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Clinics in Podiatric Medicine and Surgery

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https://www.readbyqxmd.com/read/29861018/randomized-prospective-blinded-enrollment-head-to-head-venous-leg-ulcer-healing-trial-comparing-living-bioengineered-skin-graft-substitute-apligraf-with-living-cryopreserved-human-skin-allograft-theraskin
#1
REVIEW
Michael A Towler, Elaine W Rush, Melissa K Richardson, Calvin L Williams
Chronic venous leg ulcers are responsible for significant morbidity and health care costs worldwide. This pilot study evaluated the effectiveness 2 biologically active grafts, TheraSkin and Apligraf, in conjunction with compression therapy. The study, not industry-sponsored, was designed and conducted as a prospective, head-to-head, single-site, randomized clinical trial to assess differences in healing rates, adverse outcomes, and treatment costs. The healing rates were different but not statistically significant, there were no adverse outcomes, and TheraSkin averaged $2495...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861017/near-infrared-spectroscopy-imaging-for-assessing-skin-and-wound-oxygen-perfusion
#2
REVIEW
Adam S Landsman, Darrell Barnhart, Michael Sowa
Near infrared spectroscopy (NIRS) is a technique whereby light is transmitted to the skin or the surface of a wound. Light is selectively absorbed or reflected in order to calculate the percentage of oxygenated and deoxygenated hemoglobin. By calculating this ratio, the level of tissue oxygen perfusion can be assessed. This article describes an NIRS imaging device and demonstrates its use as a clinical tool to predict future viability of skin flaps, potential for wound healing, and progress of closure following application of a biologic wound product...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861016/soft-tissue-reconstruction-with-artelon-for-multiple-foot-and-ankle-applications
#3
REVIEW
Russell D Petranto, Megan Lubin, Robert C Floros, Darelle A Pfeiffer, Kerianne Spiess, Robin Lenz, Amanda Crowell, Haseeb Ahmad, Sameep Chandrani, Adam S Landsman
Surgical repair of tendons of the foot and ankle is performed utilizing various methods, including autografts, allografts, and synthetic grafts. Artelon is a synthetic biomaterial that is fabricated from wet-spun fibers of PCL-based polyurethane urea, and has, optimal mechanical properties compared with other grafting options. Because of excellent results of Artelon in ACL reconstruction, its use was explored in 3 foot and ankle cases: repair of Achilles, posterior tibial, and peroneal tendons. Artelon has proven to be a successful alternative for tendon repairs, with all 3 cases returning to full function within 8 to 16 weeks and with no complications related to the graft...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861015/mesenchymal-stem-cell-applications-for-joints-in-the-foot-and-ankle
#4
REVIEW
Garrett Melick, Najwah Hayman, Adam S Landsman
The use of mesenchymal stem cell injections is a new approach to the treatment of painful joints, particularly in the foot and ankle. Previous studies performed in the knee have considered allogeneic and xenogeneic injections, and autologous cells expanded in culture. This article considers these applications and considers the possibility of performing these types of injections in the foot and ankle joints.
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861014/the-role-of-placental-membrane-allografts-in-the-surgical-treatment-of-tendinopathies
#5
REVIEW
Joel Ang, Chih-Kang David Liou, Harry P Schneider
Placental membrane grafts have long been used in the realms of wound care and ophthalmology to assist in the healing cascade. Recently, surgeons have started to implant placental membrane grafts in a wide variety of foot and ankle surgeries to take advantage of their many touted benefits. The application of placental membrane grafts for cases of lower extremity tendinopathy is detailed in this article.
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861013/living-cryopreserved-bone-allograft-as-an-adjunct-for-hindfoot-arthrodesis
#6
REVIEW
Mark K Magnus, Kelli L Iceman, Thomas S Roukis
Hindfoot arthrodesis is a frequently performed procedure by foot and ankle surgeons. The relatively high nonunion rate associated with these procedures has led surgeons to use adjunctive bone graft to help augment osseous union. Cellular bone allografts are a specific type of graft that incorporates osteoconductive, osteoinductive, and osteogenic properties while also eliminating the common disadvantages of autografts and traditional allografts. This article discusses the role of cellular bone allografts in hindfoot arthrodesis procedures, a review of current literature, and a comparison of available products...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861012/allograft-cartilage-replacements
#7
REVIEW
Michael H Theodoulou, Laura Bohman
The body's ability to repair injured articular cartilage is poor due to the inherent physiology of cartilage. Joint arthritis, whether through injury or increasing age, is a prevalent condition. Treatment of an articular cartilage injury may include arthroplasty, fusion, or repair. A popular pathway of treatment in a salvageable joint is often to avoid donor site morbidity and place increased effort to reestablish native cartilage with the use of allografts. This article discusses current research on acellular and cellular allografts for articular cartilage restoration...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29861011/complications-following-allograft-and-xenograft-resurfacing-of-the-first-metatarsal-head-a-case-series
#8
REVIEW
Jason A Kayce, Jennifer Buchanan, Adam S Landsman
Ten cases using decellularized allografts and xenografts for the purpose of resurfacing the first metatarsal head are reviewed in this article. Although most of the cases were performed without any postoperative complications, the focus of this series is on 2 of the 3 cases in which destruction of the first metatarsal head was observed postoperatively due to a foreign body reaction and severe degeneration within the metatarsal head. A salvage procedure using a silicone total joint to replace the damaged surface is shown...
July 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482795/advanced-techniques-in-the-management-of-foot-and-ankle-trauma
#9
EDITORIAL
Justin J Fleming
No abstract text is available yet for this article.
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482794/advanced-techniques-in-the-management-of-foot-and-ankle-trauma
#10
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482793/intramedullary-nailing-of-fibular-fractures
#11
REVIEW
Justin J Fleming
The reamed intramedullary (IM) technique has many benefits. However, open plating is the most commonly used technique. Previously, IM stabilization was reserved for fibular fractures, which were given lower priority, and generally associated with injuries to the distal tibia or instances in which the soft tissue envelope was unsuitable for an open approach. This article reviews the literature and the level of evidence, and presents case examples and operative technique.
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482792/primary-arthrodesis-in-severely-comminuted-fractures
#12
REVIEW
Michael W Downey, Ted C Lai, Justin J Fleming
At present there is controversy regarding the appropriate treatment of severely comminuted fractures of the lower extremity. Even with near-perfect anatomic reduction of severely comminuted fractures, development of posttraumatic arthritis is still present at an increased rate. Primary fusion of comminuted fractures of the foot and ankle creates successful and predictable outcomes, which dismisses the chance of developing posttraumatic arthritis and decreases complications and the need for revisional procedures...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482791/minimally-invasive-plate-osteosynthesis-for-distal-tibia-fractures
#13
REVIEW
Ted C Lai, Justin J Fleming
Surgical treatment of distal tibia fractures can present as a difficult task. Intramedullary nailing (IMN), external fixation, and open reduction internal fixation (ORIF) have displayed various complications ranging from a high rate of knee morbidity with IMN to wound complications and infection with ORIF. Minimally invasive plate osteosynthesis (MIPO) has been used to decrease development of these complications. MIPO respects the soft tissue envelope along with maintaining the biological environment needed for proper osseous healing...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482790/arthroscopic-assisted-open-reduction-internal-fixation
#14
REVIEW
Graham A Hamilton, Matthew D Doyle, Francesca M Castellucci-Garza
The indications for arthroscopy have expanded over the years. Arthroscopic-assisted open reduction internal fixation in the setting of acute trauma is gaining popularity with foot and ankle surgeons. It serves to facilitate direct visualization of fracture fragments and allows for precise articular reduction with minimal soft tissue insult. Current evidence reports a high incidence of chondral injury with ankle fractures. Arthroscopy performed at the time of open reduction internal fixation allows for joint inspection and potential treatment of these posttraumatic defects...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482789/role-for-primary-repair-of-deltoid-ligament-complex-in-ankle-fractures
#15
REVIEW
Ryan B Rigby, Ryan T Scott
Acute deltoid injuries may occur with ankle fractures. They are often left to heal without repair, possibly leading to chronic medial ankle instability. Stress radiographs identify the need for surgical repair of fractures or soft tissue damage. Gravity stress views have benefits over manually stressing the ankle. MRI can explore the extent of medial soft tissue injuries. Arthroscopy can evaluate and potentially treat deltoid injuries. Interposition of the deltoid may preclude adequate fracture reduction. Except with deltoid tear, fractures should be reduced and fixated, then the deltoid assessed...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482788/paradigm-shift-for-the-surgical-management-of-calcaneal-fractures
#16
REVIEW
Spencer J Monaco, Michael Calderone, Justin J Fleming
Calcaneal fractures account for up to 75% of all foot fractures and 1% to 2% of all fractures. Approximately 75% of calcaneal fractures are intraarticular, resulting in a prolonged recovery, more pain, and disability. The most common mechanism of injury includes falls from a height and motor vehicle accidents. This article reviews studies that compare nonoperative with operative treatment. The literature continues to support surgical intervention; however, these injuries can still be managed nonoperatively in certain clinical scenarios...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482787/management-of-talar-fractures
#17
REVIEW
Kwasi Y Kwaadu
Fractures of the talus are significant injuries with associated significant complications where the recovery zenith is less frequently good to excellent, and more commonly fair to satisfactory. These outcomes are a consequence of combinations of the inherent intrinsic and surrounding anatomy, technical and logistic difficulties in adequate fracture access, and the high-energy mechanisms typically associated with these injuries that further traumatize the surrounding tissues. This article reviews and provides current management recommendations for these devastating injuries...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29482786/surgical-management-navicular-and-cuboid-fractures
#18
REVIEW
J Randolph Clements, François Dijour, Wesley Leong
The tarsal navicular is a critical component of the foot's medial longitudinal arch. Injuries to the navicular have significant long-term functional consequences. In addition to stress fractures, acute injuries to the navicular include acute avulsion, tuberosity, and body fractures. Nonoperative treatment is the mainstay for avulsion injuries and nondisplaced body fractures. Open reduction and internal fixation is performed to achieve anatomic reduction in the other situations. Common complications following operative intervention include pain, stiffness, post-traumatic arthritis, avascular necrosis, nonunion, and hindfoot deformity...
April 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29156173/new-technologies-in-foot-and-ankle-reconstruction
#19
EDITORIAL
Stephen A Brigido
No abstract text is available yet for this article.
January 2018: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/29156172/new-technologies-in-foot-and-ankle-surgery
#20
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
January 2018: Clinics in Podiatric Medicine and Surgery
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