download-images

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.

Read the full article →

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.

Read the full article →

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.

Read the full article →

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.

Read the full article →

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

Read the full article →

Lower Extremity Complex Trauma and Complications

August 14, 2014

I am honored to serve as a guest editor in this issue of Clinics in Podiatric Medicine and Surgery that is dedicated to the management of complex foot and ankle trauma. I am also thankful to the invited authors who are mostly actively practicing at Level 1 trauma facilities to devote their time and share the most current strategies for the management of lower extremity injuries. Providing optimal patient care from the initial treatment to rehabilitation is essential in the patient’s successful outcome in every trauma protocol.

Read the full article →

Management in High-risk Patients

August 11, 2014

Injuries to the foot and ankle are often missed or underestimated in patients with polytrauma and are a source of long-term limitations. Injures below the knee are among the highest causes for unemployment, longer sick leave, more pain, more follow-up appointments, and decreased overall outcome. As mortalities decrease for patients with polytrauma a greater emphasis on timely diagnosis and treatment of foot and ankle injuries is indicated

Read the full article →

The Mangled Foot and Ankle: Soft Tissue Salvage Techniques

August 7, 2014

The mangled foot and ankle can be defined as a severe injury to multiple organ systems of this appendage that can include bone, muscle, tendon, and neurovascular structures. The magnitude and often rate-limiting parameter most likely to affect the decision to attempt foot salvage is the degree of soft tissue destruction

Read the full article →

Rehabilitation After Major Extremity Trauma

August 4, 2014

Physical therapy is an integral part of rehabilitation after foot and ankle trauma. Workman’s compensation may play a role in treatment, prognosis, and added bureaucracy. The foot and ankle surgeon needs to be able to determine when maximum medical improvement has been reached.

Read the full article →

Surgical Treatment of Intra-articular Calcaneal Fractures

August 4, 2014

Most intra-articular calcaneal fractures are a result of high-energy trauma. The operative management of calcaneal fractures has been based on achieving anatomic reduction and minimizing complications of the compromised soft tissue envelope. The traditional extensile lateral approach offers advantages of achieving adequate fracture reduction with the risk of wound-healing complications and infection

Read the full article →