Journal of the American Podiatric Medical Association最新文献_第3页

Extended Subtalar Approach in the Surgical Treatment of Depressed Intra-Articular Calcaneus Fractures With Depression of the Medial Fragment of the Posterior Facet. 延伸距下入路手术治疗后侧小关节内段凹陷的跟骨关节内骨折。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-076

Ali Yüce, Mustafa Yerli, Nazım Erkurt, Tahsin Olgun Bayraktar

{"title":"Extended Subtalar Approach in the Surgical Treatment of Depressed Intra-Articular Calcaneus Fractures With Depression of the Medial Fragment of the Posterior Facet.","authors":"Ali Yüce, Mustafa Yerli, Nazım Erkurt, Tahsin Olgun Bayraktar","doi":"10.7547/23-076","DOIUrl":"https://doi.org/10.7547/23-076","url":null,"abstract":"Background: Several alternative incisions have been developed for the surgical treatment of calcaneus fractures, including the extensile lateral approach, medial approach, combined lateral and medial approach, limited posterolateral approach, and sinus tarsi approach. This study aimed to describe a modified approach in which we extended the sinus tarsi approach and examined the reduction success in intra-articular fractures involving the medial column.Methods: Patients with calcaneus fracture surgery between 2017 and 2021 were reviewed retrospectively. Computed tomography was obtained immediately after surgery and 6 months later to measure calcaneal anatomical parameters such as Böhler's angle, Gissane's angle, height, and width. Preoperative and postoperative radiologic measurements, soft-tissue complications, sural nerve damage, quality of posterior facet reduction, and other complications were recorded. The obtained data were used in the statistical analysis.Results: The mean ± SD age was 30.92 ± 9.61 years. Based on the Sanders classification, eight fractures were type 3 and five were type 4. In preoperative and postoperative measurements, there was a statistical difference in Gissane's angle (P = .001), Böhler's angle (P = .001), calcaneal height (P = .001), and calcaneal width (P = .039).Conclusions: Extending the sinus tarsi approach may provide adequate visualization and control of fracture fragments in Sanders type 3 and 4 fractures in which the medial articular surface of the posterior facet is depressed.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foot Burn Injuries Associated with Hair Braiding. 编发引起的足部烧伤。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-212

Jean V Archer, Michael L Cooper

{"title":"Foot Burn Injuries Associated with Hair Braiding.","authors":"Jean V Archer, Michael L Cooper","doi":"10.7547/22-212","DOIUrl":"10.7547/22-212","url":null,"abstract":"An increasing number of burns are associated with a popular hair braiding trend incorporating synthetic hair extensions. These burns occur predominantly in young African American females and across all age groups. The hair technique involves the ends of the braid being dipped in scalding water to prevent unwinding. This process requires the installer to place the attached hair in hot water behind the client to seal the ends of the braid. This burn injury is most frequently reported on the back, shoulder, arm, forearm, thigh, and leg. The reported cases of this burn injury occurred most frequently in the client. We present a case of a burn injury involving the foot and ankle of the hairstylist installing the braids, a first-ever reported case of this kind. The review focuses on evidence-based management of foot and ankle burns to promote wound healing and prevent limb loss. Standard of care makes education and prevention necessary for lower-extremity burns because these injuries pose a risk to patients with underlying diseases. The review emphasizes the importance of better understanding the mechanism of this burn injury and the necessity to continue treating these injuries as major burns, as well as education about prevention strategies. Lower-extremity thermal injuries challenge physicians due to their unique anatomical and histologic components that affect ambulation. Strategies to prevent these burns in at-risk populations are needed. Hair braiding with scalding water to seal the ends of the braids and other thermal burns can lead to hospitalizations and the need for surgical intervention, driving up health-care costs.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of Complications After Minimally Invasive Lapidus Surgery. 微创Lapidus手术后并发症的发生率。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/24-037

Taylor C Fullmer, Rosemary J Thompson, Andrew D Elliott

{"title":"Incidence of Complications After Minimally Invasive Lapidus Surgery.","authors":"Taylor C Fullmer, Rosemary J Thompson, Andrew D Elliott","doi":"10.7547/24-037","DOIUrl":"10.7547/24-037","url":null,"abstract":"Background: In recent years, the Lapidus procedure has undergone adaptation to embrace the minimally invasive guidelines that are currently gaining traction in the United States. However, because of the steep learning curve associated with minimally invasive surgery and the lack of literature based on long-term outcomes, the procedure is still a long way from replacing open surgical techniques. To date, the incidence of complications with this updated technique has not been evaluated.Methods: The purpose of this systematic review was to determine the incidence of complications for the Lapidus procedure. We conducted a systematic review of electronic databases and relevant peer-reviewed sources as outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for the preparation of systematic reviews. Studies that included the minimally invasive surgical technique of Lapidus (or tarsometatarsal fusion), used fixation, had a minimum average follow-up of 6 months, and included complications were considered. Some of the studies included patients with concomitant procedures. The included studies did not report on comorbidities. Cadaveric studies, technique guides, and non-English studies were excluded.Results: A total of five studies were identified that met our inclusion criteria, with a total of 162 feet included. Total incidence of complications was 12.3% (n = 20) and the most commonly reported complications included hardware pain (n = 9), nonunion (n = 5), deformity recurrence (n = 3), and neurovascular injury (n = 3).Conclusions: Our systematic review revealed that this updated minimally invasive surgical technique provides a safe and reproducible surgical option for correcting deformities of the first ray requiring tarsometatarsal fusion, with an incidence of complications lower than what is currently reported in the literature for open variations of the procedure.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Removable and Nonremovable Off-Loading Devices. 可移动和不可移动卸载装置。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/21-119

Sarah L Carter, Jasmine H M Law, Nicole Seyler, Zixuan Tian, Michael Widjajana, Deborah Schoen

{"title":"Removable and Nonremovable Off-Loading Devices.","authors":"Sarah L Carter, Jasmine H M Law, Nicole Seyler, Zixuan Tian, Michael Widjajana, Deborah Schoen","doi":"10.7547/21-119","DOIUrl":"https://doi.org/10.7547/21-119","url":null,"abstract":"Background: Diabetic foot ulcers are associated with a 12-fold increased risk of lower-extremity amputations and increased mortality rates. Off-loading is one of the many crucial interventions involved in healing diabetic foot ulcers. This study investigates various off-loading devices: total-contact cast (TCC), removable TCC (R-TCC) with and without brace, and removable controlled ankle motion walker, with further subdivision of plantar foot regions.Methods: Previously collected deidentified data of 12 healthy participants from a study by Bhatt et al were used in the present study. Peak plantar pressure (PPP) of nine individual mask regions for each off-loading device were imported into a statistical software program for analysis.Results: Removable controlled ankle motion walker, TCC, and R-TCC with brace had significant PPP reductions compared with controls in eight of the nine regions of the foot, except for the nonsignificant increase in PPP of the medial midfoot region. The R-TCC with brace had a nonsignificant PPP reduction difference compared with the TCC for six of the nine regions.Conclusions: This study found new discoveries by further expanding on studies by Bhatt et al and subdividing the plantar foot into nine regions. The TCC remains the gold standard and first line of treatment for off-loading diabetic foot ulcers. These findings contradict those previously reported by Bhatt et al.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Cross-Sectional Analysis of the Quality of Onychomycosis Content on TikTok and YouTube. TikTok和YouTube上甲真菌病内容质量的横断面分析。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/24-063

Victoria Slavinsky, Jordan K Bui, Benjamin Tran, Thomas Stringer

引用次数: 0

Constrained Total Talonavicular Replacement with Subtalar Arthrodesis for Spontaneous Osteonecrosis of the Navicular and Talus. 约束型全距舟骨置换术加距下关节融合术治疗舟骨和距骨自发性骨坏死。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/24-013

Daniel Lowe, Joshua Faley, Vanessa Adelman, Ronald Adelman

{"title":"Constrained Total Talonavicular Replacement with Subtalar Arthrodesis for Spontaneous Osteonecrosis of the Navicular and Talus.","authors":"Daniel Lowe, Joshua Faley, Vanessa Adelman, Ronald Adelman","doi":"10.7547/24-013","DOIUrl":"https://doi.org/10.7547/24-013","url":null,"abstract":"This case involves a 35-year-old female who underwent a custom talonavicular replacement with subtalar fusion for spontaneous osteonecrosis of the navicular and talus. Preoperatively, she had an American Orthopedic Foot and Ankle Society (AOFAS) score of 42, a talocalcaneal height of 64.6 mm, and a talar declination angle of 23.6°. Imaging showed severe erosive changes in the talonavicular and anterior subtalar joints, with marrow edema throughout the navicular and anterior talus. The procedure involved removing the talus and navicular and replacing them with a titanium, nitride-coated talonavicular implant, secured by two 5.5-mm screws. One year postoperatively, her AOFAS score improved to 65, with a talar declination of 15.9° and a talocalcaneal height of 63.8 mm. She had an ankle range of motion with 12° dorsiflexion and 40° plantarflexion. Radiographs showed proper implant seating and no radiolucency. The patient expressed satisfaction with the outcome. This article aims to contribute to the literature on custom implants for severe deformities and pathologies on patients who wish to maintain motion within vital joints. In conclusion, it appears a custom-made talonavicular implant may be a viable solution for spontaneous osteonecrosis of the talus and navicular.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

One Surgeon's Experience with a Low-Opioid Postoperative Pain Protocol for Foot and Ankle Surgery. 一位外科医生使用低阿片类药物治疗足部和踝关节术后疼痛方案的经验。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/22-190

Thomas M Ehlers, Kevin Blue, Dustin L Kruse, Brett D Sachs

{"title":"One Surgeon's Experience with a Low-Opioid Postoperative Pain Protocol for Foot and Ankle Surgery.","authors":"Thomas M Ehlers, Kevin Blue, Dustin L Kruse, Brett D Sachs","doi":"10.7547/22-190","DOIUrl":"https://doi.org/10.7547/22-190","url":null,"abstract":"Background: The opioid epidemic has become incredibly problematic in the United States, leading to more than 80,000 deaths in 2021 alone. There are no studies in the foot and ankle surgery literature attempting to develop a multimodal low-opioid postoperative pain protocol. We present a retrospective evaluation of 20 patients who were prescribed a novel postoperative low-opioid protocol.Methods: Patients who underwent foot and ankle surgery were briefly counseled on expectations and were told to follow a protocol consisting of 400 mg of ibuprofen and 1,000 mg of acetaminophen every 6 hours (either together or alternating) with 15 mg of morphine sulfate immediate release for breakthrough pain.Results: Postoperative subjective pain scores using a visual analog scale from 0 to 10 and the number and type of oral dosing unit (tablets consumed) were taken from the medical record data. The average number of morphine milliequivalents taken among all of the patients during the postoperative period was 27.75. The mean total number of morphine sulfate immediate-release 15-mg tablets taken was 1.85. Average visual analog scale scores on days 3, 5, and 7 were 5.40, 4.50, and 2.25, respectively.Conclusions: This study demonstrates that there may be rampant overprescription of opioids after foot and ankle surgery and that there is a protocol with significantly less opioid burden that is not inferior to current regimens.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accuracy of Estimated Blood Loss on Common Operating Room Items Among Medical Professionals. 医疗专业人员常用手术室项目估计出血量的准确性

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-011

Bryanna D Vesely, Jennifer Kipp, Luke Leffler, Ashleigh W Medda, Nicholas S Powers, Cody D Blazek

{"title":"Accuracy of Estimated Blood Loss on Common Operating Room Items Among Medical Professionals.","authors":"Bryanna D Vesely, Jennifer Kipp, Luke Leffler, Ashleigh W Medda, Nicholas S Powers, Cody D Blazek","doi":"10.7547/23-011","DOIUrl":"https://doi.org/10.7547/23-011","url":null,"abstract":"Background: Hemostasis during surgery is a primary contributor to the patient's blood management. Accurate blood loss estimation from surgery can help teams with postoperative management. The goal of this study was to analyze the accuracy of medical workers' estimations of blood loss on different operating room items.Methods: A survey was sent out to medical students, residents, and attendings in a single academic institution. The survey asked participants to estimate the amount of simulated blood from pictures of a laparotomy sponge (lap), Ray-Tec sponge, towel, and drape.Results: There were 124 participants in the survey. All average estimations were greater than the actual amount of simulated blood on the operating room item. There was a statistically significant difference in estimations between students, residents, and attendings in all categories except Ray-Tec #1. The residents were closest in estimation in all categories; however, this was not statistically significant compared with attendings. When comparing the estimations of surgical and nonsurgical specialties, surgical specialties were the most accurate except for the estimation of laps.Conclusions: All in all, our study found a substantial overestimation of blood on operating room items by residents, students, and attending physicians. Our study suggests that estimation of surgical blood loss by analysis of soaked Ray-Tec sponges, laps, drapes, and towels may be inaccurate.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"115 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144506092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Os Subtibiale Displacement Secondary to Pronation-External Rotation Ankle Injury. 胫骨下移位继发于代偿-外旋踝关节损伤：病例报告。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-059

Deniz Aydin, Yasemin Kucukciloglu

引用次数: 0

Great Toe Joint Hemi-Implant Failure. 大脚趾关节半植入失败。

IF 0.5 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2025-05-01 DOI: 10.7547/23-023

James J DiResta, Angela Barnes

引用次数: 0