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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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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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Inflammatory and bone turnover markers in a cross-sectional and prospective study of acute Charcot osteoarthropathy

October 14, 2014

This study aimed to assess markers of inflammation and bone turnover at presentation and at resolution of Charcot osteoarthropathy.

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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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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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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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Conservative Surgery of Diabetic Forefoot Osteomyelitis: How Can I Operate on This Patient Without Amputation?

September 25, 2014

Surgery is necessary in many cases of diabetic foot osteomyelitis.

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How to Close a Limb Fasciotomy Wound: An Overview of Current Techniques

September 25, 2014

Early fasciotomy is the gold standard of prevention and treatment of compartment syndrome; however, the resulting wounds may significantly increase morbidity. To address the challenge of timely and safe closure of fasciotomy wounds, numerous methods have been described. A thorough search of medical databases PubMed/MEDLINE, ScienceDirect, SCOPUS, EMBASE, and Google Scholar was conducted for articles published between 1976 and 2013 using the search terms “limb fasciotomy wound closure,” “open wound management,” “skin stretching,” and “fasciotomy complications.” A total of 49 articles on technique descriptions, case reports of 2 or more patients, and of complications and comparative studies regarding limb fasciotomy wound closure were included.

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