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Management of Complex Fibular Fractures: Double Plating of Fibular Fractures

October 29, 2014

Complex fibular fractures as a result of either high-energy mechanisms or advanced age can be difficult to manage as significant comminution can preclude standard operative techniques. Furthermore, the maintenance of osseous reduction postoperatively throughout convalescence can present an equivalent challenge. Strict weightbearing restrictions in the elderly and the noncompliant postoperatively convey an additional risk of potential failure.

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Multifocal Bilateral Metatarsal Tuberculosis: A Rare Presentation

October 28, 2014

Tuberculosis, or phthisis (consumption) as it was popularly known in the Greek era, has been endemic in Southeast Asia and Sub-Saharan Africa; however, the human immunodeficiency virus epidemic has seen the re-emergence of this disease in the areas in which it was not very commonly reported. With this, the need for understanding and treatment of rare presentations of tuberculosis has become of paramount importance to achieve the World Health Organization millennium goal of a “reversal of incidence by 2015.” Foot involvement has been reported in 0.1% to 0.3% of extrapulmonary cases.

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Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

October 24, 2014

The present case series study was performed to evaluate the effect of obesity on the arthroscopic findings and the functional outcome after arthroscopic treatment of anterolateral impingement syndrome of the ankle.

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Exploring new options for physicians and patients

October 21, 2014

This issue of Physicians Practice – EXPLORING NEW OPTIONS – focuses on accepting new practice models that meet the needs of physicians and their patients, according to our Great American Physician Survey, sponsored by Kareo. Check out the issue now and get the full results from this year’s survey of more than 1,300 physicians nationwide!

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Relationship of the Dorsalis Pedis Artery to the Tarsal Navicular

October 21, 2014

When undertaking surgical maneuvers about the midfoot, caution must be used to avoid injury to the dorsalis pedis artery, which courses along the dorsum of the foot on the dorsolateral aspect of the tarsal navicular.

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Screw Placement Relative to the Calcaneal Fracture Constant Fragment: An Anatomic Study

October 18, 2014

Placement of a screw from the lateral wall of the calcaneus into the constant sustentaculum tali fragment can be difficult when surgically repairing a calcaneal fracture. This screw serves to compress the fracture fragments and support the posterior facet.

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What Can I Do With a Patient With Diabetes and Critically Impaired Limb Perfusion Who Cannot Be Revascularized?

October 17, 2014

A patient with limb-threatening diabetic foot syndrome in whom relevant peripheral arterial occlusive disease is proven should receive arterial revascularization as soon as possible to avoid major amputation.

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Intraosseous Gouty Tophus at the Talus: A Case Report

October 17, 2014

Isolated intraosseous gouty invasion is a rare presentation of gout. Although most patients will have a history of gouty arthritis or hyperuricemia, others will have an insidious onset of local pain, tenderness without significant swelling, or inflammation. Surgical debridement is the mainstay of treatment for intraosseous tophus formation.

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Isolated Calcaneofibular Ligament Injury: A Report of Two Cases

October 16, 2014

Injury to the lateral ankle ligaments is very common among both athletes and nonathletes alike.

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Autogenous Capsular Interpositional Arthroplasty Surgery for Painful Hallux Rigidus: Assessing Changes in Range of Motion and Postoperative Foot…

October 16, 2014

The autogenous capsular interpositional arthroplasty procedure can be a motion-sparing alternative to arthrodesis for the treatment of recalcitrant hallux rigidus deformity. Previous studies have reported positive results; however, many had small samples or lacked comparable preoperative measures

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