collection
https://read.qxmd.com/read/23622919/high-mortality-risks-after-major-lower-extremity-amputation-in-medicare-patients-with-peripheral-artery-disease
#21
COMPARATIVE STUDY
W Schuyler Jones, Manesh R Patel, David Dai, Sreekanth Vemulapalli, Sumeet Subherwal, Judith Stafford, Eric D Peterson
BACKGROUND: Little is known regarding the contemporary outcomes of older patients with peripheral artery disease (PAD) undergoing major lower extremity (LE) amputation in the United States. We sought to characterize clinical outcomes and factors associated with outcomes after LE amputation in patients with PAD. METHODS: Using data from the Centers for Medicare and Medicaid Services from January 1, 2000, to December 31, 2008, we examined the national patterns of mortality after major LE amputation among patients 65 years or older with PAD...
May 2013: American Heart Journal
https://read.qxmd.com/read/16799374/nutrition-and-wound-healing
#22
REVIEW
Meghan Arnold, Adrian Barbul
The relationship between nutrition and wound healing--after injury or surgical intervention--has been recognized for centuries. There is no doubt that adequate carbohydrate, fat, and protein intake is required for healing to take place, but research in the laboratory has suggested that other specific nutritional interventions can have significant beneficial effects on wound healing. Successful translation into the clinical arena, however, has been rare. A review of normal metabolism as it relates to wound healing in normoglycemic and diabetic individuals is presented...
June 2006: Plastic and Reconstructive Surgery
https://read.qxmd.com/read/23051785/fixation-of-ankle-syndesmotic-injuries-comparison-of-tightrope-fixation-and-syndesmotic-screw-fixation-for-accuracy-of-syndesmotic-reduction
#23
COMPARATIVE STUDY
Gohar A Naqvi, Patricia Cunningham, Bernadette Lynch, Rose Galvin, Nasir Awan
BACKGROUND: Ankle syndesmotic injuries are complex and require anatomic reduction and fixation to restore the normal biomechanics of the ankle joint and prevent long-term complications. PURPOSE: The aim of this study is to compare the accuracy and maintenance of syndesmotic reduction using TightRope versus syndesmotic screw fixation. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: This cohort study included consecutive patients treated for ankle syndesmotic diastases between July 2007 and June 2009...
December 2012: American Journal of Sports Medicine
https://read.qxmd.com/read/24548515/forefoot-tendon-transfers
#24
REVIEW
Andrea Veljkovic, Edward Lansang, Johnny Lau
Flexible forefoot deformities, such as hallux varus, clawed hallux, hammer toes, and angular lesser toe deformities, can be treated effectively with tendon transfers. Based on the presentation of the flexible forefoot deformities, tendon transfers can be used as the primary treatment or as adjuncts to bony procedures when there are components of fixed deformities.
March 2014: Foot and Ankle Clinics
https://read.qxmd.com/read/9622416/peroneus-brevis-tendon-tears-pathophysiology-surgical-reconstruction-and-clinical-results
#25
JOURNAL ARTICLE
J O Krause, J W Brodsky
Chronic peroneus brevis tendon tears are frequently overlooked or misdiagnosed. They are a more common problem than previously noted. Twenty patients were reviewed in the largest clinical series of its kind. The most reliable diagnostic sign was persistent swelling along the peroneal tendon sheath. The pathophysiologic mechanism is subclinical, or overt, subluxation of the tendon over the posterolateral edge of the fibula. This produces multiple longitudinal splits. Treatment is primarily surgical and must address both the split tendon and the subluxation that caused it...
May 1998: Foot & Ankle International
https://read.qxmd.com/read/24318625/long-term-results-of-debridement-and-primary-repair-of-peroneal-tendon-tears
#26
JOURNAL ARTICLE
Constantine A Demetracopoulos, Joseph C Vineyard, Carter D Kiesau, James A Nunley
BACKGROUND: Peroneal tendon tears are relatively common; however, there are few reports on the long-term success of operative treatment. The purpose of this study was to review the long-term clinical and patient-reported outcomes of a cohort of patients with peroneal tendon tears treated with debridement and primary repair. METHODS: Patients who underwent debridement and primary repair of tears of the peroneus longus and brevis from 1994 to 2008 were included in the study...
March 2014: Foot & Ankle International
https://read.qxmd.com/read/8976937/mr-features-of-longitudinal-tears-of-the-peroneus-brevis-tendon
#27
JOURNAL ARTICLE
Z S Rosenberg, J Beltran, Y Y Cheung, E Colon, F Herraiz
OBJECTIVE: Our objective is to describe the characteristic MR imaging features of longitudinal tears of the peroneus brevis tendon and to describe pathologic conditions and normal variants that are associated with these tears which may require surgical intervention at the time of primary tendon repair. MATERIALS AND METHODS: We retrospectively reviewed 10 MR images of asymptomatic volunteers and 31 MR images of 27 patients with evidence of longitudinal splits of the peroneus brevis tendon...
January 1997: AJR. American Journal of Roentgenology
https://read.qxmd.com/read/24711887/the-modified-pirogoff-s-amputation-in-treating-diabetic-foot-infections-surgical-technique-and-case-series
#28
JOURNAL ARTICLE
Aziz Nather, Keng Lin Wong, Amaris Shumin Lim, Dennis Zhaowen Ng, Hwee Weng Hey
BACKGROUND: This paper describes the surgical technique of a modified Pirogoff's amputation performed by the senior author and reports the results of this operation in a single surgeon case series for patients with diabetic foot infections. METHODS: Six patients with diabetic foot infections were operated on by the National University Hospital (NUH) diabetic foot team in Singapore between November 2011 and January 2012. All patients underwent a modified Pirogoff's amputation for diabetic foot infections...
2014: Diabetic Foot & Ankle
https://read.qxmd.com/read/24987496/complication-rates-in-diabetics-with-first-metatarsophalangeal-joint-arthrodesis
#29
JOURNAL ARTICLE
John J Anderson, Myron Hansen, Gregory Paul Rowe, Zflan Swayzee
BACKGROUND: First metatarsophalangeal joint (MTPJ) arthrodesis has been an effective surgical entity when indicated, but a range of severe to mild complications can occur from this procedure. Patients with diabetes mellitus have an increased risk in surgical complications, most commonly associated with soft tissue and bone healing, when compared to non-diabetic patients. The purpose of this study was to evaluate the complication rates of first MTPJ arthrodesis in diabetic patients and compare them to the existing complication rates for the procedure...
2014: Diabetic Foot & Ankle
https://read.qxmd.com/read/20360504/maintenance-of-hardware-after-early-postoperative-infection-following-fracture-internal-fixation
#30
MULTICENTER STUDY
Marschall Berkes, William T Obremskey, Brian Scannell, J Kent Ellington, Robert A Hymes, Michael Bosse
BACKGROUND: The development of a deep wound infection in the presence of hardware after open reduction and internal fixation presents a clinical dilemma, and there is scant literature to aid in decision-making. The purpose of the present study was to determine the prevalence of osseous union with maintenance of hardware after the development of postoperative infection within six weeks after internal fixation of a fracture. METHODS: The present study included 121 patients from three level-I trauma centers, retrospectively identified from billing and trauma registries, in whom 123 postoperative wound infections with positive intraoperative cultures had developed within six weeks after internal fixation of acute fractures...
April 2010: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/25232073/nonoperative-dynamic-treatment-of-acute-achilles-tendon-rupture-the-influence-of-early-weight-bearing-on-clinical-outcome-a-blinded-randomized-controlled-trial
#31
RANDOMIZED CONTROLLED TRIAL
Kristoffer Weisskirchner Barfod, Jesper Bencke, Hanne Bloch Lauridsen, Ilija Ban, Lars Ebskov, Anders Troelsen
BACKGROUND: Dynamic rehabilitation has been suggested to be an important part of nonoperative treatment of acute Achilles tendon rupture that results in functional outcome and rerupture rates comparable with those of operative treatment. However, the optimal role of weight-bearing during early rehabilitation remains unclear. The purpose of this study was to compare immediate weight-bearing with non-weight-bearing in a nonoperative dynamic treatment protocol for Achilles tendon rupture...
September 17, 2014: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/23224384/surgical-versus-nonsurgical-treatment-of-acute-achilles-tendon-rupture-a-meta-analysis-of-randomized-trials
#32
REVIEW
Alexandra Soroceanu, Feroze Sidhwa, Shahram Aarabi, Annette Kaufman, Mark Glazebrook
BACKGROUND: Surgical repair is a common method of treatment of acute Achilles rupture in North America because, despite a higher risk of overall complications, it has been believed to offer a reduced risk of rerupture. However, more recent trials, particularly those using functional bracing with early range of motion, have challenged this belief. The aim of this meta-analysis was to compare surgical treatment and conservative treatment with regard to the rerupture rate, the overall rate of other complications, return to work, calf circumference, and functional outcomes, as well as to examine the effects of early range of motion on the rerupture rate...
December 5, 2012: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/21037028/operative-versus-nonoperative-treatment-of-acute-achilles-tendon-ruptures-a-multicenter-randomized-trial-using-accelerated-functional-rehabilitation
#33
RANDOMIZED CONTROLLED TRIAL
Kevin Willits, Annunziato Amendola, Dianne Bryant, Nicholas G Mohtadi, J Robert Giffin, Peter Fowler, Crystal O Kean, Alexandra Kirkley
BACKGROUND: To date, studies directly comparing the rerupture rate in patients with an Achilles tendon rupture who are treated with surgical repair with the rate in patients treated nonoperatively have been inconclusive but the pooled relative risk of rerupture favored surgical repair. In all but one study, the limb was immobilized for six to eight weeks. Published studies of animals and humans have shown a benefit of early functional stimulus to healing tendons. The purpose of the present study was to compare the outcomes of patients with an acute Achilles tendon rupture treated with operative repair and accelerated functional rehabilitation with the outcomes of similar patients treated with accelerated functional rehabilitation alone...
December 1, 2010: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/25228437/a-simple-technique-for-repair-of-chronic-tendinopathy
#34
JOURNAL ARTICLE
Jaclyn M Schwartz, Matrona Giakoumis, Alan S Banks
A large number of tendon repair techniques have been described for acute tendon injury. However, after reviewing the literature, it was noted that there were limited descriptions of specific suture techniques that address repair processes of chronic tendon pathology. Generally, in chronic tendinopathy, others have described a process known as tendon tubularization, which consists of a running stitch using a nonabsorbable suture material along the external surface of the tendon. We believe that leaving a nonabsorbable suture on the exterior surface of the tendon in this manner has the potential to disrupt the optimal gliding function...
2015: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/24980926/is-advanced-imaging-necessary-before-surgical-repair
#35
REVIEW
John M Baca, Colin Zdenek, Alan R Catanzariti, Robert W Mendicino
Posterior tibial tendon dysfunction (tendinitis, tendinosis, or rupture) and adult acquired flatfoot deformity can manifest with a wide array of bony and soft tissue abnormalities visible on plain radiographs, ultrasound, and magnetic resonance imaging. Imaging abnormalities include various combinations of malalignment, anatomic variants, and enthesopathic and tendinopathic changes. A thorough understanding of differences between anatomic and pathologic presentations of structures in various imaging modalities is an essential tool for clinical and surgical planning...
July 2014: Clinics in Podiatric Medicine and Surgery
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