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Clinics in podiatric medicine and surgery最新文献

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Evans Calcaneal Osteotomy in Flexible Flatfoot Deformity: A Podiatry Institute Perspective. 埃文斯跟骨截骨术治疗柔性平足畸形：足病研究所的观点。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-10-01 Epub Date: 2026-06-24 DOI: 10.1016/j.cpm.2026.05.005
Caitlin Mahan Madden, Kieran T Mahan
{"title":"Evans Calcaneal Osteotomy in Flexible Flatfoot Deformity: A Podiatry Institute Perspective.","authors":"Caitlin Mahan Madden, Kieran T Mahan","doi":"10.1016/j.cpm.2026.05.005","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.005","url":null,"abstract":"<p><p>The Evans calcaneal osteotomy is a powerful lateral column lengthening procedure that creates multiplanar correction in the flexible flatfoot deformity. The procedure was popularized within podiatric medicine and surgery by Dr James V. Ganley. The Podiatry Institute faculty modified the procedure over the years. It has stood the test of time as a reliable procedure with good bone healing and predictable radiographic correction. This article describes its history along with its indications, surgical technique, and possible complications.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"617-629"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Femoral Head Allograft with Segmental Defects of the First Ray. 同种异体股骨头移植治疗一线节段性缺损的应用。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-10-01 Epub Date: 2026-06-19 DOI: 10.1016/j.cpm.2026.05.003
Thomas Brosky, Chandler Ligas, Angela Moon, Bailey Hammond
{"title":"Use of Femoral Head Allograft with Segmental Defects of the First Ray.","authors":"Thomas Brosky, Chandler Ligas, Angela Moon, Bailey Hammond","doi":"10.1016/j.cpm.2026.05.003","DOIUrl":"https://doi.org/10.1016/j.cpm.2026.05.003","url":null,"abstract":"<p><p>Introduction describes first metatarsophalangeal (MTP) joint arthrodesis as a historical and currently powerful option for severe forefoot deformities, including arthritis, hallux valgus, hallux varus, and trauma. Shortening of the first ray, particularly after MIS bunion procedures and revisional surgeries, creates biomechanics challenges that can compromise fusion. To address large segmental defects, the senior author advocates interpositional femoral head allograft to restore first-ray length and provide structural support for stable MTP joint arthrodesis. The approach avoids autograft drawbacks, and emphasizes accurate debridement and graft sizing, vascular assessment, and biotechnologic enhancement to promote osteogenesis, with fusion outcomes supported by retrospective data.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 4","pages":"575-580"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser Metatarsophalangeal Joint Instability: Minimally Invasive Surgery Treatment Alternatives. 小跖趾关节不稳定：微创手术治疗选择。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.014
Mariano de Prado, Manuel Cuervas-Mons
{"title":"Lesser Metatarsophalangeal Joint Instability: Minimally Invasive Surgery Treatment Alternatives.","authors":"Mariano de Prado, Manuel Cuervas-Mons","doi":"10.1016/j.cpm.2026.02.014","DOIUrl":"10.1016/j.cpm.2026.02.014","url":null,"abstract":"<p><p>Lesser metatarsophalangeal (MTP) joints instability is usually produced by the rupture of the plantar plate. The treatment algorithm may change in patients with advanced stages of the plantar plate rupture, and surgical treatment is proposed to avoid MTP dislocation. Palliative surgery with minimally invasive surgery (MIS) can offer a less aggressive approach and enable excellent clinical correction and a good function. The authors proposed an algorithm for MIS treatment of MTP instability based on a combination of different osseous and/or soft tissues surgical procedures that the authors will combine differently depending on the evolution degree.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"475-483"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability? 跖趾关节不稳是否需要修复足底板？
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.015
Neil K McGroarty, Albert T Anastasio, James A Nunley
{"title":"Is It Necessary to Repair the Plantar Plate in the Management of Metatarsophalangeal Joint Instability?","authors":"Neil K McGroarty, Albert T Anastasio, James A Nunley","doi":"10.1016/j.cpm.2026.02.015","DOIUrl":"10.1016/j.cpm.2026.02.015","url":null,"abstract":"<p><p>Lesser metatarsophalangeal joint (MTPJ) instability is a common cause of metatarsalgia and is associated with plantar plate pathology. The instability is often due to chronic attenuation and attritional changes of the plantar plate and collateral ligaments, leading to eventual rupture. The plantar plate and collateral ligaments serve as the primary stabilizers of the MTPJ, and rupture or attenuation of these ligaments leads to instability. Surgical intervention is often necessary for plantar plate tears, with various approaches and techniques available.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"499-510"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuropathic Deformities of the Lesser Toes. 小脚趾的神经性畸形。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.005
Emilio Wagner, Pablo Wagner
{"title":"Neuropathic Deformities of the Lesser Toes.","authors":"Emilio Wagner, Pablo Wagner","doi":"10.1016/j.cpm.2026.02.005","DOIUrl":"10.1016/j.cpm.2026.02.005","url":null,"abstract":"<p><p>Neuropathic deformities of the lesser toes refer to a variety of neuromuscular disorders in which a stiff lesser toe deformity is encountered. Claw toes, hammer toes, and mallet toes can be found. Each deformity is better described as which joint of a particular toe is in a flexed or extended position. This information guides the surgeon to which joint should be addressed and what additional soft tissue procedure may be needed. Interphalangeal joint fusions are the procedure of choice, together with extensor or flexor tenotomies. Good results can be expected, with low revision rates.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"375-386"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Principles of Lesser Toe and Metatarsophalangeal Joint Reconstruction for Complex and Revision Surgery of the Forefoot. 前足复杂翻修手术中小趾、跖趾关节重建的原则。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.017
James W Brodsky, Jaeyoung Kim
{"title":"Principles of Lesser Toe and Metatarsophalangeal Joint Reconstruction for Complex and Revision Surgery of the Forefoot.","authors":"James W Brodsky, Jaeyoung Kim","doi":"10.1016/j.cpm.2026.02.017","DOIUrl":"10.1016/j.cpm.2026.02.017","url":null,"abstract":"<p><p>Successful lesser toes and metatarsophalangeal (MTP) joint reconstruction must withstand substantial biomechanical loads from standing, walking, and exercise. While complications following lesser toe and MTP reconstruction are common, limited literature addresses revision surgeries for complications including recurrence. Numerous complications of surgery for toes and lesser MTP joints can be managed or improved through revision surgery, but not all complications can be prevented or resolved. This review focuses on understanding the general principles and surgical techniques for hammer toe and lesser MTP reconstruction to apply effectively in both primary and revision surgeries.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"525-548"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diabetic Deformities of the Lesser Toes. 糖尿病性小脚趾畸形。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.007
Ryan LeDuc, Michael S Pinzur
{"title":"Diabetic Deformities of the Lesser Toes.","authors":"Ryan LeDuc, Michael S Pinzur","doi":"10.1016/j.cpm.2026.02.007","DOIUrl":"10.1016/j.cpm.2026.02.007","url":null,"abstract":"<p><p>The United States Centers for Disease Control and the National Institute of Diabetic, Digestive and Kidney Disorders now estimates that there are now over 34.2 million patients with diabetes in the United Sates, or over 10.2% of our population. Diabetic foot pathology leads to over 150,000 lower extremity amputations yearly in the United States alone. Many of these infections are initiated from externally applied shearing forces applied to deformities of the lesser toes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"403-408"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser Metatarsophalangeal Joint Instability: Nonsurgical Treatment Alternatives. 小跖趾关节不稳定：非手术治疗选择。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.011
Paul G Talusan
{"title":"Lesser Metatarsophalangeal Joint Instability: Nonsurgical Treatment Alternatives.","authors":"Paul G Talusan","doi":"10.1016/j.cpm.2026.02.011","DOIUrl":"10.1016/j.cpm.2026.02.011","url":null,"abstract":"<p><p>Lesser metatarsophalangeal (MTP) joint instability can cause pain in the MTP joints with ambulation. The goal of nonsurgical treatment is to offload the metatarsal heads and stabilize the MTP joints. Achilles stretching can be effective by decreasing pressure in the forefoot with ambulation. Metatarsal offloading does not stabilize the lesser MTP joints but can alleviate pain in the plantar surface of the metatarsal heads. Crossover taping and strapping can stabilize the MTP joint and resist MTP hyperdorsiflexion. Steroid injections can alleviate inflammation but is also associated with further attenuation of the ligamentous structures that stabilize the MTP joint.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"449-457"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metatarsophalangeal Joint Instability: Anatomy and Physiopathology. 跖趾关节不稳定：解剖学和生理病理学。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.010
Ayooluwa Segilade Ayoola, James R Jastifer
{"title":"Metatarsophalangeal Joint Instability: Anatomy and Physiopathology.","authors":"Ayooluwa Segilade Ayoola, James R Jastifer","doi":"10.1016/j.cpm.2026.02.010","DOIUrl":"10.1016/j.cpm.2026.02.010","url":null,"abstract":"<p><p>Metatarsophalangeal (MTP) instability is a common cause of metatarsalgia of the lesser toes. Instability often presents as pain in the plantar forefoot, progressing to coronal and transverse plane malalignment. MTP joint dislocation can develop in some cases. The plantar plate plays an integral role in MTP joint stabilization, and injury to the plantar plate is the main contributor to the instability noted at the MTP joint.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"439-448"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Orthotics for the Treatment of Lesser Toe Deformities. 矫形器治疗小脚趾畸形。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-07-01 DOI: 10.1016/j.cpm.2026.02.003
Manuel Monteagudo, Ángel M Orejana
{"title":"Orthotics for the Treatment of Lesser Toe Deformities.","authors":"Manuel Monteagudo, Ángel M Orejana","doi":"10.1016/j.cpm.2026.02.003","DOIUrl":"10.1016/j.cpm.2026.02.003","url":null,"abstract":"<p><p>Lesser toes play an important role in foot (and body) locomotion. Despite the high incidence of lesser toe disorders, their conservative treatments have rarely been studied. This study focuses on the conservative management of lesser toe deformities and will try to provide the reader with an overview on the portfolio of shoe modifications and orthotics available for the conservative treatment of lesser toe deformities, indication of each specific type of device, how they can impact on pain relief, and the rationale after considering conservative management as a first line of treatment and potentially avoiding surgery.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 3","pages":"349-361"},"PeriodicalIF":0.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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