medicine

Evidence-Based Rationale for Ankle Cartilage Allograft Replacement: A Systematic Review of Clinical Outcomes

May 28, 2015

The treatment of ankle arthritis remains controversial. Ankle cartilage allograft replacement is a novel and complex procedure. Many clinical studies have shown some level of promise, as well complications.

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A literature-based guide to the conservative and surgical management of the acute Charcot foot and ankle

May 26, 2015

Acute Charcot neuroarthropathy of the foot and ankle presents with the insidious onset of a unilateral acutely edematous, erythematous and warm lower extremity. The acute stages are typically defined as Eichenholtz Stage 1, or Stage 0, which was first described by Shibata et al. in 1990.

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6 ways to improve patient satisfaction scores

May 26, 2015

Patient satisfaction is doubly important now that it is a payment metric. Make sure you are doing everything possible to get the top scores you deserve. Large physician practices and hospitals already have a portion of their payments linked to patient satisfaction.

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Use of Ilizarov External Fixation Without Soft Tissue Release to Correct Severe, Rigid Equinus Deformity

May 23, 2015

The purpose of the present retrospective study was to report the correction of severe, rigid equinus deformities using an Ilizarov external fixator alone, without adjunctive open procedures. Ten feet in 10 patients with rigid equinus deformities were enrolled and underwent gradual correction using an Ilizarov external fixator alone, without additional open procedures. The range of ankle joint motion was measured preoperatively and at the last follow-up visit.

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Elastic Bandage Traction Technique for Reduction of Distal Tibial Fractures

May 23, 2015

In the present technique report, we describe a useful noninvasive traction technique that uses a 6-inch elastic bandage that can be obtained in every operating room and can be easily applied around the patient’s ankle and the surgeon’s waist to offer a stable traction force during minimally invasive plate fixation of distal tibial fractures. This technique frees the surgeon’s hands to focus on applying other forces, such as rotational, varus, or valgus forces, to reduce the fracture and stabilize the reduction and alignment during percutaneous insertion and fixation of the plate.

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Destructive pseudo-neuroarthropathy associated with calcium pyrophosphate deposition

May 19, 2015

Calcium pyrophosphate deposition (CPPD) disease is a metabolic disorder characterized by soft tissue calcific deposits formed primarily in articular cartilage.

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Technique of Dorsal Transversely Oriented Transposition Flap for Web Reconstruction in Toe Syndactyly Surgery

May 19, 2015

In toe desyndactyly, a dorsal or plantar commissural flap, combined with skin grafts, will ensure an acceptable result. However, the parallel unsightly scars in the longitudinal direction on the dorsum of the toes will sometimes fail to satisfy the patient’s and/or the parents’ aesthetic expectations.

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Mechanical Comparison of Headless Screw Fixation and Locking Plate Fixation for Talar Neck Fractures

May 19, 2015

For talar neck fractures, open reduction and internal fixation have been thought to facilitate revascularization and prevent osteonecrosis. Newer screw systems allow for placement of cannulated headless screws, which provide compression by virtue of a variable pitch thread. The present study compared the biomechanical fixation strength of cannulated headless variable-pitch screw fixation and locking plate fixation

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Clinical Profile and Surgical Management of Diabetic Foot In Benghazi, Libya

May 15, 2015

Publication date: Available online 14 May 2015 Source: Foot and Ankle Surgery Author(s): Mohamed Benkhadoura , Mohamed Alswehly , Abdulwahab Elbarsha Background The aim of this study was to outline the patterns and management of diabetic foot ulcer (DFU) and compare our experience with other published data. Patients and methods All consecutive patients admitted to Al-Jala Hospital with diabetic foot from June, 2008 to May, 2013 were reviewed retrospectively. Results A total of 542 patients was studied, Wagner’s grade III ulcers were the most prevalent (31%), followed by grade II (25%).

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Non-Necrotizing Streptococcal Cellulitis as a Cause of Acute, Atraumatic Compartment Syndrome of the Foot: A Case Report

May 14, 2015

Acute compartment syndrome is widely accepted as a surgical emergency.

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