Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Apr 2006
ReviewLisfranc fracture-dislocations: current treatment and new surgical approaches.
Anatomic reduction and restoration of the acute or chronic fracture-dislocation of the tarso-metatarsal joint is essential and needs to be addressed early in the patient's treatment with internal or external fixation. Long-term results following this injury can be associated with chronic instability, posttraumatic arthrosis, and poor functional outcomes. In this article, the authors review the current treatments of internal fixation and introduce new surgical techniques for addressing the acute or chronic tarso-metatarsal injuries with the application of circular multiplane external fixation devices.
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The challenge of managing pediatric foot injuries is the identification of the rare injuries that require operative treatment and the management of complications such as compartment syndrome, post-traumatic foot deformities, and avascular necrosis. With these complications in mind, the authors discuss fractures of the talus, calcaneus, lesser tarsal bones, Lisfranc's joint, metarsals, and phalanges. Dislocation of metatarsophalangeal or interphalangeal joints is also discussed.
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The molecular and cellular process to promote bone formation has been examined extensively in recent years in an attempt to minimize delayed unions and nonunions. Bone morphogenetic proteins (BMPs) have been determined to play an intricate role in the bone formation cascade. ⋯ Continuing research is investigating the optimal carrier that will give the best results. This article reviews the most current information regarding BMPs.
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Partial foot amputations and revision and closure of such are some of the most challenging cases handled by all foot and ankle surgeons. Preoperative planning and perioperative decision making are tantamount to successful amputations of the foot. ⋯ This article discusses the reasons leading to complications status post partial amputation of the foot. Understanding these causes often minimizes a challenging course of healing, which all podiatric surgeons encounter after pedal amputations.
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This article is a guide to nail evaluation, focusing on the more prominent nail dystrophies and related systemic diseases that the podiatrist is most likely to encounter. This article classifies systemic illnesses by their relationship to specific nail abnormalities.