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https://www.readbyqxmd.com/read/29513891/free-vascularized-fibula-grafting-in-the-operative-treatment-of-malignant-bone-tumors-of-the-upper-extremity-a-systematic-review-of-outcomes-and-complications
#1
Mark J Landau, Ido Badash, Christine Yin, Ram K Alluri, Ketan M Patel
BACKGROUND AND OBJECTIVES: Vascularized bone grafting after tumor resection can be an important component in the treatment of bony neoplasms of the upper extremity. The purpose of this study was to determine the outcomes of free vascularized fibula grafting (FVFG) in the treatment of upper extremity sarcomas. METHODS: A systematic review of the literature of FVFG used in the treatment of upper extremity sarcomas was performed. RESULTS: A total of 56 studies were included in final analysis...
March 7, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29415557/outcomes-of-resection-and-joint-preserving-arthroplasty-for-forefoot-deformities-for-rheumatoid-arthritis
#2
Masahiro Horita, Keiichiro Nishida, Kenzo Hashizume, Yoshihisa Nasu, Kenta Saiga, Ryuichi Nakahara, Takahiro Machida, Hideki Ohashi, Toshifumi Ozaki
BACKGROUND: We investigated the clinical outcomes of resection and joint-preserving arthroplasty for forefoot deformities in patients with rheumatoid arthritis. METHODS: Sixteen feet of 14 women (average age, 67.1 years; range, 53-82) underwent resection arthroplasty of the metatarsal head (resection group), and 18 feet of 15 women (average age, 61.3 years; range, 40-73) underwent a metatarsophalangeal joint-preserving procedure with shortening oblique metatarsal osteotomies of the lesser toes (joint preservation group)...
March 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29413774/effectiveness-of-the-cobb-stainsby-excision-arthroplasty
#3
A H Matthews, N A Jagodzinski, M Westwood, J E Metcalfe, K T Trimble
BACKGROUND: Dislocated metatarsophalangeal joints from clawed or hammer toes can be a disabling consequence of several conditions. The Cobb-Stainsby forefoot arthroplasty combines partial phalangectomy (Stainsby) with extensor tendon transfer to the metatarsal head (Cobb). We present a retrospective, three surgeon case series of 215 toes in 126 patients. METHODS: Early results and complications were gathered from the medical charts of 126 patients who met the inclusion criteria...
February 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29362037/treatment-of-rigid-hammer-toe-deformity-permanent-versus-removable-implant-selection
#4
REVIEW
Jesse F Doty, Jason A Fogleman
Hammer-toe deformities that fail nonoperative treatment can be successfully addressed with proximal interphalangeal joint resection arthroplasty or fusion. The goal of surgery is to eliminate the deformity and rigidly fix the toe in a well-aligned position. Hammer-toe correction procedures can be performed with temporary Kirschner wire (K-wire) fixation for 3 to 6 weeks with high success rates. Pain relief with successful hammer-toe correction approaches 90%; patient satisfaction rates approximate 84%. Although complication rates are rare in most series, there remains a concern regarding exposed temporary K-wire fixation, which has led to the development of multiple permanent internal fixation options...
March 2018: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/29330329/large-genomic-insertion-at-the-shh-locus-results-in-hammer-toes-through-enhancer-adoption
#5
Christina Paliou, Guillaume Andrey
No abstract text is available yet for this article.
January 30, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29184351/clinico-electrophysiological-and-genetic-overlaps-and-magnetic-resonance-imaging-findings-in-charcot-marie-tooth-disease-a-pilot-study-from-western-india
#6
Satish Vasant Khadilkar, Nahush D Patil, Nikhil Dhananjay Kadam, Khushnuma A Mansukhani, Bhagyadhan A Patel
Background: Charcot-Marie-Tooth (CMT) disease is clinically and genetically heterogeneous. There are no published series describing clinical, electrophysiological, and genetic information on CMT from the Indian subcontinent. Magnetic resonance imaging (MRI) neurography technique provides useful information about the plexus and roots and can be employed in patients with CMT. Settings and Design: A prospective, observational study carried out at a tertiary care hospital in Western India...
October 2017: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/29167752/a-prospective-study-of-distal-metatarsal-chevron-osteotomies-with-k-wire-fixations-to-treat-hallux-valgus-deformities
#7
M N Baig, Usman Baig, Ali Tariq, Robert Din
Introduction Hallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes. Methods This case series consisted of 20 patients who had chevron osteotomy from January 2015 to January 2016. The clinical assessment was measured by The American Orthopedic Foot and Ankle Score (AOFAS), and radiologic assessment was determined by preoperative and postoperative hallux valgus angle (HVA) and intermetatarsal angle (IMA)...
September 20, 2017: Curēus
https://www.readbyqxmd.com/read/28956109/hallux-valgus-in-a-random-population-in-spain-and-its-impact-on-quality-of-life-and-functionality
#8
Cristina González-Martín, Francisco Alonso-Tajes, Sergio Pérez-García, María Teresa Seoane-Pillado, Sonia Pértega-Díaz, Estefanía Couceiro-Sánchez, Rocío Seijo-Bestilleiro, Salvador Pita-Fernández
The aim of this study was to determine the prevalence of Hallux valgus (HV) and the association between the presence thereof and quality of life, dependence for basic and instrumental activities of daily living and foot function. Prevalence study was carried out in a random population sample (n = 1837) (α = 0.05; Precision = ±2.2%). Informed consent and ethical review board were obtained (code 2008/264). We studied anthropometric variables, Charlson Comorbidity Index, function and state of foot [Foot Function index (FFI), Foot Health Status Questionnaire (FHSQ)], quality of life (SF-36), and dependence for activities of daily living (Barthel and Lawton index)...
November 2017: Rheumatology International
https://www.readbyqxmd.com/read/28933975/foot-problems-in-older-women
#9
F Guidozzi
Between 20 and 45% of women aged over 65 years of age will develop one or more foot problems, which, although not specific to older women, are more common in that age group than in younger women. These include structural defects of the toes including hallux valgus, hammer, mallet or claw toes, skin disorders, fungal infection of the toes and toe nails, thickened toe nails, ulcers, fissures or cracks between the toes, corns and calluses, flat or high-arched feet. Foot pain is common and may be associated with other co-morbid diseases of the foot...
December 2017: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/28704670/cryo-conditioned-rocky-coast-systems-a-case-study-from-wilczekodden-svalbard
#10
M C Strzelecki, M Kasprzak, M Lim, Z M Swirad, M Jaskólski, Ł Pawłowski, P Modzel
This paper presents the results of an investigation into the processes controlling development of a cryo-conditioned rock coast system in Hornsund, Svalbard. A suite of nested geomorphological and geophysical methods have been applied to characterise the functioning of rock cliffs and shore platforms influenced by lithological control and geomorphic processes driven by polar coast environments. Electrical resistivity tomography (ERT) surveys have been used to investigate permafrost control on rock coast dynamics and reveal the strong interaction with marine processes in High Arctic coastal settings...
December 31, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28676916/-correction-of-flexible-lesser-toe-deformity-transfer-of-the-flexor-digitorum-longus-tendon
#11
D Arbab, D Frank, B Bouillon, C Lüring
OBJECTIVE: Realignment and pain relief of toes 2-5 by flexor-to-extensor tendon transfer of the flexor digitorum longus (FDL) muscle. INDICATIONS: As an isolated procedure in flexible proximal interphalangeal (PIP) joint flexion and/or flexible metatarsophalangeal (MTP) joint extension (hammer toe). In combination with a metatarsal osteotomy or PIP joint arthrodesis in case of flexible MTP joint extension. CONTRAINDICATIONS: General medical contraindications to surgical interventions...
July 4, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28576189/digital-arthrodesis-of-the-lesser-toes
#12
REVIEW
James P Sullivan, Catherine L Churchill
Foot and ankle surgeons frequently treat digital deformities of the lesser toes surgically. Arthrodesis of the proximal interphalangeal joint is the workhorse procedure for correction of hammer toe contractures. Fusion of the interphalangeal joint can be fixated with a variety of methods, including K-wire fixation, intramedullary implants, absorbable pins, and screws. Each method of fixation has advantages and disadvantages, such as variations in complication rates, cost, and fusion rates. Further research is necessary to determine the best method of fixation for digital interphalangeal joint fusion...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28413884/incidence-and-risk-factors-of-venous-thromboembolism-after-orthopaedic-foot-and-ankle-surgery
#13
Jamal Ahmad, Mary-Katherine Lynch, Mitchell Maltenfort
BACKGROUND: This study examines the incidence and risk of postoperative symptomatic venous thromboembolism (VTE) after orthopaedic foot/ankle surgery. MATERIALS: Patients that received foot/ankle surgery between 2006 and 2016 were reviewed. Inclusion criteria were surgical patients that were without coagulopathy, previous VTE, and/or using anticoagulation medications including aspirin. Age, sex, body mass index, medical comorbidities, and surgical diagnosis and procedure(s) were noted...
October 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28383404/progressive-fingertip-necrosis-after-nail-avulsion-injury-in-a-patient-with-ulnar-artery-hypoplasia-a-case-report
#14
Yeon Jin Jeong, Seong Hyuk Park, Jun Yong Lee
RATIONALE: Slowly progressive hand ischemia is mostly associated with medical illness such as vasculitis, and in patients with smoking history, Buerger disease is often considered first. However, despite the very low incidence of vascular anatomical anomalies, they can lead to hand ischemia. And if there is no consideration for them, proper treatment cannot be selected. PATIENT CONCERNS: A 42-year-old male smoker presented with a slowly progressing 5th fingertip necrosis following blunt trauma...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28341786/effectiveness-of-foot-fasciotomies-in-foot-and-ankle-trauma
#15
Katherine M Bedigrew, D J Stinner, J F Kragh, B K Potter, S B Shawen, J R Hsu
BACKGROUND: Foot compartment syndrome (FCS) has been reported to cause neuropathic pain, claw or hammer toes, and motor and sensory disturbances. The optimal treatment of FCS is controversial. The purpose of this study was to determine if foot fasciotomies improve patient outcomes in high-energy, combat-related lower extremity trauma. METHODS: Medical records of patients with documented FCS from May 2007 to January 2009 were retrospectively reviewed. Consecutive, matched control patients were identified based on similar hindfoot, mid-foot and/or forefoot injuries who did not undergo foot fasciotomy during the same period...
October 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/27887922/obesity-foot-pain-and-foot-disorders-in-older-men-and-women
#16
Alyssa B Dufour, Elena Losina, Hylton B Menz, Michael P LaValley, Marian T Hannan
OBJECTIVE: We investigated obesity, foot pain and selected foot disorders, and determined if associations differed by foot posture or dynamic foot function. METHODS: We included 2445 men and women (4888 feet) from the Framingham Foot Study (2002-2008). A foot examination assessed presence of disorders and pain on each foot. Body mass index (BMI, kg/m2 ) was categorized as normal (<25), overweight (25-29.99), moderate-obesity (30-34.99) severe-obesity (35+). Foot posture (normal, cavus, planus) and dynamic foot function (normal, supinated, pronated) were defined using plantar pressure measurement system...
July 2017: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/27489973/-pilot-hole-technique-for-interphalangeal-joint-fusion-of-toes
#17
Nikhil Sharma, David Morley, Dev Damany
Fusion of an interphalangeal joint of a lesser toe is a commonly used procedure for addressing interphalangeal joint deformities such as a hammer or a claw toe. Fusion can be achieved by insertion of an intramedullary Kirschner wire in a retrograde manner. Deviation of the Kirschner wire from the intramedullary canal into the surrounding soft tissues is common. This can render the fusion unstable and can cause painful soft-tissue irritation and early Kirschner wire loosening, resulting in an unstable nonunion with recurrence of deformity...
July 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27478505/effectiveness-of-percutaneous-flexor-tenotomies-for-the-management-and-prevention-of-recurrence-of-diabetic-toe-ulcers-a-systematic-review
#18
REVIEW
Jennifer E Scott, Gordon J Hendry, John Locke
BACKGROUND: Diabetic toe ulcers are a potentially devastating complication of diabetes. In recent years, the percutaneous flexor tenotomy procedure for the correction of flexible claw and hammer-toe contraction deformities has been proposed as a safe and effective technique for facilitating the healing of toe-deformity related diabetic ulcers. The aim of this review is to critically appraise the evidence for the effectiveness of this surgical procedure in achieving ulcer healing, prevention of re-ulceration, and to summarise the rate of post-operative complications...
2016: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/26194535/idiopathic-pes-cavus-in-adults-is-not-associated-with-neurophysiological-impairment-in-the-lower-limbs
#19
Roberto Di Fabio, Ludovico Lispi, Filippo Maria Santorelli, Claudio Castagnoli, Andrea Matrigale, Alessandra Dentini, Nicoletta Locuratolo, Francesco Fattapposta, Francesco Pierelli
The nerve conduction characteristics of adults with idiopathic pes cavus/hammer toes have not been studied extensively. Among 2048 out-patients (59.5 ± 13.9 years) referring to a laboratory of Neurophysiology in Rome, we recruited 18 patients with idiopathic pes cavus (61.3 ± 12.5 years). Fifty-four age/sex-matched controls were also studied. No nerve conduction differences were observed between patients with and without cavus foot (p > 0.05). The absence of deep tendon reflexes and slight muscle weakness and hypotrophy in the lower limbs were more common in subjects with cavus foot deformity than in controls (p < 0...
December 2015: Neurological Sciences
https://www.readbyqxmd.com/read/25937410/use-of-smart-toe-%C3%A2-implant-for-small-toe-arthrodesis-a-smart-concept
#20
Faiz Khan, Shiori Kimura, Tayyab Ahmad, Darren D'Souza, Lester D'Souza
BACKGROUND: Arthrodesis of small joints for hammer and claw toe deformities is a common forefoot operative procedure. Our objective was to review patients who underwent small toe arthrodesis with Smart Toe(©) intramedullary monobloc implant. Our aim was to assess patient's surgical outcome and to ascertain implant suitability. METHODS: This procedure was undertaken in 90 patients from February 2011 to December 2012. We present our review of 82 (91.1%) patients who attended the final six 6-month follow up...
June 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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