journal
Journals Clinics in Podiatric Medicine ...

Clinics in Podiatric Medicine and Surgery

https://read.qxmd.com/read/38789175/preface
#1
EDITORIAL
J Randolph Clements, Mark H Hofbauer
No abstract text is available yet for this article.
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789174/foreword
#2
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789173/venous-thromboembolism-in-foot-and-ankle-trauma
#3
REVIEW
Naohiro Shibuya, Christopher Zimmer, Danial C Jupiter
Every surgeon may have experienced a tragic event associated with death or debilitation secondary to deep vein thrombosis (DVT) or pulmonary embolism (PE) after foot and ankle trauma and surgery. Nevertheless, the prevention of such a tragic event needs to be carefully evaluated rationally with currently available epidemiologic data. With great postoperative protocols and access to care, most PE events can be prevented. There are modifiable risk factors, such as length/type of immobilization and operative trauma/time that can lower the incidence of DVT/PE...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789172/soft-tissue-coverage-for-foot-and-ankle-trauma
#4
REVIEW
Kelly Kugach, Peter J Apel
Lower extremity trauma can result in extensive soft tissue loss, which can require a staged multispecialty approach. Flaps can be an excellent choice for significant soft tissue loss. A variety of variables goes into the selection of a flap including understanding what the recipient site needs, available donor sites, nature of trauma, and utilization of indices to predict limb salvageability in order to strategically select the correct flap option.
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789171/pediatric-trauma
#5
REVIEW
Mark H Hofbauer, Sriya S Babu, Crystal-Dawn L Bradshaw
Pediatric foot and ankle trauma includes a range of injuries affecting the lower extremities in children, typically aged from infancy to adolescence. These incidents can arise from various causes, including sports-related accidents, falls, and high-velocity injuries. Due to the dynamic growth and development of bones and soft tissues in pediatric patients, managing these injuries requires specialized knowledge and care. Early diagnosis and appropriate treatment are crucial to ensure optimal recovery and prevent potential long-term consequences...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789170/rearfoot-and-ankle-dislocations
#6
REVIEW
Travis Motley
Subtalar dislocations, ankle dislocations, and total talar dislocations are high-energy injuries. As such, there may be associated osseous or soft tissue injuries that can be diagnosed with advanced imaging such as computed tomography (CT) or MRI. With closed injuries, closed reduction may require sedation or general anesthesia, flexion of the knee to release the tension of the gastrocnemius-soleus complex, distraction is applied, the deformity is accentuated, then the deformity is corrected. Open injuries are usually associated with a higher level of energy and a higher rate of infection...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789169/achilles-tendon-rupture
#7
REVIEW
Mark Bullock, Zachary Pierson
There are many high-level studies comparing nonoperative treatment, open repair, and minimally invasive repair for Achilles tendon ruptures. This article summarizes the most up-to-date literature comparing these treatment options. The authors' preferred protocol for nonoperative treatment is discussed. Preferred techniques for open repair and chronic Achilles repair are discussed with reference to the literature.
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789168/current-concepts-in-ankle-fracture-management
#8
REVIEW
Sandeep Patel, Shontal Behan Dionisopoulos
Ankle fractures are one of the more common musculoskeletal injuries that are treated by foot and ankle specialists. A thorough understanding of managing these injuries requires the ability to differentiate between stable and unstable fractures. The current literature supports the nonoperative management of stable Weber B ankle fractures, whereas unstable fractures have much better outcomes with surgical intervention. Specifically, we review the fixation strategies for the lateral, medial, and posterior malleolar fractures respectively...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789167/management-of-pilon-fractures
#9
REVIEW
Kelly A Kugach, Wesley Maurice Leong, John Randolph Clements
Pilon fractures are complex injuries that can be difficult to treat and lead to severe complications if not managed appropriately. A thorough examination for polytraumatic injuries, neurovascular status, and skin condition should be done. A variety of approaches can be chosen based on fracture pattern, including staging, incisional approach, and no-touch technique. This article discusses various ways to manage pilon fractures.
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789166/syndesmotic-injuries
#10
REVIEW
Mark H Hofbauer, Sriya S Babu
Syndesmotic ankle injuries, though rare in isolation, are complex destabilizing injuries often accompanied by fractures. Misdiagnoses, particularly overlooking posterior malleolus fractures, are common in ankle sprains. Thorough physical examinations, emphasizing high fibular pain and anterior tibia palpation, aid in accurate diagnosis. Grading helps assess injury severity and guiding treatment. Initial imaging involves three ankle views, with stress radiographs enhancing accuracy. If conservative care fails, MRI reveals ligament and tendon damage...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789165/current-management-of-intra-articular-calcaneal-fractures
#11
REVIEW
Scott Schleunes, Emily Lobos, Karl Saltrick
Intra-articular calcaneal fractures are debilitating injuries that can result in a dramatic effect on quality of life post-injury. Surgical intervention is generally advised when significant displacement or comminution is present but can present a host of complications secondary to the limited blood supply and fragility to the soft tissues following injury. Surgical approaches to calcaneal fractures generally include the lateral extensile approach, minimal incision (sinus tarsi approach), or percutaneous approach...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789164/management-of-talus-fractures
#12
REVIEW
Graham A Hamilton, Matthew D Doyle, Chandler J Ligas
Fractures of the talus are life-changing events. The talus is of vital importance to normal gait. Given its importance, great care is needed in diagnosing and treating these injuries. The threshold for operative treatment and accurate anatomic reduction should be low. Surgical tenets include the avoidance of extensive subperiosteal dissection to minimize vascular disruption. The complications with injuries to the talus are extensive and include avascular necrosis (AVN). Although AVN can prove to be a devastating sequela from this injury, it occurs less frequently than posttraumatic arthritis...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789163/osteochondral-injuries-of-the-talus
#13
REVIEW
Kevin Nguyen, Steven Cooperman, Alan Ng
Osteochondral lesions of the talus are a common sequelae of trauma and are often associated with ankle sprains and ankle fractures. Because the surface of the talus is composed primarily of hyaline cartilage, the regenerative capacity of these injuries is limited. Therefore, several open and arthroscopic techniques have been described to treat osteochondral injuries of the talus and underlying bone marrow lesions. Throughout this review, these treatment options are discussed along with their indications and currently reported outcomes...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789162/navicular-and-cuboid-fractures
#14
REVIEW
Crystal-Dawn L Bradshaw
Navicular and cuboid fractures can be complex and difficult to treat. Depending on the mechanism of injury, diagnosis of such fractures is not always possible with conventional radiographs due to the irregularity and overlap of the midfoot bones. Advanced imaging is indicated if a fracture is of high suspicion or to further characterize a displaced fracture. Cuboid and navicular fractures can occur in isolation but are often associated with other midfoot injuries due to their anatomic relationships. Typically, nondisplaced fractures can be treated conservatively, whereas displaced fractures require surgical intervention to prevent future complications...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789161/lisfranc-injuries
#15
REVIEW
Mark H Hofbauer, Sriya S Babu, Austin Vonasek
Lisfranc injuries were thought to primarily occur during high-energy events, leading to a preference for fusion treatment; however, recent data have shifted this perspective by highlighting a greater occurrence of low-energy injuries and reshaping the focus on open reduction internal fixation. This multifaceted process is guided by various factors, including the nature of the injury, specific anatomic considerations, and the involved joints. Our overarching goal remains to achieve anatomic reduction, with flexibility in hardware fixation methods...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789160/fifth-metatarsal-fractures
#16
REVIEW
Michael Keller, Brett Saltrick, Logan Gull, Brian Reade
Fifth metatarsal features are the most common fractures in the foot. They have a long history that has resulted in many classification systems and little consensus on appropriate treatment. Although there is some agreement among experts, there are also many questions yet to be answered. There is a general consensus that dancer's fractures and zone 1 fractures can generally be treated nonoperatively. There is much more debate about zone 2 and 3 fractures and appropriate treatment guidelines. The authors review the current literature and give the recommendation for treatment based on their experience in a community-based private practice...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38789159/metatarsal-fractures
#17
REVIEW
Samuel A Straus, James Daniel Henry, John Randolph Clements
Metatarsal fractures are some of the most common fractures reported in the human body. Recent advances in surgical techniques and fixation have helped facilitate healing and improved outcomes for our patients. The treatment goals of metatarsal fractures are to maintain the metatarsal parabola, sagittal position of the metatarsal heads, and a congruent metatarsophalangeal joint. Most of these injuries can be treated nonoperatively, but displaced fractures require surgical intervention to preserve normal gait biomechanics...
July 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38388136/introduction
#18
EDITORIAL
David G Armstrong
No abstract text is available yet for this article.
April 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38388135/preface
#19
EDITORIAL
Andrew J Meyr
No abstract text is available yet for this article.
April 2024: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/38388133/teaching-science-to-the-next-generation
#20
REVIEW
Laura E Sansosti, Robert Joseph, Sean Grambart
Teaching science to the next generation begins with foundations laid in podiatric medical school. Interest and immersion in research continues to develop through residency as trainees prepare for cases, participate in journal clubs, present posters and articles, and attend conferences. Having adequate training is essential to production of quality research. Although challenges and barriers exist, numerous resources are available at all levels of practice to guide those who are interested in contributing to the body of literature that supports the profession...
April 2024: Clinics in Podiatric Medicine and Surgery
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