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The Art of the Definitive Amputation: Pearls to Reduce Reamputation. 最终截肢的艺术：珍珠减少再截肢。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.cpm.2025.12.013
Kanika Kochhar, Brennen O'Dell, Alton R Johnson
{"title":"The Art of the Definitive Amputation: Pearls to Reduce Reamputation.","authors":"Kanika Kochhar, Brennen O'Dell, Alton R Johnson","doi":"10.1016/j.cpm.2025.12.013","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.013","url":null,"abstract":"<p><p>Lower extremity amputations in patients with diabetes mellitus and peripheral arterial disease carry significant risks of reamputation. This article highlights strategies to optimize outcomes, including meticulous surgical technique, aggressive infection and ischemia management, and systemic optimization through glycemic control and smoking cessation. Pressure redistribution and offloading are also critical to prevent reamputation. Lastly, close monitoring and follow-up in the postoperative period facilitates early detection of skin changes. This holistic approach is essential to improve patient outcomes and quality of life.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"267-274"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489120","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
Understanding DREADD (Diabetes-Related Extremity Amputation Depression and Distress). 了解DREADD（糖尿病相关截肢抑郁和痛苦）。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-04-01 Epub Date: 2026-01-19 DOI: 10.1016/j.cpm.2025.12.008
Bradley M Brooks, Cyaandi R Dove, Brady M Brooks, Brandon M Brooks
{"title":"Understanding DREADD (Diabetes-Related Extremity Amputation Depression and Distress).","authors":"Bradley M Brooks, Cyaandi R Dove, Brady M Brooks, Brandon M Brooks","doi":"10.1016/j.cpm.2025.12.008","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.12.008","url":null,"abstract":"<p><p>Diabetes-related extremity amputation depression and distress (DREADD) is potentially a dangerous phenomenon that can occur following any nontraumatic amputation, including \"minor\" amputation. Brooks and colleagues conducted semistructured interviews to better understand patients' attitudes and experiences with amputation; they concluded that nontraumatic amputations can be a traumatic experience for patients. To combat DREADD, Brooks and colleagues recommended that surgeons should screen their patients with type 2 diabetes mellitus before and after any (minor or major) nontraumatic amputation and make the appropriate referral if necessary. Additionally, psychiatrists and other mental health clinicians should be included in multidisciplinary limb preservation teams.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 2","pages":"211-218"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489171","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
Closing Wedge Distal Tibial Osteotomy. 胫骨远端截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-09-06 DOI: 10.1016/j.cpm.2025.07.013
Shannon M Rush, Jonathan Nigro
{"title":"Closing Wedge Distal Tibial Osteotomy.","authors":"Shannon M Rush, Jonathan Nigro","doi":"10.1016/j.cpm.2025.07.013","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.013","url":null,"abstract":"<p><p>Closing wedge distal tibial periarticular osteotomy (DTPO) is a surgical technique used to correct deformities of the ankle caused by conditions such as post-traumatic misalignment, congenital abnormalities, or early-stage arthritis. It realigns the tibiotalar joint to restore function and delay or avoid more invasive procedures like arthrodesis or ankle replacement. DTPO is particularly beneficial for younger patients and can be used as a staged procedure for future arthroplasty. Surgical planning involves accurate identification of the center of rotation of angulation, and the medial closing wedge approach is preferred due to its stability, predictable healing, and minimally invasive execution.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"163-178"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566934","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
Weber Fibular Osteotomy and Variations. 韦伯腓骨截骨术和变型。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-10-13 DOI: 10.1016/j.cpm.2025.07.009
Byron Hutchinson
{"title":"Weber Fibular Osteotomy and Variations.","authors":"Byron Hutchinson","doi":"10.1016/j.cpm.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.009","url":null,"abstract":"<p><p>Early surgical intervention utilizing a fibular osteotomy to restore the fibular length results in restoration of ankle-joint congruency and stability. This can delay the need for an ankle arthrodesis or implant. The type of osteotomy performed depends on the amount of fibular rotation that has occurred and whether or not the syndesmosis is involved.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"103-112"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566949","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
Metatarsus Adductus Osteotomy.
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.002
Cody J Togher, Lauren Christie
{"title":"Metatarsus Adductus Osteotomy.","authors":"Cody J Togher, Lauren Christie","doi":"10.1016/j.cpm.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.002","url":null,"abstract":"<p><p>Metatarsus adductus (MA) is an isolated, transverse-plane dominant deformity occurring primarily at the tarsometatarsal joints. The deformity is commonly associated with increased rates of fifth metatarsal base fractures, hallux valgus deformities, lesser metatarsophalangeal joint deformities, and multiplanar deformities of the hindfoot. Periarticular osteotomies of the metatarsals, cuboid, and cuneiforms have been discussed thoroughly in the literature, both isolated and in combination. Recent techniques have described intraarticular osteotomies with realignment arthrodesis of the tarsometatarsal joints, however often reserved for older patients. This article reviews surgical approach to the correction of MA deformities via periarticular osteotomies in both pediatric and adult populations.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"21-30"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567019","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
Calcaneal Osteotomies. 跟骨截骨。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-10-13 DOI: 10.1016/j.cpm.2025.07.005
Alan MacGill, Davis Hendricks, Michael Leaman, Donovan Perry
{"title":"Calcaneal Osteotomies.","authors":"Alan MacGill, Davis Hendricks, Michael Leaman, Donovan Perry","doi":"10.1016/j.cpm.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.005","url":null,"abstract":"<p><p>Calcaneal osteotomies are surgical procedures performed to correct a hindfoot deformity or realign the calcaneus in conditions that include pes planus and pes cavus. These joint-sparing procedures offer the ability to realign the calcaneus, enhancing foot biomechanics, redistributing forces, and reducing pain and dysfunction. Among the most common types of calcaneal osteotomies are the medial slide, lateral slide, and Dwyer calcaneal osteotomy, each with distinct indications, advantages, and surgical considerations.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"53-68"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566888","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
The Cotton Osteotomy. 棉花截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.001
Amber M Shane, Christopher L Reeves, Hannah Istre, Marie Velazquez Mendez
{"title":"The Cotton Osteotomy.","authors":"Amber M Shane, Christopher L Reeves, Hannah Istre, Marie Velazquez Mendez","doi":"10.1016/j.cpm.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.001","url":null,"abstract":"<p><p>Since its original description in 1936, the Cotton osteotomy has been used in treatment of many different pathologies of the forefoot. This article aims to review the Cotton osteotomy. We discuss a brief history, indications and contraindications, grafting options, technique, and current clinical points necessary to provide optimal correction of pathology seen in the forefoot.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"13-19"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567002","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
Evans Calcaneal Osteotomy. 埃文斯跟骨截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.004
Amber M Shane, Christopher Reeves, Reed Smith, Samuel Memmelaar
{"title":"Evans Calcaneal Osteotomy.","authors":"Amber M Shane, Christopher Reeves, Reed Smith, Samuel Memmelaar","doi":"10.1016/j.cpm.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.004","url":null,"abstract":"<p><p>Pes planovalgus is a prevalent deformity treated globally by foot and ankle surgeons. Surgical correction is indicated when a patient has failed conservative therapy or the deformity is unsuitable for conservative treatment. While correction of pes planovalgus often requires multiple procedures, the Evans osteotomy is widely utilized due to the robust triplanar correction it offers. This article aims to review the indications and surgical technique of the Evans osteotomy, while expanding on its indications that are not traditionally considered.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"41-51"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567038","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
Supramalleolar Osteotomies for Tibial Rotational Deformity. 踝上截骨术治疗胫骨旋转畸形。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-22 DOI: 10.1016/j.cpm.2025.07.010
Bradley M Lamm, Akshay Jain, Garrett B Nguyen
{"title":"Supramalleolar Osteotomies for Tibial Rotational Deformity.","authors":"Bradley M Lamm, Akshay Jain, Garrett B Nguyen","doi":"10.1016/j.cpm.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.010","url":null,"abstract":"<p><p>Understanding rotational deformities is complex in both the diagnosis and treatment. Rotational deformities can present in isolation or in combination with angular and translational malalignment, with/without limb length discrepancy. We present the clinical, radiographic, and advanced imaging evaluation for preoperative rotational examination. In addition, we describe techniques for osteotomy and fixation of derotational supramalleolar osteotomies.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"113-131"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567010","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
Zadek Calcaneal Osteotomy. 扎德克跟骨截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.006
Thomas S Roukis, Christopher F Hyer
{"title":"Zadek Calcaneal Osteotomy.","authors":"Thomas S Roukis, Christopher F Hyer","doi":"10.1016/j.cpm.2025.07.006","DOIUrl":"10.1016/j.cpm.2025.07.006","url":null,"abstract":"<p><p>The Zadek closing-wedge calcaneal osteotomy is an alternative to the way we have traditionally approached the surgical management of Haglund's triad. Although percutaneous approaches have recently gained popularity, the open approach remains the gold-standard incisional approach. Surgical technique, including use of an osteotomy guide, is critical to avoid soft-tissue and osseous complications. Internal fixation selection can have a significant impact on patient outcomes. When properly performed, the Zadek calcaneal osteotomy has been demonstrated through systematic review and meta-analysis to consistently resolve symptoms with few complications.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"69-79"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566991","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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