{"title":"The interpositional arthroplasty procedure in treatment of degenerative arthritis of the second metatarsophalangeal joint.","authors":"L A Lavery, L B Harkless","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A description of subjective and objective results in patients that received an interpositional arthroplasty procedure of the second metatarsophalangeal joint is presented. The authors evaluated nine patients using an observational, descriptive design. An independent examiner administered a subjective questionnaire at the same time a physical examination was performed. The average follow-up period was 35.5 months, with a range of 7 to 142 months. All patients showed an improvement in postoperative pain and activity. All but one of the patients rated their results as good or excellent. Additionally, the patient population demonstrated limited motion of the second metatarsophalangeal joint without pain or crepitus postoperatively. The subjective and objective results from this small case series were consistently good.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"590-4"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12638730","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}
M Borovoy, M J Goldberg, G Mack, J Lehman, C Byrne
{"title":"Postoperative cellulitis of the foot and lower leg following coronary bypass.","authors":"M Borovoy, M J Goldberg, G Mack, J Lehman, C Byrne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Greater saphenous vein grafts are standardly used for coronary artery bypass grafting. Recurrent acute cellulitis of the saphenous vein-donor extremity is an infrequently reported complication. The authors present a protocol designed to reduce the incidence of the recurrent cellulitis through proper preoperative assessment and postoperative management.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"544-7"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12638764","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}
R A Pollak, R A Bellacosa, N C Dornbluth, W W Strash, J M Devall
{"title":"Sonographic analysis of Morton's neuroma.","authors":"R A Pollak, R A Bellacosa, N C Dornbluth, W W Strash, J M Devall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective study was performed whereby 73 patients exhibiting clinical symptoms of 109 Morton's neuromas were examined using ultrasound. Reproducible hypoechoic densities were identified as neuromas if they measured greater than 5 mm. in transverse dimension, with those 4 mm. or less in dimensions called \"suspicious\" if they were well-defined and if the patient had marked pain in the examined interspace. Sixty of the neuromas were surgically excised, with 49 being managed conservatively. Of the surgical cases, all but three (95%) of the neuromas were positively identified on sonographic examination and all excised masses demonstrated pathological findings consistent with Morton's neuroma. Thirty-nine percent of the conservatively treated neuromas were negative on sonogram. The average sonographic size of the resected neuromas was 6.2 mm., while the size of those not resected averaged 4.9 mm. This study provides evidence that preoperative sonography is an additional aid in the evaluation of Morton's neuroma, and reaffirms previous evidence that symptomatic neuromas are likely to be at least 5 mm. in diameter on sonogram.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"534-7"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12638768","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}
{"title":"Magnetic resonance arthrography of the ankle.","authors":"D P Mayer, R M Jay, H Schoenhaus, S Ruiz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Magnetic resonance (MR) arthrography is a useful technique in evaluating the articular structures of the ankle. With intra-articular administration of gadolinium-DTPA (Gd-DTPA), visualization and delineation of anatomic structures, that would not be depicted by other traditional imaging techniques, are achieved. It is a technique that proves to be advantageous as it does not require the use of ionizing radiation, nor iodinated contrast material as other conventional diagnostic modalities. MR arthrography also allows multiplanar imaging and provides excellent resolution.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"584-7"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12638733","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}
{"title":"Isolated transverse rupture of the peroneus brevis tendon treated with a free split-thickness tendon graft.","authors":"K R Springer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While tendon ruptures are common, isolated transverse rupture of the peroneus brevis is an unusual occurrence. The etiology and diagnosis will be discussed in this manuscript. Also, the surgical treatment by use of a free split thickness tendon graft will be reviewed.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"595-8"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12534426","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}
{"title":"Propofol (Diprivan)--a new intravenous anesthetic with applications for outpatient ambulatory surgery.","authors":"D Bocian, S French","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the literature pertaining to propofol (Diprivan) is presented. An overview of the drug's pharmaceutical aspects, pharmacokinetic, and pharmacodynamic properties, as well as its side effect profile are discussed. The qualities of Propofol make it an appealing alternative intravenous anesthetic for outpatient ambulatory surgery.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"603-6"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639230","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}
{"title":"Close range shotgun wounds to the foot.","authors":"B W Butler, S J Wertheimer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Presented in a case report of a close range shotgun wound. The nature, description, management, and long-term treatment of these wounds are discussed. Also presented are the reasons for the differences in short- versus long-range shotgun wounds.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"578-83"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12534514","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}
{"title":"One of the most feared complications of surgery is infection.","authors":"L B Harkless","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"533"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12638766","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}
J Guadara, A Sergi, V Labruna, M Welch, P L Gazivoda
{"title":"Transformation of plantar verruca into squamous cell carcinoma.","authors":"J Guadara, A Sergi, V Labruna, M Welch, P L Gazivoda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present a case study of a long standing plantar verruca undergoing malignant transformation to a squamous cell carcinoma. This case depicts the rapid change in a plantar verruca of some 20 years' duration without any prior symptomatology. Such malignant change, while rare, can occur and any change in the color, shape, size, or sudden onset of pain in a benign lesion should constitute the consideration of possible malignancy.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 6","pages":"611-4"},"PeriodicalIF":0.0,"publicationDate":"1992-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12639232","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}
S V Wilkinson, R O Jones, L E Sisk, K F Sunshein, J W Van Manen
{"title":"Austin bunionectomy: postoperative MRI evaluation for avascular necrosis.","authors":"S V Wilkinson, R O Jones, L E Sisk, K F Sunshein, J W Van Manen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors used magnetic resonance imaging (MRI) to evaluate the formation rate of avascular necrosis following performance of 20 modified Austin bunionectomies. Five modified McBride bunionectomies without first metatarsal osteotomy were also performed as an MRI control. Results showed an avascular necrosis formation rate of 50%. The majority of the avascular necrosis areas were found dorsally within the cancellous bone substance of the first metatarsal head. These lesions, in all cases, did not cause any patient disability or result in any decline in the degree of patient satisfaction. The MRI positive avascular necrosis evaluations do suggest potential problem areas with the surgical technique that may be eliminated through further modification of the classic Austin bunionectomy procedure.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 5","pages":"469-77"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12601817","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}