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Journals Clinics in Podiatric Medicine ...

Clinics in Podiatric Medicine and Surgery

https://read.qxmd.com/read/37951682/standing-on-the-shoulders-of-giants-podiatry-s-turbulent-climb-to-the-pinnacle-at-the-northern-california-kaiser-permanente-health-care-system
#1
EDITORIAL
Christy M King
No abstract text is available yet for this article.
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951681/foreword
#2
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951680/management-of-high-risk-ankle-fractures
#3
REVIEW
Craig E Krcal, David R Collman
Successful outcomes in the surgical treatment of the fractured ankle require methods that respect the soft tissue envelope and establish a stable mortise for functional rehabilitation. Ankle fractures in patients with osteopenia and in diabetic patients with deranged bone remodeling constitute high-risk injuries that may result in catastrophic complications. These patients present unique care challenges and should not be approached in the same manner as their healthy counterparts. We present the principles of treatment in high-risk ankle fractures, operative treatment philosophy illustrating techniques frequently used at our institution, and a review of current literature...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951679/early-functional-rehabilitation-in-foot-and-ankle-surgery
#4
REVIEW
Sandeep Patel, Shontal Behan Dionisopoulos, Monte Jay Schmalhaus
The traditional postoperative management of common foot and ankle procedures has involved a prolonged period of immobilization and nonweight bearing. The concern was loss of correction and fixation failure. However, it has been shown that a prolonged period of nonweight bearing can predispose patients possible deep vein thrombosis, disuse osteopenia, cardiovascular complications, and generalized deconditioning. The authors' institution has published studies reviewing the efficacy of early weight bearing after first metatarsophalangeal joint arthrodesis, modified Lapidus bunionectomy, and open reduction and internal fixation of ankle fractures...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951678/the-lapidus-bunionectomy-revolution-current-concepts-and-considerations
#5
REVIEW
Christy M King, Francesca M Castellucci-Garza
Hallux valgus is a common foot deformity in which many surgical techniques have been introduced. Originally, Paul Lapidus detailed a midfoot arthrodesis technique to address the deformity and medial column instability that served as the foundation for the modified Lapidus bunionectomy. The appreciation of the multiplanar nature of hallux valgus deformity continues to evolve and helps to guide the investigation of the ideal surgical correction to yield more predictable results and reduced complications. Various fixation constructs have been used over the years for the Lapidus bunionectomy without a clear superior fixation technique, and literature supports early weight-bearing with each...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951677/the-application-of-morton-s-observations-to-contemporary-treatment-of-foot-dysfunction
#6
REVIEW
Lawrence Ford
Understanding the evolution of the human foot from a flexible grasping structure to one that is designed for upright posture and locomotion is paramount to treating patients with foot pain and dysfunction. Almost 100 years ago, Dudley Morton observed that certain retained atavistic traits are responsible for pathologic breakdown of the modern foot. Cadaveric research under the direction of Jeffrey Christensen provided evidence that lengthening the gastrocnemius and stabilizing the medial column helped correct the faulty biomechanics associated with Morton foot and corroborated Hansen's blueprint for reconstructive surgery of the foot and ankle...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951676/epilogue-one-job
#7
REVIEW
John M Schuberth
In this article I reflect on almost 40 years of clinical practice. I remember the first day like it was yesterday, and I remember the last day, but the in between represents my soul, a soul that has been shaped by countless experiences. Some of these experiences were immediately impactful and left an indelible mark on my soul, but most of them were memorable only for a fleeting moment, soon to be forgotten. Yet the cumulation of these seemingly trivial experiences, in retrospect, served as the foundation of my career at Kaiser Permanente...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951675/shaping-the-next-generation-of-foot-and-ankle-surgeons-podiatric-surgical-residency-education-at-kaiser-permanente-northern-california
#8
REVIEW
Christy M King, Cristian Neagu, Gray Williams
Podiatric residency is only three years to gather as many experiences to understand the various aspects of foot and ankle care including, surgery, clinics, academics, and research to prepare them for the rest of their career. It is also important to find a supportive environment to maximize both education and wellness during these naturally challenging times. The three separate Kaiser Northern California Podiatric Residency Programs have worked diligently to provide a comprehensive opportunities and experiences in all aspects of podiatric resident education...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951674/clubfoot-emphasis-on-the-complex-and-atypical-subsets
#9
REVIEW
Mitzi L Williams, Matthew B Dobbs
The Ponseti method has proven to be successful in the treatment of both isolated and non-isolated clubfoot. The method should be executed prior to any pediatric invasive procedures and likewise should be attempted with any pediatric recurrence. A thorough neurologic examination and attention to clinical signs will help distinguish the atypical clubfoot. Despite this approach some children do require return to serial casting, physical therapy, and or surgery to achieve a plantigrade functional foot. Bracing strategies at a time of growth remain key...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951673/batting-cleanup-revision-of-surgical-misadventure
#10
REVIEW
Jessica Lickiss, Glenn Weinraub
Surgical complications are a part of every surgeon's practice. Managing your own complications or one from another provider requires carefully reviewing your patient's previous experience and surgery along with balancing their expectations. In order to provide the best treatment plan, a thorough analysis of the pre and postoperative period that contributed to the patient's outcome must be considered. Identifying what revision options are available and weighing the potential future complications that could arise from another surgery must be reviewed...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951672/current-concepts-in-achilles-tendon-ruptures
#11
REVIEW
Varsha Salunkhe Ivanova, Khanh Phuong Sieu Tong, Cristian Neagu, Christy M King
The Achilles tendon has a high incidence of ruptures often occurring in weekend warriors and the aging population. Based on anatomic studies of the Achilles tendon, ruptures are commonly found in the watershed area proximal to the insertion site. Traditionally, treatment options included conservative therapy with immobilization and a prolonged non-weight-bearing phase versus surgical treatment. Surgical treatment can vary between open, minimally invasive, or percutaneous approaches. In more recent years, early functional rehabilitation with or without surgery has shown to have successful results...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951671/considerations-in-charcot-reconstruction
#12
REVIEW
Luke J McCann, Joseph D Dickinson
Charcot deformity is a challenging condition often leading to foot and ankle deformity that subsequently causes decreased function, ulceration, infection, and limb loss. There are various treatment measures to take into consideration when managing these patients. Treatment approaches range from conservative casting to surgical reconstruction. The authors believe that when faced with deformity, aggressive reconstruction to maintain a plantigrade foot and prevent loss of function is critical. Because of the nature of the Charcot condition, timing and fixation are often debated...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951670/navigating-the-challenges-of-total-ankle-replacement-deformity-correction-and-infection-considerations
#13
REVIEW
Joseph D Dickinson, David R Collman, Lindsay H Russel, Danny J Choung
In recent years, total ankle replacement (TAR) has gained widespread acceptance as a surgical treatment for end-stage ankle arthritis. This shift is due to notable improvements in implant design, surgical instrumentation, technique, and surgeon expertise, resulting in high levels of patient satisfaction comparable to ankle fusion. Additionally, indications for TAR have expanded to include advanced deformities that were previously considered unsuitable for the procedure, making ankle arthrodesis the only option...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951669/considerations-with-fractures-of-the-posterior-malleolus-in-ankle-fractures
#14
REVIEW
Jason D Pollard, Craig E Krcal
Foot and ankle surgeons are commonly confronted with the surgical dilemma on when and how to best surgically address trimalleolar ankle fractures with a posterior malleolar component. This may involve either direct fixation of the posterior malleolus or indirect stabilization with the fixation of the medial and lateral malleoli and trans-syndesmotic fixation. Recently there has been a paradigm shift in the management of these injuries with a more thorough understanding of anatomy, stability, and long-term sequela of these injuries...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37951668/the-evolution-of-the-treatment-of-clubfoot-from-posterior-medial-release-to-the-ponseti-technique-my-42-year-journey-at-the-permanente-medical-group
#15
REVIEW
Stephen Silvani
Traditionally, the Kite manipulation and casting were utilized for the treatment of the congenital clubfoot. This was followed by an extensive posterior medial soft tissue surgical release followed by more casting. Often, the results were less than optimal with scarred, painful feet that needed further corrective surgery. Dr. Ponseti developed a different technique of manipulation, casting, and an Achilles tenotomy that fully corrected these clubfeet without the need for the extensive surgery. This was followed by the mandatory use of night braces with special shoes for a period of 4 years...
January 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37716753/growth-in-private-practice
#16
EDITORIAL
Jeffrey E McAlister
No abstract text is available yet for this article.
October 2023: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37716752/foreword
#17
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
October 2023: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37716751/the-role-of-supramalleolar-osteotomies-in-ankle-arthritis
#18
REVIEW
Sara Mateen, Noman A Siddiqui
The supramalleolar osteotomy (SMO) is a joint-preserving surgical procedure that allows realignment of the ankle joint in severe deformity secondary to arthritis. This osteotomy realigns the mechanical axis to provide better weight distribution through the ankle joint. With an aligned mechanical axis, the overloaded asymmetric ankle joint will shift toward the preserved joint area in a valgus or varus ankle joint. The SMO also can be used via a staged approach to correct severe deformity in an end-stage arthritic ankle before total ankle arthroplasty to optimize the implant's longevity and improve overall functional outcomes...
October 2023: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37716750/updates-of-total-ankle-replacement-revision-options-new-generation-total-ankle-replacement-revision-options-stemmed-implants-peri-articular-osteotomies
#19
REVIEW
Vincent G Vacketta, Jacob M Perkins, Christoper F Hyer
Ankle arthritis is a disabling disease pattern resulting in pain and dysfunction ultimately leading to a reduction in quality of life. Unlike more common arthritides of the knee and hip, ankle arthritis is unique in its presentation with an earlier onset of end-stage disease and an etiology, which is most-commonly posttraumatic in nature. Through continued research and design, improvements have continued to be made as newer generation implants are developed. This article discusses the considerations for revision total ankle replacement based on the current revision options and a treatment algorithm developed by the lead author...
October 2023: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/37716749/management-of-talar-avascular-necrosis-with-total-talus
#20
REVIEW
James M Cottom, Jay S Badell, Joseph R Wolf
Avascular necrosis (AVN) of the talus is a difficult pathology to treat. Patient-specific factors such as functional status, comorbidities should be considered. Previous standard care for talar AVN was centered around arthrodesis procedures and loss of motion about the joints of the rearfoot and ankle. With the advent of 3D printed talar implants, patients are afforded an option to maintain ankle joint motion. Literature is limited due to the recent development of total talus replacement (TTR) technology. This article aims to review literature, surgical techniques, and pearls to better help foot and ankle surgeons treat cases of talar AVN...
October 2023: Clinics in Podiatric Medicine and Surgery
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