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https://www.readbyqxmd.com/read/27555352/intraneural-lipoma-of-the-tibial-nerve-a-case-report
#1
Tarin B Krzywosinski, Adam L Bingham, Lawrence M Fallat
Intraneural lipomas, neurofibrolipomas, lipofibromatous hamartomas, and perineural lipomas are subsets of hamartomas that typically present as fibroadipose, soft tissue masses within the epineurium of a nerve. Several cases involving intraneural lipomas of the median nerve in the upper extremity have been reported; however, owing to the lesion's rare incidence in the foot and ankle, only a select few cases involving the superficial peroneal nerve have been reported. We present the first case of a tibial nerve intraneural lipoma in a 42-year-old female with a follow-up period of 2 years...
August 20, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26872522/surgical-outcomes-for-resection-of-the-dorsal-exostosis-of-the-metatarsocuneiform-joints
#2
Vaishnavi Bawa, Lawrence M Fallat, John P Kish
A retrospective case series testing the efficacy of surgical resection of the dorsal exostosis deformity of the metatarsocuneiform joints was performed. Surgery was performed in 26 consecutive patients (28 feet), in whom previous conservative therapy had failed. All 26 patients had bursitis at the level of the dorsal exostosis deformity. The patients were separated into 2 groups: group 1, those with bursitis and neuritis before surgery (n = 13; 46.4%), and group 2, those with bursitis without neuritis (n = 15; 53...
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26277242/empty-toe-phenomenon-a-rare-presentation-of-closed-degloving-injury-of-the-foot
#3
Adam L Bingham, Lawrence M Fallat
Traumatic degloving injuries of the lower extremity are commonly diagnosed by soft tissue deficits and separation of soft tissue planes. The management of open degloving injuries is well documented with established treatment protocols. Because closed degloving injuries of the lower extremity are so rare, the protocol management is not well established. Unlike open degloving injuries, evidence of soft tissue injury and detachment of the tissue planes can be subtle. Owing to the rarity of these injuries, little has been described regarding the long-term outcomes...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26277241/screw-versus-plate-fixation-for-chevron-osteotomy-a-retrospective-study
#4
Boyd J Andrews, Lawrence M Fallat, John P Kish
The chevron osteotomy is a popular procedure used for the correction of moderate hallux abducto valgus deformity. Fixation is typically accomplished with Kirschner wires or bone screws; however, in cystic or osteoporotic bone, these could be inadequate, resulting in displacement of the capital fragment. We propose using a locking plate and interfragmental screw for fixation of the chevron osteotomy that could reduce the healing time and decrease the incidence of displacement. We performed a retrospective cohort study for chevron osteotomies on 75 feet (73 patients)...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23910738/axial-loading-screw-fixation-for-chevron-type-osteotomies-of-the-distal-first-metatarsal-a-retrospective-outcomes-analysis
#5
Ryan M Murphy, Lawrence M Fallat, John P Kish
The distal chevron osteotomy is a widely accepted technique for the treatment of hallux abductovalgus deformity. Although the osteotomy is considered to be stable, displacements of the capital fragment has been described. We propose a new method for fixation of the osteotomy involving the axial loading screw (ALS) used in addition to single screw fixation. We believe this method will provide a more mechanically stable construct. We reviewed the charts of 46 patients in whom 52 feet underwent a distal chevron osteotomy that was fixated with either 1 screw or 2 screws that included the ALS...
January 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/23473671/a-retrospective-comparison-of-percutaneous-plantar-fasciotomy-and-open-plantar-fasciotomy-with-heel-spur-resection
#6
COMPARATIVE STUDY
Lawrence M Fallat, J Todd Cox, Ruby Chahal, Pamela Morrison, John Kish
Minimally invasive surgery for the treatment of recalcitrant heel pain is a relatively new approach. To compare the 2 approaches, a retrospective chart review was conducted of 53 patients (55 feet) who had undergone surgical treatment of plantar fasciitis by either open fasciotomy with heel spur resection or percutaneous medial fascial release. The outcomes measures included perioperative pain and the interval to return to full activity. Pain was measured on a subjective 10-point visual analog scale. Of the 55 fasciotomies performed, 23 were percutaneous and 32 were open, with adjunctive heel spur resection...
May 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22819001/biomechanical-comparison-of-internal-fixation-techniques-for-the-akin-osteotomy-of-the-proximal-phalanx
#7
Yolanda Chacon, Lawrence M Fallat, Nathan Dau, Cynthia Bir
The Akin osteotomy is performed at the proximal phalanx for correction of an abducted great toe in a hallux abducto valgus deformity. Several internal fixation techniques have been widely advocated; however, their respective stabilities have not been compared. A biomechanical analysis was performed comparing 5 commonly used fixation techniques for the Akin osteotomy to determine the strongest method in simulated weightbearing in sawbone models. An Akin osteotomy was uniformly performed on 25 sawbones and fixated with 5 different internal fixation types, including a 2-hole locking plate and locking screws, a heat-sensitive memory staple (8 mm × 8 mm), a 28-gauge monofilament wire, 2...
September 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/22795445/surgical-correction-of-metatarsal-malunion
#8
Ryan Murphy, Lawrence M Fallat
Central metatarsal malunion is sparsely described in the literature. There are differing opinions on the importance of open reduction and internal fixation for lesser metatarsal fractures and possible complications from lack of appropriate treatment for these common fractures. In general, little emphasis is placed on performing open reduction and internal fixation of displaced central metatarsal fractures. In this report, we describe 2 cases in which displaced lesser metatarsal fractures were not reduced and were treated with only immobilization...
November 2012: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/21621434/axial-loading-cross-screw-fixation-for-the-austin-bunionectomy
#9
COMPARATIVE STUDY
Ryan B Rigby, Lawrence M Fallat, John P Kish
The Austin procedure has become a common method of osteotomy for the correction of hallux abductovalgus when indicated. The V-type configuration is intrinsically stable but not without complications. One complication encountered is rotation and/or displacement of the capital fragment. We present the use of an axial loading screw in conjunction with a dorsally placed compression screw. The benefit to this technique lies in the orientation of the axial loading screw, because it is directed to resist the ground reactive forces while also providing a second point of fixation in a crossing screw design...
September 2011: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/20362467/comparison-of-pullout-strength-between-3-5-mm-fully-threaded-bicortical-screws-and-4-0-mm-partially-threaded-cancellous-screws-in-the-fixation-of-medial-malleolar-fractures
#10
COMPARATIVE STUDY
Jason D Pollard, Ali Deyhim, Ryan B Rigby, Nathan Dau, Christy King, Lawrence M Fallat, Cynthia Bir
Displaced medial malleolus fractures are considered unstable and typically require open reduction and internal fixation for anatomic reduction and early joint range of motion. These fractures are usually fixated with either compression lag screws or tension band wiring depending on the fracture pattern, size of the distal fragment, and bone quality. When fracture fixation fails, it is typically in pullout strength. Failure of primary bone healing can result in nonunion, malunion, and need for revision surgery...
May 2010: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/19700113/the-effect-of-cigarette-smoking-on-radiographic-bone-healing-after-elective-foot-surgery
#11
COMPARATIVE STUDY
Kristopher W Krannitz, Hon W Fong, Lawrence M Fallat, John Kish
UNLABELLED: This study aims to compare radiographic healing rates of Austin bunionectomies in smokers, nonsmokers, and secondhand smokers. Delayed bone healing has been linked to cigarette smoking previously, but no study is known to have examined smoking in relation to elective foot surgery. We hypothesized that smoking will delay bone healing after elective foot surgery. Surgical patients were placed into 1 of 3 cigarette smoking-related groups. Nicotine dependence was measured by the standardized modified Fagerström est and a urine cotinine test...
September 2009: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/17586432/radiographic-healing-of-conservative-versus-operative-management-of-supination-external-rotation-ii-fractures-in-a-smoking-and-premature-weight-bearing-population
#12
COMPARATIVE STUDY
Kristopher W Krannitz, Lawrence M Fallat, Steven M Schwartz
The treatment of supination-external rotation II fibular fractures continues to be an area of debate. In the event of minimal displacement at the fracture, both surgical management and casting have been supported. This study aims to compare the time interval of radiographic healing in both the surgically and conservatively managed patient. Additional factors such as premature weight bearing and smoking were also examined. Fifty-two charts were examined retrospectively. This included 26 patients in both the surgical and conservative populations...
July 2007: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/17331871/lipofibromatous-hamartoma-of-nerve
#13
Kristie L Taddie, Lawrence M Fallat
Lipofibromatous hamartoma is an uncommon, benign, fibrofatty tumor that can involve peripheral nerve tissue. We report a rare neural lipofibroma of the foot in a 6-year-old boy.
March 2007: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/17331865/cryosurgery-an-innovative-technique-for-the-treatment-of-plantar-fasciitis
#14
Brian H Allen, Lawrence M Fallat, Steve M Schwartz
A prospective study testing the efficacy of cryosurgery on painful plantar fasciitis of the heel was performed. Cryosurgery, a minimally invasive, percutaneous, office-based technique, was used to treat 59 consecutive patients (61 heels), who had failed prior conservative therapy and were considered surgical candidates. Patients were evaluated on an 11-point visual analog scale administered preoperatively and up to 1 year of follow-up. The mean pain rating (8.38) before cryosurgery (day 0) is statistically significant to the mean pain rating (1...
March 2007: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/15480410/madura-foot-atypical-finding-and-case-presentation
#15
Kelley D Foltz, Lawrence M Fallat
Mycetomas are chronic, subcutaneous infections characterized by a clinical triad of chronic induration, draining sinuses, and discharge of granules. The granules are composed of colonies of either actinomycotic bacteria or eumycotic fungi. The infection develops after traumatic inoculation with contaminated soil and progresses to adjacent tissues or bone. The foot, hand, and lower-leg regions are the most commonly affected areas. Treatment can be difficult and includes surgical debridement with prolonged antibiotic or antifungal treatment...
September 2004: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/15284811/strength-analysis-of-intraosseous-wire-fixation-for-avulsion-fractures-of-the-fifth-metatarsal-base
#16
COMPARATIVE STUDY
Anthony R Giordano, Lawrence M Fallat
The objective of this study was to gather pilot data of the pullout strength of intraosseous wire for fixation of fifth metatarsal avulsion fractures and to compare intraosseous wire fixation with tension-band wiring. Osteotomies consistent with fifth metatarsal avulsion fractures were created in 5 matched pairs of cadaver limbs. One limb of each pair underwent fixation with intraosseous wiring and the other with tension band wiring. Metatarsals were then loaded to failure, defined as the maximum force achieved before the slope of the load curve moved from a positive to a negative value...
July 2004: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/15057854/usefulness-of-a-brief-assessment-battery-for-early-detection-of-charcot-foot-deformity-in-patients-with-diabetes
#17
COMPARATIVE STUDY
Kelley D Foltz, Lawrence M Fallat, Steven Schwartz
Charcot neuroarthropathy is a significant limb-threatening complication that develops in some patients with long-term diabetes mellitus. Early diagnosis is vital to secondary prevention of the destructive process and avoidance of consequent deformity and, ultimately, amputation. The purpose of this study was to determine which historical and physical findings would be more accurate risk factor indicators in those diabetics with and without Charcot foot deformity. A controlled series of tests, historical findings, and physical examinations were performed on 41 patients with diabetes who were Charcot-free and 18 patients with diabetes with known chronic CD of the foot by using inexpensive hand-held instruments in a clinical setting...
March 2004: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/14688781/maggot-therapy-for-wound-debridement-in-a-traumatic-foot-degloving-injury-a-case-report
#18
Zeeshan S Husain, Lawrence M Fallat
A 43-year-old man was treated for a traumatic degloving injury to his foot with a transmetatarsal amputation and wound care because of the extensive soft tissue loss. After biweekly sharp debridements in the office for 4 weeks, very minimal skin ingrowth was noted. Maggot therapy was then implemented for a 48-hour treatment and a second treatment for 72 hours to help reduce excessive fibrosis and to painlessly debride the tissues to expose the granular base. Daily dressing changes for the next 6 weeks successfully allowed complete wound closure without any additional interventions...
November 2003: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/12500787/lateral-column-symptomatology-following-plantar-fascial-release-a-prospective-study
#19
COMPARATIVE STUDY
Annette M Brugh, Lawrence M Fallat, Ruth T Savoy-Moore
Plantar fasciitis or heel spur syndrome usually resolves with conservative management, but for patients with continued pain, surgical intervention is often pursued. In some cases, plantar fasciitis is relieved, but pain in the lateral column area appears postoperatively. This lateral column pain may be debilitating for the patient and often overlooked by the foot and ankle surgeon. The goal of the study was to identify the maximum amount of plantar fascia that can be surgically released to treat recalcitrant heel pain effectively while preventing the development of lateral column symptoms...
November 2002: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/12500785/biomechanical-analysis-of-maxwell-brancheau-arthroereisis-implants
#20
COMPARATIVE STUDY
Zeeshan S Husain, Lawrence M Fallat
The Maxwell-Brancheau arthroereisis (MBA) implant is currently used in treating flexible flatfoot deformities in children and adults. However, no guidelines have been established to determine the degree of correction with the five different MBA implant sizes (6-, 8-, 9-, 10-, and 12-mm diameters). A biomechanical analysis of these implants was performed in fresh-frozen cadaver limbs to quantitate the effects on subtalar joint (STJ) motion restriction and radiographic angles. This study found a restriction of subtalar joint range of motion that ranged from 32...
November 2002: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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