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The incidence of lower-extremity amputation and bone resection in diabetic foot ulcer patients treated with a human fibroblast-derived dermal…

December 16, 2014

Diabetic foot ulcers (DFUs) are frequently recalcitrant and at risk for infection, which may lead to lower-extremity amputation or bone resection. Reporting the incidence of amputations/bone resections may shed light on the relationship of ulcer healing to serious complications. This study aimed to evaluate the incidence of amputations/bone resections in a randomized controlled trial comparing human fibroblast-derived dermal substitute plus conventional care with conventional care alone for the treatment of DFUs.

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New research to target physician attitudes toward payment reform

December 9, 2014

Amid the ongoing shift from fee-for-service healthcare reimbursement to value-based payments, much remains unknown about how clinicians’ mindsets and behaviors will also change as new models unfold. In search of these answers, two North­eastern Uni­ver­sity fac­ulty mem­bers at the Center for Health Policy and Health­care Research began a pilot study this fall in which they interview physi­cians and staff at about 10 prac­tices in Mass­a­chu­setts that are part of the New Eng­land Quality Care Alliance, according to a post from the university

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Women, blacks at greater risk for bunions

December 9, 2014

A large cohort study has confirmed several risk factors associated with hallux valgus: female sex, African-American race, older age, pes planus and knee/hip osteoarthritis (OA). The study, published online in Arthritis Care and Research found the highest prevalence of hallux valgus in African-American women: 70 percent.

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Short-Term Clinical Outcomes After First Metatarsal Head Resurfacing Hemiarthroplasty for Late Stage Hallux Rigidus

December 6, 2014

The purpose of the present study was to evaluate the short-term results of metatarsal head resurfacing hemiarthroplasty in the treatment of advanced hallux rigidus. We reviewed 14 consecutive patients (5 males [35.71%], 9 females [64.29%]; mean age, 58.7 ± 7.4 years). These patients underwent first metatarsal head resurfacing hemiarthroplasty (HemiCAP®) for hallux rigidus from March 2010 to September 2012 at our institution

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Ankle Fusion With a Trabecular Metal Spacer and an Anterior Fusion Plate

December 5, 2014

We present a novel operative technique for ankle joint fusion in a case of severe talar bone loss. Fusion was achieved with a trabecular metal spacer combined with a single anterior, anatomically preshaped, angular, stable plate.

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Are Low-Energy Open Ankle Fractures in the Elderly the New Geriatric Hip Fracture?

December 5, 2014

As the geriatric population in the United States continues to increase, ankle fractures in the elderly are predicted to exponentially increase in the future. As such, these injuries will become a common injury seen by physicians in various fields. Currently, no studies discussing low-energy open ankle fractures in the elderly and/or the mortality rate associated with these devastating injuries have been published.

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Outcomes of Foot and Ankle Surgery in Diabetic Patients Who Have Undergone Solid Organ Transplantation

December 5, 2014

Foot and ankle problems are highly prevalent in patients with diabetes mellitus (DM). Increased rates of surgical site infections and noninfectious complications, such as malunion, delayed union, nonunion, and hardware failure, have also been more commonly observed in diabetic patients who undergo foot and ankle surgery. DM is a substantial contributor of perioperative morbidity in patients with solid organ transplantation.

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The Diagnosis and Treatment of Joplin’s Neuroma

December 5, 2014

Joplin’s neuroma is a rare perineurial fibrosis of the medial plantar digital proper nerve arising from various etiologies but most commonly after bunion surgery. Treatment for this painful great toe problem remains controversial. It is our purpose to describe our experience with this chronic pain problem, considering it to be a neuroma requiring resection

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Radiographic analysis of diabetic midfoot charcot neuroarthropathy with and without midfoot ulceration

December 1, 2014

The aim of this study was to evaluate weight-bearing radiographs in patients with and without foot ulcers diagnosed with midfoot Charcot neuroarthropathy (CN) secondary to diabetes mellitus.

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Diagnostic Accuracy of Clinical Tests for Morton’s Neuroma Compared with Ultrasonography

November 26, 2014

The aim of the present study was to assess the diagnostic accuracy of 7 clinical tests for Morton’s neuroma (MN) compared with ultrasonography (US). Forty patients (54 feet) were diagnosed with MN using predetermined clinical criteria. These patients were subsequently referred for US, which was performed by a single, experienced musculoskeletal radiologist

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