Foot and Ankle Clinics
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Ankle osteoarthritis: etiology, diagnostics, and classification.
Osteoarthritis (OA) is defined as the syndrome of joint pain and dysfunction caused by substantial joint degeneration. In general, OA is the most common joint disease and is one of the most frequent and symptomatic health problems for middle-aged and older people: OA disables more than 10% of people...
Management of varus ankle osteoarthritis with joint-preserving osteotomy.
The goal of osteotomy in the treatment of varus ankle arthritis is to shift the forces imparted to the ankle to a portion of the joint that is not involved in the degenerative process. The redistribution of loads and stresses seen by the tibiotalar joint can be approached either above or below the a...
Total ankle replacement for rheumatoid arthritis of the ankle.
Rheumatoid arthritis is an autoimmune disease that may affect multiple joints, both small and large, and leads to numerous complications. The standard surgical treatment for a rheumatoid arthritic ankle has been an arthrodesis. The ideal candidate for an ankle replacement in a rheumatoid patient is...
Metatarsalgia: proximal metatarsal osteotomies.
Metatarsalgia is a blanket term to describe pain in the forefoot that may have many different etiologies and contributory factors. A careful history, examination, and appropriate imaging are required to make an accurate diagnosis and treat the patient appropriately. Metatarsalgia is a common conditi...
Revision surgery of the lesser toes.
Surgery of the lesser toes is a difficult balancing act, and revision procedures are challenging. It is vastly preferable that the correct procedure be chosen for the correct patient and performed properly from the outset. The flow charts below (Figs. 23–25) are not a rigid protocol, but rather the...
Subtalar and Naviculocuneiform Fusion for Extended Breakdown of the Medial Arch
We summarize the medial column procedures for flatfoot deformity and present our surgical technique and results of 10 consecutive patients treated with this method at a minimum 1-year follow-up....
Rehabilitation of the Lower-Extremity War-Injured at the Center for the Intrepid
The Center for the Intrepid (CFI) is a unique facility among the three amputee care centers that comprise the Armed Forces Amputee Care Program. The mission of the CFI is threefold: (1) to provide the best possible patient care to the severely war-wounded, (2) to educate providers in the most a...
Use of Tourniquets and Their Effects on Limb Function in the Modern Combat Environment
Tourniquets have been called powerful lifesaving devices by some authors, whereas others say they cause more harm than good. Given recent emergency tourniquet developments in scientific design of devices, widespread user training, modern doctrine based on evidence, and thorough fielding to user...