Foot & ankle surgery (New York, N.Y.)最新文献

{"title":"The Cole Osteotomy: Maximizing Sagittal Plane Cavus Correction","authors":"Kelly McKeon DPM, AACFAS,&nbsp;Brent Blanck-Singer DPM, AACFAS,&nbsp;Craig Camasta DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100421","DOIUrl":"10.1016/j.fastrc.2024.100421","url":null,"abstract":"<div><h3>Purpose</h3><p>Pes cavus can be a debilitating and painful condition requiring surgical intervention. There are many contributing factors to take into account when addressing the deformity. This study documents 21 cases of cavus foot reconstruction using the Cole osteotomy as the primary procedure for feet with an apex of deformity in the midfoot, demonstrating its powerful corrective capabilities.</p></div><div><h3>Case study</h3><p>16 Patients (21 Feet) (13 female, 3 male) (Ages 16–55, average age 36.8 years) underwent Cole osteotomy for midfoot driven pes cavus. Secondary procedures include: Hammertoe Arthrodesis (7/21), 1st Metatarsal DFWO (6/21), Plantar Fasciotomy (5/21), Tarsal Tunnel Release (3/21), Posterior Calcaneal Spur Resection (3/21), Ankle Ligament Repair (1/21). All patients had preand post-operative measurements of calcaneal inclination and Meary's angle.</p></div><div><h3>Results</h3><p>Mean pre-op calcaneal inclination angle 17°, mean post-op calcaneal inclination angle 7.75°, for an average of 9.25° of correction. Mean pre-op Meary's angle 23.25°, mean post-op Meary's angle 5.5°, for an average of 17.75° of correction.</p></div><div><h3>Analysis and discussion</h3><p>The Cole midfoot osteotomy is an underutilized procedure, and when done correctly can vastly improve deformity and function. All patients in the series had significant pain relief, and all patients with bilateral deformities returned for the contralateral foot. The procedure demonstrates substantial sagittal plane correction that is difficult to obtain by other means. The full write up includes critical detailed steps articulating vital insights to the success of the procedure.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 4","pages":"Article 100421"},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000612/pdfft?md5=d6a853b1294e9615359acf9f2195ded8&pid=1-s2.0-S2667396724000612-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142173329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Charcot reconstruction using a novel intramedullary nail along the medial column: 3-5 year follow-up results","authors":"Jeffrey Loveland DPM, FACFAS ,&nbsp;Aaron Mates MD","doi":"10.1016/j.fastrc.2024.100424","DOIUrl":"10.1016/j.fastrc.2024.100424","url":null,"abstract":"<div><p>Charcot neuroarthropathy is a destructive, chronic disease of the bone structure and joints, and is identified in patients experiencing peripheral neuropathy, frequently associated with diabetes. The foot and ankle are most impacted by Charcot neuroarthropathy; whereas the goal of management is to stabilize the joint to avoid pedal collapse, infection, and foot amputation. Novel surgical approaches and hardware have shown promise in achieving these goals, allowing patients to return to ambulation, while avoiding late-stage complications. This multicenter, retrospective, consecutive case series reviewed individuals with midfoot Charcot neuroarthropathy who underwent surgical reconstruction using a novel locking intramedullary nail (LIN) in the medial column with at least 36 months of follow-up. Patients were treated between 2019 and 2021.</p><p>This report presents data and outcomes on 30 patients with Charcot disease treated with a LIN to achieve stability and fusion along the medial column of the reconstruction, with 36-60 months of follow-up data. Of these patients, 93.3% (n = 28) demonstrated complete (multiple joint) fusion along the medial column while there were zero nonunions. Overall, the mean time to fusion was 14.1 weeks (range 10-18 weeks) and 18.1 weeks mean time to functional braced-weightbearing (range 12-28 weeks). Overall, this retrospective review investigated the long-term use of a novel LIN in Charcot neuroarthropathy patients. The success of this LIN was demonstrated by the rate of fusion and time to functional braced-weightbearing, and safety was demonstrated by the low incidence of adverse events. Overall, these results indicate that use of a LIN within the medial column to be successful in the surgical reconstruction of an unstable midfoot Charcot deformity.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 4","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000648/pdfft?md5=1115108feeacf80f7c6e53384e1dc41a&pid=1-s2.0-S2667396724000648-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibial cortex transverse transport corticotomy: A case series on a novel approach to limb salvage in the setting of peripheral vascular disease","authors":"Matthew A. Peter DPM ,&nbsp;Shane Sato DPM ,&nbsp;Michael H. Theodoulou DPM","doi":"10.1016/j.fastrc.2024.100420","DOIUrl":"10.1016/j.fastrc.2024.100420","url":null,"abstract":"<div><p>Lower extremity wounds complicated by chronic limb threatening ischemia (CLTI), especially in the setting of diabetes mellitus, present significant challenges, often leading to delayed healing and increased risk of amputation with limited treatment modalities. The tibial transverse transport corticotomy technique is a novel approach and a promising intervention for severe diabetic foot ulcers (DFU). Three cases illustrate successful outcomes with the described procedure in which healing was challenged through conventional treatment methods. The tibial transverse transport corticotomy offers hope as an effective treatment modality for cases of severe diabetic foot ulcer, complicated by CLTI, to improve wound healing and limb salvage in the lower extremity.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 4","pages":"Article 100420"},"PeriodicalIF":0.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000600/pdfft?md5=9c28f91fdfd2f23d1bfdc5055f698126&pid=1-s2.0-S2667396724000600-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142167795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pure subtalar dislocations: About 7 cases and a review of the literature","authors":"Imad Jadib ,&nbsp;Abdeljabbar Messoudi,&nbsp;Omar Bensitel,&nbsp;Abderrahim Rafaoui,&nbsp;Mohammed Rahmi,&nbsp;Mohamed Rafai","doi":"10.1016/j.fastrc.2024.100419","DOIUrl":"10.1016/j.fastrc.2024.100419","url":null,"abstract":"<div><p>Isolated acute traumatic subtalar dislocations are fairly rare. They correspond to the talar luxation, including the talonavicular and subtalar joints. The aim of this study was to evaluate the functional and radiological outcomes of conservative treatment after pure subtalar dislocation. The current retrospective study included 7 patients who had an isolated subtalar dislocation over a 5-year period. Of the 7 cases, 6 (85.7 %) had medial dislocations and 1 (14.28 %) had lateral dislocations. All patients underwent immediate closure reduction under anesthesia, followed by immobilization. No open reduction was needed. The mean follow-up was 38.2 months (range 23–53 months). The American Orthopedic Foot and Ankle Society ankle hindfoot mean score was 83 out of 100 points (range 71–91 points). Subtalar mobility was decreased in 3 patients (42.8 %). Subtalar osteoarthritis was seen in 1 case (14.28 %). There were no cases of avascular necrosis of the talus. Published data show that the prognosis for isolated acute traumatic subtalar dislocation is favorable. Medial dislocations are more common than lateral dislocations. Emergent closure reduction allows the removal of soft tissue injuries. The risk of posttraumatic subtalar osteoarthritis is significant, even in the absence of an initial subtalar lesion. Computed tomography after reduction allows the diagnosis of osteochondral lesions.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100419"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000594/pdfft?md5=ecc58de62b1ece943c36cff3809e2e24&pid=1-s2.0-S2667396724000594-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142089404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subungual exostosis and chronic onychocryptosis: An intricate relationship - clinical review and management","authors":"David T. Weiss DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100414","DOIUrl":"10.1016/j.fastrc.2024.100414","url":null,"abstract":"<div><p>Subungual exostosis (SE) is a relatively common benign bone tumor occurring primarily in the distal phalanx of the toes, particularly the hallux. Nail deformities, such as onychocryptosis / paronychia, can present concurrently, leading to complex clinical scenarios. Although SE and onychocryptosis are separate conditions, their clinical presentations can sometimes overlap, mainly when SE occurs under the nail bed, leading to nail deformation and subsequent ingrowth. When an ingrown toenail accompanies SE, the situation can become more complex due to increased pain and risk of infection. Diagnosis in these cases requires careful clinical examination and imaging studies. Any surgical intervention for the SE should consider concurrent pathological nail growth and nail bed abnormalities. The ultimate treatment goal is restoring normal anatomy, including salvage of the nail plate.</p><p>Given these conditions' potential overlap and shared symptomatology, clinical vigilance is essential for appropriate diagnosis and treatment.</p><p><em>This paper reviews the interplay between these conditions, their combined impact on patient morbidity, and effective surgical management strategies.</em></p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100414"},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000545/pdfft?md5=631cf13e11d360454f4fa961aa1126e9&pid=1-s2.0-S2667396724000545-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of abductor digiti minimi muscle flap and synthetic electrospun fiber matrix after resection of osteomyelitis of fifth metatarsal: A two-patient case report","authors":"Shrunjay R. Patel","doi":"10.1016/j.fastrc.2024.100418","DOIUrl":"10.1016/j.fastrc.2024.100418","url":null,"abstract":"<div><p>Diabetic patients often experience lower extremity wounds resulting from foot deformity, poor circulation and neuropathy. Conditions such as gangrene or osteomyelitis often require surgical intervention resulting in large tissue defects. Use of a muscle flap may be considered to fill in the wound defect, cover exposed bones, and bring in well vascularized tissue to the area. Synthetic electrospun fiber matrix (SEFM) offers a unique construct to augment these flap procedures and allows for quicker wound healing. In the present two-patient case report, patients underwent SEFM-augmented abductor digiti minimi muscle flaps to encourage healing of large surgical defects on the lateral foot. Both patients presented with gangrenous and infected wounds requiring surgical resection and debridement of fifth metatarsal to address underlying osteomyelitis and necrotic bone. Subsequently, proximally or distally based abductor digiti minimi muscle flap was performed and the SEFM was then applied over the muscle flap. Both wounds achieved closure at around 14 weeks without complication. Use of the SEFM in conjunction with perforator-based muscle flaps represents a novel approach in treating poorly vascularized surgical wounds in a challenging patient population.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100418"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000582/pdfft?md5=2309efdcbb7e0b77ee24fd1c3bbb7a36&pid=1-s2.0-S2667396724000582-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142044304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The advantages of a dual incisional approach for talonavicular joint preparation: A cadaveric comparison study","authors":"Hayden L. Hoffler DPM, AACFAS ,&nbsp;Bryan Raymond DPM, AACFAS ,&nbsp;Bryanna D. Vesely DPM, MPH ,&nbsp;Joni K. Evans MS ,&nbsp;Cody D. Blazek DPM, FACFAS ,&nbsp;Trevor E. Black DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100416","DOIUrl":"10.1016/j.fastrc.2024.100416","url":null,"abstract":"<div><p>This cadaveric study assessed common areas that were missed during talonavicular (TN) joint preparation. The purpose was to demonstrate to foot and ankle surgeons that an accessory incision can help prepare the lateral aspect of the joint to optimize the chances of a successful arthrodesis. We not only assessed the quadrants that were least likely prepped, but also the difference in surface area prepped between one and two incision approaches. Twenty cadavers in total were prepared by two fellowship-trained foot and ankle surgeons. The percentage of the unprepared cartilage in the talonavicular joints were calculated. It was found that both the dorsolateral and plantar lateral quadrants were more likely to have unprepared surfaces, with plantar lateral being the least prepped. The additional incision led to a decrease in the percentage of total unprepared surface. The results of the present study suggest that there is an advantage to prepping the talonavicular joint with both a medial and lateral incision to ensure all cartilage is denuded so a successful arthrodesis can be obtained.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100416"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000569/pdfft?md5=57dd294638da8bfb91c0971ef93d06c4&pid=1-s2.0-S2667396724000569-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcome following repair of a tibial nerve transection resulting from total ankle arthroplasty: A case report","authors":"Michelle K. Yoakim DPM (Chief Resident) ,&nbsp;Gregory P. Still DPM, FACFAS","doi":"10.1016/j.fastrc.2024.100417","DOIUrl":"10.1016/j.fastrc.2024.100417","url":null,"abstract":"<div><p>Tibial nerve injury is a rare complication of total ankle arthroplasty (TAA) that has been outlined in the literature. However, the literature is sparse regarding the treatment of iatrogenic tibial nerve injury in situations of delayed diagnosis. This case report highlights a nerve repair technique using a nerve graft for a severe complication associated with total ankle arthroplasty. Our patient had a TAA in November 2021, and presented to our clinic in March 2022 with loss of sensation and increasingly rapid loss of the motor function in the tibial nerve distribution. Nerve conduction and electromyography studies revealed injury to the deep peroneal and tibial nerves at the lower leg. Surgical intervention revealed a large neuroma-in-continuity with near complete transection of the tibial nerve. She subsequently underwent large neuroma excision, and tibial nerve repair with nerve graft. This procedure resulted in almost complete reversal of symptoms including pain relief and improvement in motor function. While tibial nerve injury during TAA is rarely reported, it is likely unrecognized or misdiagnosed resulting in significant complication for patients. Where complete or near-complete nerve transection results in neuroma formation, we recommend repair using a nerve graft as neuroma resection with end-to-end repair has been shown to have high failure rates with recurrence in the foot. Nerve grafts reduce the risk of recurrent symptomatic neuromas by allowing nerve endings to exhaust any subsequent outgrowth.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100417"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000570/pdfft?md5=6b30f2d840646bce82b186d84fa268fa&pid=1-s2.0-S2667396724000570-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orthoplastic management of complex bone and soft tissue pathology with a fully radiolucent circular external fixation system","authors":"Christopher Bibbo DO, DPM, FACS, FAAOS, FACFAS (Chief, Foot & Ankle & Limb Salvage, Reconstructive Plastic & Microsurgery, Orthopaedic Trauma, MSK Infection),&nbsp;Jeremy Dubin BA (Research Fellow)","doi":"10.1016/j.fastrc.2024.100412","DOIUrl":"10.1016/j.fastrc.2024.100412","url":null,"abstract":"<div><h3>Introduction</h3><p>The typical circular external fixator possesses radiodense multi-level ring tibial blocks ad struts for stability, even in patients with intact osseous architecture. We analyzed the applications and outcomes of a fully radiolucent limited ring external fixation in the orthoplastic management of complex bone and soft tissue pathology.</p></div><div><h3>Methods</h3><p>Consecutive patients were selected and followed, and data collected during the use of a fully radiolucent external fixation system in patients without large segment tibial bone loss. Basic patient demographics, risk factors, body mass index, the clinical indication, the use of external fixator, and time in external fixation were analyzed. All patients underwent early mobilization with full weight bearing with an assistive device. Any untoward external fixator complication and outcome was recorded. Institutional Review Board approval was obtained.</p></div><div><h3>Results</h3><p>There were nine patients with a mean age of 44 (range = 22–73) with a mean follow-up of 17 months (range-6–26 months). Fifty-six percent were enrolled in the study who all received a two-ring radiolucent external fixation device. All patients had risks for external fixation complications with 89 % possessing multiple risk factors. Four patients (44 %) had neuropathy from the mid tibia to the foot. Bone stabilization was performed for 67 %, soft tissue offloading/limb stabilization for 55 %, a combination of bone and soft tissue stabilization for 33 % of patients.</p></div><div><h3>Conclusion</h3><p>Lightweight radiolucent circular external fixation of the lower extremity in patients without intercalary bone loss can provide satisfactory stability and allow early mobilization with minimal component complications. The added advantage of having radiolucent rings and struts allows for better visualization of osseous structures such as fractures care and fusions. The ability to manipulate foot position required for a particular bone/soft tissue reconstruction is also possible.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100412"},"PeriodicalIF":0.0,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000521/pdfft?md5=635194e40214e7748f8dae22683e96e7&pid=1-s2.0-S2667396724000521-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis of three neoplasms to the bilateral lower extremities in the presence of invasive ductal carcinoma of the right breast: A case study","authors":"Jaclyn D. Wessinger DPM,&nbsp;Elaine O'Donnell DPM,&nbsp;Ellianne Nasser DPM","doi":"10.1016/j.fastrc.2024.100415","DOIUrl":"10.1016/j.fastrc.2024.100415","url":null,"abstract":"<div><p>Literature reports cutaneous metastatic carcinoma as an uncommon finding. This foreboding phenomenon accounts for 0.7%-9% of metastases and may foreshadow a grim prognostic outcome. Ductal-type breast cancer is associated with an increased incidence of cutaneous metastasis in women. Current literature documents cutaneous malignancy to the chest wall or surrounding anatomic locations however there is no literature that currently details three forms of cutaneous manifestations to the lower extremities.<span><span>¹</span></span></p><p>A 62-year-old diabetic female received a routine mammogram yielding an architectural distortion within the right breast. Biopsy revealed infiltrating carcinoma. The patient underwent a mastectomy, axillary sentinel node biopsy and dissection. Pathology results yielded multifocal disease with positive lymph nodes. The patient was placed on an oral chemotherapeutic agent with adjutant radiation. She began outpatient podiatric treatment for venous leg ulcerations with concomitant cellulitis and lymphedema from December 2020 through 2022. The patient noted chronically inflamed and bleeding lesions with slow response to treatment despite use of appropriate modalities including compression, unna boot application, antibiosis, and topical steroids.</p><p>In June of 2022, a verrucous outpouching of tissue was noted to the right lateral leg. A punch biopsy yielded irregular glassy islands with keratinocyte atypia consistent with invasive squamous cell carcinoma. Furthermore, the patient was found to have malignant melanoma to her left thigh and recurrent basal cell carcinoma nodular type to the left lateral leg. The patient was referred to dermatology and plastic surgery for excision of lesions with Mohs surgery. She maintains perpetual observation via podiatry, dermatology, and hematology/oncology.</p></div>","PeriodicalId":73047,"journal":{"name":"Foot & ankle surgery (New York, N.Y.)","volume":"4 3","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667396724000557/pdfft?md5=6ebaa73ee533a98de3ddd996e7406776&pid=1-s2.0-S2667396724000557-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}