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Clinics in podiatric medicine and surgery最新文献

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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
Dorsiflexory Wedge First Metatarsal Osteotomy. 背屈楔第一跖骨截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-09-03 DOI: 10.1016/j.cpm.2025.06.014
Mark A Prissel, Cameron Meyer, Jae Yoon Kim, Orlando Martinez
{"title":"Dorsiflexory Wedge First Metatarsal Osteotomy.","authors":"Mark A Prissel, Cameron Meyer, Jae Yoon Kim, Orlando Martinez","doi":"10.1016/j.cpm.2025.06.014","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.014","url":null,"abstract":"<p><p>Dorsiflexory wedge first metatarsal osteotomies play a pivotal role in the structural correction of a symptomatic plantarflexed first ray often in the setting of a forefoot driven hindfoot varus deformity. Restoration of Meary's angle can provide surgeons intraoperative radiographic visualization of correction in addition to clinical correction of forefoot valgus deformity. This procedure is performed at the proximal metaphysis of the first metatarsal distal to the first tarsometatarsal joint. It typically is performed in conjunction with additional hindfoot osseous and soft tissue procedures. There exists a plethora of fixation options with high reported union rates.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"1-11"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566901","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
Focal Dome Tibial Osteotomy. 局部穹窿胫骨截骨术。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-10-13 DOI: 10.1016/j.cpm.2025.07.011
Garrett B Nguyen, Akshay Jain, Bradley M Lamm, Christopher Reeves
{"title":"Focal Dome Tibial Osteotomy.","authors":"Garrett B Nguyen, Akshay Jain, Bradley M Lamm, Christopher Reeves","doi":"10.1016/j.cpm.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.011","url":null,"abstract":"<p><p>Focal dome tibial osteotomy (FDTO) is a crucial joint-preserving procedure that addresses tibial deformities contributing to ankle osteoarthritis and malalignment. By using the principles of center of rotation and angulation, this technique allows for precise angular correction without significant translation, thereby maintaining biomechanical integrity. Various osteotomy techniques, including dome, opening wedge, and closing wedge osteotomies, provide different benefits and limitations based on individual patient needs. Despite its advantages, FDTO presents challenges such as prolonged recovery, technical complexity, and risks of complications. Future advancements in CT-guided assistance, patient-specific instrumentation, and biological enhancements hold promise for improving surgical precision and patient outcomes.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"133-150"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567014","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
Medial Malleolar Osteotomies for Varus Correction During Total Ankle Replacement. 全踝关节置换术中内踝截骨术矫正内翻。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-13 DOI: 10.1016/j.cpm.2025.07.007
Michael J Radcliffe, Jeffrey E McAlister
{"title":"Medial Malleolar Osteotomies for Varus Correction During Total Ankle Replacement.","authors":"Michael J Radcliffe, Jeffrey E McAlister","doi":"10.1016/j.cpm.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.007","url":null,"abstract":"<p><p>Medial malleolar osteotomy is a valuable but underutilized technique for correcting significant varus deformity in total ankle replacement (TAR). While soft tissue balancing is often sufficient, excessive varus may necessitate osseous correction to restore neutral alignment. This article reviews the etiology, indications, surgical techniques, and outcomes of medial malleolar osteotomy use in TAR, emphasizing a staged approach to optimize healing and implant stability. Proper deformity assessment and individualized patient treatment plans are essential to prevent early failure. Further research is needed to establish objective criteria for when medial malleolar osteotomy is preferable to soft tissue release alone.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"81-89"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567012","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
Medial Malleolar Osteotomies for Access to Medial Osteochondral Lesions of the Talar Dome. 内侧踝截骨术治疗距骨穹窿内侧骨软骨病变。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.008
Thomas S Roukis, Christopher F Hyer
{"title":"Medial Malleolar Osteotomies for Access to Medial Osteochondral Lesions of the Talar Dome.","authors":"Thomas S Roukis, Christopher F Hyer","doi":"10.1016/j.cpm.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.008","url":null,"abstract":"<p><p>Large and/or cystic osteochondral lesions of the medial talar dome, both primary and revision, often require a medial malleolar osteotomy to perform complete resection of the diseased cartilage, subchondral bone, and cancellous bone substrate. Oblique and biplanar chevron medial malleolar osteotomies for access to the medial talar dome are the focus of this article. The authors present an in-depth description of the surgical technique for both types of osteotomies of the medial malleolus, as well as a review of how to prevent and address the most common complications encountered.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"91-101"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145567023","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
Cole Osteotomy and Variations. 科尔截骨术和变型。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-10-10 DOI: 10.1016/j.cpm.2025.07.003
Garrett Wobst
{"title":"Cole Osteotomy and Variations.","authors":"Garrett Wobst","doi":"10.1016/j.cpm.2025.07.003","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.003","url":null,"abstract":"<p><p>Pes cavus can be a painful and debilitating condition that is often recalcitrant to conservative treatment. Oftentimes surgical reconstruction is necessary for the patient to obtain a pain-free plantigrade foot. An intimate knowledge of pes cavus foot architecture is necessary to select appropriate surgical treatment of the symptomatic patient. Midfoot osteotomies such as the Cole osteotomy can be a powerful procedure to reduce deformities where the apex is located in the midfoot. Midfoot osteotomies are almost never performed in isolation. Midfoot osteotomies including the Cole osteotomy are an attribute in any foot and ankle surgeon's armamentarium.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"31-40"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566898","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
Opening Wedge Distal Tibial Osteotomy. 胫骨远端开楔截骨。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2026-01-01 Epub Date: 2025-08-16 DOI: 10.1016/j.cpm.2025.07.012
Thomas S Roukis, Christopher F Hyer
{"title":"Opening Wedge Distal Tibial Osteotomy.","authors":"Thomas S Roukis, Christopher F Hyer","doi":"10.1016/j.cpm.2025.07.012","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.012","url":null,"abstract":"<p><p>Supramalleolar osteotomies of the distal tibial metaphysis or distal tibial metaphyseal-diaphyseal junction are indicated when angular, rotational, and/or translational malalignment of the ankle joint are present. Varus and valgus deformities of the ankle that can be readily corrected through opening wedge osteotomies of the distal tibia are the focus of this article. The authors present an in-depth description of the surgical technique for opening wedge osteotomy of the distal tibia, as well as a review of how to prevent and address the most common complications encountered.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"43 1","pages":"151-162"},"PeriodicalIF":0.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566980","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
Nonsurgical Offloading of the Diabetic Foot. 糖尿病足的非手术减压。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI: 10.1016/j.cpm.2025.06.015
Thanh L Dinh
{"title":"Nonsurgical Offloading of the Diabetic Foot.","authors":"Thanh L Dinh","doi":"10.1016/j.cpm.2025.06.015","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.015","url":null,"abstract":"<p><p>One of the most important fundamental cornerstones in treating diabetic foot ulcers involves offloading plantar pressure. Many dressings and devices have been developed with variable success rates secondary to design and patient adherence and tolerance of the designs. The current gold standard involves use of total contact casting or an irremovable cast walker. Following successful healing of a diabetic foot ulcer, devices such as custom orthotics and shoes are essential to reduce plantar pressures implicated in these wounds' recurrence.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"647-656"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310610","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 Orthoplastic Approach to Limb Salvage. 矫形入路修复肢体。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 DOI: 10.1016/j.cpm.2025.06.004
Michael H Theodoulou, Dylan Hemsted, Anna Guo, Shuran Zhang
{"title":"The Orthoplastic Approach to Limb Salvage.","authors":"Michael H Theodoulou, Dylan Hemsted, Anna Guo, Shuran Zhang","doi":"10.1016/j.cpm.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.06.004","url":null,"abstract":"<p><p>This article explores limb salvage in diabetic patients, emphasizing the orthoplastic approach to managing complex lower extremity wounds. It delves into various reconstructive flaps tailored to specific wound locations, providing essential background, surgical techniques, and expert tips. By integrating orthopedic and plastic surgery principles, the article offers strategies to optimize flap viability, achieve successful functional outcomes, and ensure effective and sustainable limb preservation.</p>","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"743-756"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310625","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 Diabetic Foot: Capturing the Legacy of the Beth Israel Deaconess Medical Center Training Program. 糖尿病足：捕捉贝斯以色列女执事医疗中心培训计划的遗产。
IF 0.7
Clinics in podiatric medicine and surgery Pub Date : 2025-10-01 DOI: 10.1016/j.cpm.2025.07.014
Thanh L Dinh, Barry I Rosenblum
{"title":"The Diabetic Foot: Capturing the Legacy of the Beth Israel Deaconess Medical Center Training Program.","authors":"Thanh L Dinh, Barry I Rosenblum","doi":"10.1016/j.cpm.2025.07.014","DOIUrl":"https://doi.org/10.1016/j.cpm.2025.07.014","url":null,"abstract":"","PeriodicalId":101451,"journal":{"name":"Clinics in podiatric medicine and surgery","volume":"42 4","pages":"xv-xvi"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310636","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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