Clinics in Podiatric Medicine and Surgery

Absorbable Biologically Based Internal Fixation

October 23, 2014

Absorbable fixation devices have developed since first being introduced. Current products are manufactured for greater strength and stiffness and slower break down.

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Current Update on Orthobiologics in Foot and Ankle Surgery

October 18, 2014

This issue of Clinics in Podiatric Medicine and Surgery is focused on the most current updates of orthobiologics in foot and ankle surgery, written by experienced surgeons and scientists under the guidance of our guest editor, Dr Barry Rosenblum. This issue covers a variety of topics in orthobiologics, ranging from wound and bone healing to sports medicine applications in the lower extremity.

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Bone Morphogenetic Proteins

October 18, 2014

The bone morphogenetic proteins (BMPs) are an important subclass of growth factors within the transforming growth factor beta superfamily; BMP-2 and BMP-7 have important roles in bone healing. The most facile commercially available BMP for surgical use is recombinant BMP-2 (rhBMP-2).

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Strategies for Managing Bone Defects of the Lower Extremity

October 1, 2014

Management of posttraumatic segmental bone loss as a result of severe open injuries of the lower extremity, high-energy closed injuries, and following failed initial treatment of complex fractures that develop pseudarthrosis continues to challenge reconstructive surgeons. There are numerous strategies for dealing with such injuries but the outcome is unpredictable.

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Supramalleolar Osteotomy and Ankle Arthrodiastasis for Juvenile Posttraumatic Ankle Arthritis

October 1, 2014

Numerous techniques have been described for posttraumatic ankle arthritis with or without an associated lower extremity deformity in the adult population. These surgical procedures may include, but are not limited to, ankle exostectomy with joint resurfacing, ankle arthrodiastasis, ankle arthroplasty, and ankle arthrodesis

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Open Fractures of the Foot and Ankle

October 1, 2014

Open fractures of the lower extremity cover a wide gamut of injuries ranging from the mangled, pulseless leg necessitating amputation to the more innocuous pinhole open wounds associated with simple fracture patterns. Prompt diagnosis and appropriate care can make a dramatic difference in decreasing complication rates and improving ultimate outcomes. Principles of management of open fractures have been created with the main goal of decreasing infection rates, while providing for stabilization of the bone and soft tissue injury.

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Diabetic Charcot Neuroarthropathy of the Foot and Ankle with Osteomyelitis

October 1, 2014

One of the most devastating foot and/or ankle complications in the diabetic population with peripheral neuropathy is the presence of Charcot neuroarthropathy (CN). In recent years, diabetic limb salvage has been attempted more frequently as opposed to major lower extremity amputation for CN of the foot and ankle with ulceration and/or deep infection. Treatment strategies for osteomyelitis in the diabetic population have evolved.

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Midfoot Crush Injuries

October 1, 2014

Treatment of midfoot injuries is surgical or nonsurgical, depending on the injury, the location, and the extent of the injury. Minor injuries usually heal with casting or bracing, whereas more unstable injuries typically need surgery for stability. Whether the injury is in a weight-bearing portion of the foot is also a consideration for surgery.

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Fractures of the Talus

August 18, 2014

The talus is the most proximal bone of the hindfoot that couples the foot to the leg. It is the second most common fracture of the tarsal bones, second in frequency to the calcaneous.

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Lower Extremity Trauma and Complications

August 14, 2014

This issue of Clinics in Podiatric Medicine and Surgery focuses on the surgical management of lower extremity trauma and its complications. Various topics from tibial plafond fractures to midfoot crush injuries and rehabilitation are well covered by the experienced authors and invited guest editor, Dr John J

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