Recurrent Hallux Valgus

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Recurrent Hallux Valgus

Fig. 12.1 (a) Case courtesy of Margo Jimenez preoperative X-ray of HAV deformity. (b) Five days post-op with good reduction of the intermetatarsal angle, the metatarsal head well aligned on top…

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The Charcot Foot

Sep 6, 2017 by in ORTHOPEDIC Comments Off on The Charcot Foot

Fig. 24.1 While the extent of the diseased bone may not be clear in a plain X-ray, it may be clear in an MRI Aggressive resection of the necrotic bone…

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Calcaneal Fractures

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Calcaneal Fractures

(1) The Orthopaedic Clinic, Auburn, AL, USA   KeywordsCalcaneusFractureFixationArthritisArthrodesisWoundInfectionMalunionNeuritisTendonitisOperativeNonoperative Introduction Treatment of calcaneal fractures has evolved over the last 25 years from primarily nonoperative care to a more aggressive approach involving…

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Problems, Obstacles, and Complications of External Fixation in the Foot and Ankle

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Problems, Obstacles, and Complications of External Fixation in the Foot and Ankle

Indications for external fixation Conditions treated with external fixation Nonunion/Malunion Joint distraction Callus distraction/lengthening of bone Off-loading of wound/flap Osteotomy Arthrodesis Infection/Osteomyelitis Soft tissue/skin contracture Fracture Extensive scarring/contracture/burns Previous infection…

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Complication Management: Nonunions

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Complication Management: Nonunions

Local factors Host factors Infection Tobacco use Insufficient fixation Vitamin D deficiency/insufficiency Poor reduction/gapping Thyroid dysfunction Malalignment Parathyroid dysfunction Poor site preparation/debridement Diabetes mellitus Thermal necrosis Premature weight bearing Soft…

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Management of Incision Complications

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Management of Incision Complications

Fig. 4.1 A 34-year-old male presented to the clinic with chronic ankle pain from numerous inversion ankle injuries. Radiographs revealed a large osseous fragment (figure) over the anterior medial aspect…

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Ankle Arthrodesis

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Ankle Arthrodesis

Fig. 29.1 (a) Preoperative TTC arthrodesis patient with diabetes sent for angiography. Confirmed occlusion of anterior tibialis artery. (b) Poststenting procedure showing significantly improved flow (Courtesy of Dr. Patrick Antoun)…

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Complications of Hallux Valgus Surgery

Sep 6, 2017 by in ORTHOPEDIC Comments Off on Complications of Hallux Valgus Surgery

Fig. 11.1 (a, b) Comparison of inherent shortening of the Chevrons vs. Mitchell verse osteotomy On the other hand, base procedures are inherently less stable than head procedures secondary to…

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