Volume 21 - Issue 1 - January 2008
Surgical Pearls »
Nonunion is a well-documented potential complication of the Lapidus arthrodesis. It reportedly occurs anywhere from 3.3 percent to 12 percent of the time, and is a very challenging problem to fix.1-7
Granted, a strict definition of nonunion and timeline for classifying a nonunion varies from one surgeon to another. However, for the purpose of this discussion, nonunion has both clinical and radiographic definitions. Nonunions involve the failure of bone healing at the fusion site after six months, broken hardware or both. A clinical nonunio
Soft tissue neoplasms of the lower extremity present a significant treatment challenge to the treating physician. Although most neoplasms of the lower extremity prove to be benign, the potential for malignancy does exist. The ability to appropriately diagnose and treat soft tissue neoplasms may be the difference between life and death for the patient presenting with a soft tissue tumor of the lower extremity.
Accordingly, let us take a closer look at appropriate evaluation and diagnostic techniques that will aid the physician in making an accurate dia
During the past five years, there has been a large influx of non-traditional bone screws on the orthopedic market for small bone fixation of the foot. Some of these designs have been effective at providing long-term surgical fracture stability with reduced osteotomy fixation morbidity. Additionally, these bone screw designs have found their way into a variety of applications in hindfoot surgery with headless screws, locking plate screws and cannulated self-tapping screws.
When trying to assess the technology available in small fragment fixation, it
Foot orthoses (FOs) have been a standard treatment in podiatric clinics for decades. Until a decade ago, however, it was rare for American podiatrists to dispense ankle foot orthoses (AFOs) of any kind.
In 1996, the Richie Brace was introduced and it was the first ankle brace to incorporate a custom functional foot orthosis (FFO). Two years later, the Arizona Brace, the first gauntlet AFO to incorporate a polypropylene shell, arrived on the market and was soon widely used within the podiatric profession. Read the full story »
Acquired immune deficiency syndrome (AIDS) caused by human immunodeficiency virus (HIV) continues to be a major health problem worldwide. The Centers for Disease Control and Prevention (CDC) has estimated that approximately 40,000 people in the United States become infected with HIV each year.1 Human immunodeficiency virus infection and severe HIV-related disease have become leading causes of illness and death in the U.S. The cumulative estimated number of diagnoses of AIDS through 2005 in the United States and dependent areas was 988,376.2
Read the full story »
Treatment Dilemmas »
Hallux limitus occurs when a patient has decreased sagittal plane dorsiflexion of the great toe with the foot in a weightbearing or simulated weightbearing loaded position that is usually associated with a progressive, arthritic and painful condition of the first metatarsophalangeal joint (MPJ).
Functional hallux limitus is described as limited joint mobility with the foot in a loaded position versus normal range of motion in an unloaded position. Hallux rigidus can be defined as elimination of range of motion at the joint, and usually results from e
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