Clinics in Podiatric Medicine and Surgery
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Current therapies for diabetic foot infections and osteomyelitis.
Treatment of the patient with a diabetic foot infection and underlying osteomyelitis is currently an evolving process, often complicated by neuropathy, peripheral vascular disease, and renal insufficiency. Understanding which patients require hospitalization, intravenous antibiotic therapy, and urge...
Tibio-talo-calcaneal Arthrodesis with Retrograde Compression Intramedullary Nail Fixation for Salvage of Failed Total Ankle Replacement: A S...
Failed total ankle replacement is a complex problem that should only be treated by experienced foot and ankle surgeons. Significant bone loss can preclude revision total ankle replacement and obligate revision though a complex tibio-talo-calcaneal arthrodesis. A systematic review of the world litera...
History of total ankle replacement.
Attempts at ankle replacement have existed for at least 50 years. Time has essentially eliminated constrained, cemented, first-generation ankle replacements. Although some two-component, more anatomic, designs are still used with varying success, three-component "mobile bearing" ankle prostheses are...
Modern techniques in hallux abducto valgus surgery.
Hallux abducto valgus surgery is in a constant state of evolution. Innovation is driven by surgeons pursuing the perfect procedure for any clinical scenario. The end point is to eliminate complications and produce satisfied patients. Medical device technology has helped pave the way for some recent...
Dermatologic causes of heel pain.
There are many causes of heel pain. Not all are characterized as plantar fasciitis or osseous pathology. Sometimes patients present with heel pain caused by a dermatologic entity. This article describes some of the most common pathologies. Copyright 2010 Elsevier Inc. All rights reserved.
Management of calcaneal osteomyelitis.
Calcaneal osteomyelitis is a complicated clinical scenario, which is often very difficult to treat. It can occur in individuals of any age who are injured or immunocompromised, and once diagnosed, aggressive management should be initiated. Treatment ranges from antibiotics alone to radical debrideme...
Recurrent acute compartment syndrome of the foot following a calcaneal fracture repair.
Acute compartment syndrome is a known possible complication of calcaneal fractures and few case reports have documented a recurrent event after initial surgical fasciotomies. This article describes a rare case demonstrating a recurrence of acute compartment syndrome within days of initial fasciotomi...
Medical imaging and radiographic analysis of the rheumatoid patient.
According to the Arthritis Foundation, approximately 1.3 million Americans have rheumatoid arthritis (RA), while an estimated 300,000 children are diagnosed with the disease each year. The disease is 2- to 4-times more common in women than in men and is least common in young men. Current practices i...
Clinical manifestations and treatment of the pediatric rheumatoid patient.
The management goal of juvenile rheumatoid arthritis (JRA) is to achieve early diagnosis and treatment so that arthritis can be resolved at an early stage, which avoids long-term damage and provides a good outcome of the affected inflammatory joints. This article describes presentation, classificati...
Augmentation of atrophic plantar soft tissue with an acellular dermal allograft: a series review.
Treatment of plantar fat pad migration and atrophy has caused concern for decades. Patients can present with pain, callus formation, or ulceration. The purpose of this article is to review the results of a consecutive series of patients treated for fat pad atrophy of the plantar foot, using a minima...