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Clinics in Podiatric Medicine and Surgery

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https://read.qxmd.com/read/30446048/perioperative-considerations-in-the-surgical-patient
#1
EDITORIAL
Jeffrey E Shook
No abstract text is available yet for this article.
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446047/perioperative-considerations-in-the-surgical-patient
#2
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446046/evaluation-and-perioperative-management-of-the-diabetic-patient
#3
REVIEW
Keith D Cook, John Borzok, Fadwa Sumrein, Douglas J Opler
Diabetes mellitus is a devastating disease that has reached epidemic proportions. The surgical patient with diabetes is at increased risk for developing complications when compared with patients without diabetes. A comprehensive preoperative work-up must be performed, including ancillary studies, with optimization of the patient's glucose levels during the perioperative period to decrease the chance of developing surgical complications. A multispecialty team approach for the care of patients with diabetes should be used to produce successful surgical outcomes...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446045/periprocedural-concerns-in-the-patient-with-renal-disease
#4
REVIEW
Paris Payton, Ahmad Eter
Treating patients with kidney disease can be both a difficult and a complex process. Understanding how to care for patients who have kidney disease is essential for lowering perioperative as well as periprocedural morbidity and mortality. The primary aim in renal evaluation and care is to control and mitigate factors that may result in acute kidney injury (AKI) and/or cause further decline in renal function. It is essential for the foot and ankle specialist to recognize patients who are predisposed to developing or already have impairment of renal function...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446044/prevention-of-infection-in-foot-and-ankle-surgery
#5
REVIEW
John Boyd, Richard Chmielewski
The literature for prevention of surgical infection related primarily to foot and ankle surgery is sparse, with most attention on total joint replacement and abdominal surgery. Attention should be paid to preoperative, intraoperative, and postoperative elements, which can have an effect on the development of postoperative infection. Although antibiotic prophylaxis typically is discussed in isolation, inclusion of this step into the process enhances the overall evaluation of surgery with respect to infection...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446043/prevention-of-deep-venous-thromboembolism-in-foot-and-ankle-surgery
#6
REVIEW
Preston Carr, Duane J Ehredt, Alex Dawoodian
Although rare, deep vein thrombosis (DVT) and pulmonary embolism remain a concern for foot and ankle surgeons. Most prophylactic measures against DVT formation are synthesized from orthopedic hip and knee data, and therefore the routine use of these recommendations may place patients at risk for complications associated with unnecessary prophylaxis. In this article we review and present the most current literature specific to venous thromboembolism (VTE) in foot and ankle surgery. It is clear that, given our current literature, a case-by-case approach for VTE prophylaxis should be used following foot and ankle surgery...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446042/postoperative-convalescence
#7
REVIEW
Doug Richie, Daniel Bullard
Foot and ankle surgery can impose significant hardship on a patient when carrying out their essential activities of daily living including mobility, sourcing and preparing food, as well as maintaining personal hygiene. Pre-operative planning between the surgeon, patient and caregivers can circumvent most of the challenges imposed by the post-operative restrictions of foot and ankle surgery. Depending on the weight bearing status of the operated extremity, a wide array of durable medical equipment devices are available to provide mobility and safety for the patient...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446041/obesity-related-foot-pain-diagnosis-and-surgical-planning
#8
REVIEW
Jared L Moon, Karen M Moon, Dylan M Carlisle
Obese patients are at higher risk for surgical complications and consist of a large portion of podiatric patients. Obese patients are additionally at increased risk of developing specific podiatric conditions, and it is important to be able to identify and appropriately treat these conditions accordingly. Initially, conservative treatment is adequate for a variety of pathologic conditions related to obesity. Occasionally surgical intervention is warranted depending on the severity and lack of response to conservative measures...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446040/perioperative-understanding-of-geriatric-patients
#9
REVIEW
Paris Payton, Jeffrey E Shook
Surgical treatment of the elderly can be a very difficult and complex endeavor. Appropriate and thorough evaluation of this group of patients is essential to identify surgical candidates who may be at increased risk for developing age-related problems, such as cognitive impairment or postoperative delirium. Involvement of family members and ancillary caregivers is ideal. In order to optimize surgical results, communication of goals of surgery and expectations of patients in order to achieve these goals is paramount...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446039/perioperative-management-of-the-rheumatoid-patient
#10
REVIEW
Jesse Wolfe, Joshua Wolfe, H John Visser
Rheumatoid arthritis is a complex disease state with multiple associated comorbidities. Perioperative evaluation of the rheumatoid patient from a multidisciplinary approach is necessary to achieve favorable outcomes. A complete history and physical, laboratory, cervical, cardiovascular, pulmonary, and medication assessment before surgery should be performed. Educating the patient on potential complications, such as wound dehiscence, infection, and venous thromboembolism, as well as general postoperative expectations, is essential when evaluating the rheumatoid patient for surgery...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446038/perioperative-cardiac-considerations-in-the-surgical-patient
#11
REVIEW
Rameez Sayyed, Mian Bilal Alam
The ability to identify and guide evaluation of the patient with cardiac disease represents a necessary skill for success in surgery of the foot and ankle. Common risk factors, such as diabetes and peripheral arterial disease, are encountered in podiatric practice. Recognition of patients at risk for cardiac disease and a predilection for sustaining a major adverse cardiac event perioperatively advocates for preoperative cardiology consultation. Identification of risk factors, assessment of functional capacity, and appropriate work-up mitigate any untoward cardiac events surrounding surgery...
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30446037/preoperative-anesthetic-considerations-in-the-podiatric-surgical-candidate
#12
REVIEW
Bradley Benson, Amanda Benson
There are multiple challenges the podiatric surgeon faces while attempting to treat patients in the perioperative setting. Given the aging and increasingly complex surgical population, preoperative evaluation is of utmost importance to mitigate unnecessary risks and to optimize patient outcomes. This article reviews key preoperative considerations, patient evaluation, and factors affecting selection of anesthetic technique.
January 2019: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223959/back-to-the-future
#13
EDITORIAL
Guido A LaPorta
No abstract text is available yet for this article.
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223958/innovations-in-foot-and-ankle-surgery
#14
EDITORIAL
Thomas J Chang
No abstract text is available yet for this article.
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223957/midfoot-charcot-reconstruction
#15
REVIEW
Noman A Siddiqui, Guido A LaPorta
Midfoot Charcot joints are complex problems that are most commonly seen in patients with peripheral neuropathy secondary to diabetes. The goal of management is to prevent pedal collapse, which can lead to ulceration; infection; and in some cases, amputation. Principles of surgical management should be centered on respecting the soft tissue, obtaining correction, maintaining correction, and supplementing with orthobiologics to achieve healing. The authors present strategies, case examples, and tips and tricks to treat this complex condition with external and internal fixation...
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223956/lengthen-alignment-and-beam-technique-for-midfoot-charcot-neuroarthropathy
#16
REVIEW
Guido A LaPorta, Alison D'Andelet
Charcot neuroarthropathy is a disabling pathology in the foot and ankle. Midfoot Charcot is most common and results in progressive deformity. We describe a 2-step approach to surgical reconstruction, referred to as the lengthen, alignment, and beam technique. There is an initial surgery involving acute equinus correction through Achilles tendon lengthening and gradual correction with hexapod external fixation to align the deformity, followed by minimally invasive medial and lateral column beaming. This surgical protocol allows for adequate reduction of deformity...
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223955/the-gradual-and-acute-correction-of-equinus-using-external-fixation
#17
REVIEW
Michael Subik, Mark Shearer, Ali M Saleh, Guido A LaPorta
Equinus is one of the most common deformities noted in foot and ankle biomechanics that, at times, if not identified and managed properly may lead to significant lower extremity pathology. With that being said, this deformity is also one that may be both underdiagnosed and undertreated. Treatment for equinus can range from conservative therapy to more aggressive surgical therapy. The purpose of this article is to review the clinical workup to properly identify the deformity and to explore the various treatment options for its timely management, which include gradual or acute correction of equinus using external fixation...
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223954/current-advancements-in-ankle-arthrodiastasis
#18
REVIEW
Jacob Wynes, Andreas C Kaikis
Ankle arthrodiastasis offers an option for patients with end-stage primary or posttraumatic ankle osteoarthritis. The process allows for a joint salvage procedure as an alternative to arthrodesis or ankle implant arthroplasty. The distraction within the joint optimizes the intraarticular environment to permit equilibration of hydrostatic pressure, promoting subchondral morphoangiogenesis, and decreases subchondral sclerosis, thereby mitigating pain. This article highlights new advances and useful adjunctive procedures in this interesting approach to the management of ankle pain secondary to loss of functional joint surface...
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223953/essentials-of-deformity-planning
#19
REVIEW
Paul A Stasko, Lee M Hlad
Learning the essentials of deformity planning is the basis for the treatment of simple and complex deformities. Understanding the planes of deformity, radiographic correlation, and clinical correlations allows the surgeon to treat the condition with deeper knowledge of deformity, leading to improved deformity correction.
October 2018: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/30223952/biomechanical-considerations-in-foot-and-ankle-circular-external-fixation-maintenance-of-wire-tension
#20
REVIEW
Mikhail L Samchukov, Craig E Clifford, Kevin M McCann, Alexander M Cherkashin, Byron Hutchinson, William A Pierce
Initial tensioning of the forefoot wires to 130 kg followed by simultaneous tensioning of the calcaneal wires to 90 kg and using the rigid double-row foot plate closed anteriorly via threaded rods produce maximum preservation of the initial wire tension during foot circular external fixation.
October 2018: Clinics in Podiatric Medicine and Surgery
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