a wide variety of factors: the loca...

journal_title：Foot and ankle clinics

authors： Mechrefe AP,Koh EY,Trafton PG,DiGiovanni CW

更新日期：2006-03-01 00:00:00

abstract：:Foot and ankle reconstruction following blast trauma is particularly challenging based on the devastating soft tissue injuries associated with open comminuted fractures. Considering the difficulties encountered in reconstruction, the functional limitations associated with many salvaged limbs, and the superior performa...

journal_title：Foot and ankle clinics

authors： McGuigan FX,Forsberg JA,Andersen RC

更新日期：2006-03-01 00:00:00

abstract：:Electric and electromagnetic fields regulate extra-cellular matrix synthesis and stimulate repair of fractures and nonunions. Studies of electric and electromagnetic fields suggest they (1) regulate proteoglycan and collagen synthesis and increase bone formation in models of endochondral ossification, (2) accelerate b...

journal_title：Foot and ankle clinics

authors： Ciombor DM,Aaron RK

更新日期：2005-12-01 00:00:00

abstract：:Cyclooxygenase-2 (COX-2) inhibitors are an important adjunct in controlling postoperative pain. Concerns exist regarding the use of NSAIDs for postoperative pain management because of the possible deleterious impact on bone healing in patients undergoing hindfoot arthrodesis. Orthopedic surgeons are concerned with: (1...

journal_title：Foot and ankle clinics

authors： Hill K,Berlet GC,Philbin TM,Lee TH

更新日期：2005-12-01 00:00:00

abstract：:Approximately 3% of osseous tumors occur in the foot and ankle. Solitary bone cysts, chondroblastoma, intraosseous lipoma, osteoid osteoma, chondrosarcoma, and Ewing's sarcoma seem to have a predilection for the calcaneus. Biopsy is often a crucial step in management. Tumor-like conditions, such as cysts, reactive les...

journal_title：Foot and ankle clinics

authors： Kilgore WB,Parrish WM

更新日期：2005-09-01 00:00:00

abstract：:Although Achilles tendinopathy has been extensively studied, there is a clear lack of properly conducted scientific research to clarify its etiology, pathology and optimal management. Emerging non-operative management and heavy load eccentric strengthening protocols based on these theories have yielded encouraging ear...

journal_title：Foot and ankle clinics

authors： Vora AM,Myerson MS,Oliva F,Maffulli N

更新日期：2005-06-01 00:00:00

abstract：:Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplas...

journal_title：Foot and ankle clinics

authors： Esway JE,Conti SF

更新日期：2005-03-01 00:00:00

abstract：:There are numerous options for imaging talar pathology. Of these, radiography, CT, scintigraphy, and MRI are used most commonly. Advantages and limitations of these techniques should be considered when formulating an imaging algorithm for evaluation of the patient's clinical problem. ...

journal_title：Foot and ankle clinics

authors： Furlong J,Morrison WB,Carrino JA

更新日期：2004-12-01 00:00:00

abstract：:Brachymetatarsia is a rare clinical entity that presents a complicated case to the treating surgeon. One-stage lengthening procedures with a variety of biologic and synthetic implants are preferred for metatarsals that only need to be lengthened up to 15 mm, whereas gradual lengthening allows for greater length gain a...

journal_title：Foot and ankle clinics

authors： Schimizzi A,Brage M

更新日期：2004-09-01 00:00:00

abstract：:Surgical decompression of peripheral nerves for the treatment of diabetic peripheral neuropathy has been studied and previously reported. These studies reported decreased pain and some studies showed improved sensory function. The role that this surgery can play remains controversial. ...

journal_title：Foot and ankle clinics

authors： Biddinger KR,Amend KJ

更新日期：2004-06-01 00:00:00

abstract：:Complex regional pain syndrome (CRPS) applies to a variety of conditions in which symptoms such as allodynia and hyperalgesia predominate along with hyperpathia and vasomotor/sudomotor disturbances. The incidence of CRPS in the chronic pain population varies and is difficult to determine, though it appears to affect w...

journal_title：Foot and ankle clinics

authors： Nambi-Joseph P,Stanton-Hicks M,Sferra JJ

更新日期：2004-06-01 00:00:00

abstract：:The accessory navicular is a common presence in the human foot and must be included in the differential diagnosis of medial foot pain in patients who are of appropriate age. Imaging modalities aid in diagnosis of a symptomatic ossicle and guide classification and treatment. Often, a combination of studies is needed to...

journal_title：Foot and ankle clinics

authors： Ugolini PA,Raikin SM

更新日期：2004-03-01 00:00:00

abstract：:Malignant osseous and soft tissue tumors of the foot are rare and should be considered in patients who have foot-related symptoms. Most sarcomas affect patients who are older than 55 years; however, many young patients who are otherwise healthy, may present with malignant foot and ankle lesions. In addition to benign ...

journal_title：Foot and ankle clinics

authors： Papagelopoulos PJ,Mavrogenis AF,Badekas A,Sim FH

更新日期：2003-12-01 00:00:00

abstract：:The adult acquired flat foot requires assessment with unique casting and fabrication of support appliances. Conservative treatment is preferred as the initial protocol. Stabilization and control of affected joints can provide the patient with a decreased level of pain and an increased level of function. The orthosis d...

journal_title：Foot and ankle clinics

authors： Elftman NW

更新日期：2003-09-01 00:00:00

abstract：:As our understanding of the underlying cause of flat foot progression improves so will our understanding of how best to catalog and treat the instabilities that are seen. Determining the failure of one type of treatment will be difficult until we can better define the varied pathology and give the treatment methods su...

journal_title：Foot and ankle clinics

authors： Early J

更新日期：2003-09-01 00:00:00

abstract：:For years, OCD of the talus has been known as a symptomatic lesion that causes pain, recurrent synovitis, altered joint mechanism, and obstruction from loose bodies. It is a probable precursor of ankle osteoarthritis because of altered joint mechanics and recurrent synovitis. With the notable advance of diagnostic ima...

journal_title：Foot and ankle clinics

authors： Hangody L

更新日期：2003-06-01 00:00:00

abstract：:This article discusses the complications after open reduction and internal fixation of ankle fractures. Complications are classified as perioperative (malreduction, inadequate fixation, and intra-articular penetration of hardware), early postoperative (wound edge dehiscence, necrosis, infection and compartment syndrom...

journal_title：Foot and ankle clinics

authors： Leyes M,Torres R,Guillén P

更新日期：2003-03-01 00:00:00

abstract：:Ankle arthroplasty is emerging as an alternative to arthrodesis. Restoring and maintaining proper bony alignment and muscle balance in the limb is essential if there is to be any chance for long-term survival. Deformity can arise above the ankle, in the joint itself, or in the foot. Secondary procedures in the foot an...

journal_title：Foot and ankle clinics

authors： Greisberg J,Hansen ST Jr

更新日期：2002-12-01 00:00:00

abstract：:Chronic symptoms following lateral ankle sprain occasionally requires surgical intervention. Many options are available including thermal assisted capsular modification. The authors review the history of thermal modification of tissues, the indication for use in the ankle and report their experience with a consecutive...

journal_title：Foot and ankle clinics

authors： Berlet GC,Saar WE,Ryan A,Lee TH

更新日期：2002-09-01 00:00:00

abstract：:Injuries to the ankle, foot, and toes of injured workers are common. Although the workers' compensation system attempts to collect information about these injuries and report them in a meaningful way, the process is somewhat inconsistent, inaccurate, and provides information relevant to government agencies but not to ...

journal_title：Foot and ankle clinics

authors： Conti SF,Silverman L

更新日期：2002-06-01 00:00:00

abstract：:According with to International Labor Office, the European Union gave the directions to improve the life of workers not only by regulating care, but also safety and return to work. Each European country is conforming to this. In Italy, INAIL, an independent body under the control of the Department of Labor and the Min...

journal_title：Foot and ankle clinics

authors： Giannini S,Ceccarelli F

更新日期：2002-06-01 00:00:00