J Kramer, L D Barry, D N Helfman, J A Mehnert, V M Pokrifcak
{"title":"The modified Scarf bunionectomy.","authors":"J Kramer, L D Barry, D N Helfman, J A Mehnert, V M Pokrifcak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Scarf bunionectomy offers the surgeon the ability to correct a mild to moderate intermetatarsal angle with the stability inherent to this procedure. When an increased proximal articular set angle is encountered, this procedure could previously only address either the increased intermetatarsal angle or the increased proximal articular set angle. The authors' modifications will incorporate the best attributes of the Scarf, Reverdin, and McBride bunionectomies to allow for concomitant correction of the osseous and soft tissue components of the hallux abducto valgus deformity. The authors' experience with 27 of these procedures performed on 15 different patients from 1987 to 1991 is presented.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"360-7"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12574473","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 G Schatz, J D Dipaola, A D'Agostino, R Hanna, S F Quinn
{"title":"Intraosseous lipoma of the calcaneus.","authors":"S G Schatz, J D Dipaola, A D'Agostino, R Hanna, S F Quinn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intraosseous lipomas of the calcaneus are an extremely rare entity and appear radiographically very similar to many other lesions affecting the foot. A case report followed by a brief discussion of the etiology, clinical, pathologic, and radiologic findings is presented. The authors emphasize the importance of magnetic resonance studies as a definitive noninvasive diagnostic modality.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"381-4"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12573783","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":"First metatarsophalangeal joint arthrodesis with the Truncated Cone Reamer System.","authors":"G S Shim, I Pikscher, N Frankel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This manuscript introduces to the podiatric community the Truncated Cone Reamer (TCR) System for precise fashioning of the first metatarsal and proximal phalanx for a first metatarsophalangeal joint peg-in-hole type arthrodesis. As the name of the system suggests, the device reams out a truncated male cone at the metatarsal head and a corresponding female cone at the phalangeal base in the desired position. There is congruous cancellous bony contact at all apposing surfaces of the truncated cone for bony consolidation. The peg-in-hole intrinsically confers the arthrodesis stability. The authors present a step-by-step use of the TCR system, and a 1 year follow-up case study in which the TCR system was used as a template.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"342-9"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12574471","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":"Recurrent tarsal tunnel syndrome.","authors":"D T Zahari, P Ly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors review two cases of recurrent tarsal tunnel syndrome. The patients had prior surgical tarsal tunnel releases with complete resolution of symptoms before ankle injuries resulting in recurrent tarsal tunnel syndrome. Tarsal tunnel is reviewed.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"385-7"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12573791","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":"Podiatric considerations of angioleiomyoma.","authors":"A J Visalli, D J McCarthy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Angioleiomyoma is a benign soft tissue tumor that originates from the smooth muscle of blood vessels. Such lesions must be differentiated from fibroma, lipoma, ganglionic cyst, glomus tumor, neurofibroma, leiomyosarcoma, and phlebitis. These masses appear as encapsulated, glistening nodules that ordinarily respond well to surgical excision. It will be the intent of the present study to review the clinical and histological characteristics of angioleiomyomas as they may appear in podiatric practice.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"372-7"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12573780","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":"Verrucous carcinoma: epithelioma cuniculatum plantare.","authors":"P J Smith, J H Hylinski, S Axe","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Verrucous carcinoma is a well-differentiated form of squamous cell carcinoma. This tumor has been shown to mimic a variety of other skin lesions with its insidious onset and apparently benign course. Early detection and a thorough histologic examination of this growth aid in proper diagnosis, treatment, and reduction in morbidity. An interesting case history and literature survey are presented to facilitate diagnosis and treatment of this rare pedal neoplasm.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 4","pages":"324-8"},"PeriodicalIF":0.0,"publicationDate":"1992-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12574470","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 E Mancuso, S P Abramow, W B Bloom, M P Carioscia, M J Landsman
{"title":"Smooth Kirschner (K) wire fixation of distal metaphyseal osteotomy bunionectomies: a 10-year retrospective survey.","authors":"J E Mancuso, S P Abramow, W B Bloom, M P Carioscia, M J Landsman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors reviewed 500 distal metaphyseal osteotomy bunionectomies with smooth Kirschner (K)-wire fixation performed over a 10-year period. Postoperatively, the patients were allowed to ambulate with a forefoot compression bandage and a semirigid surgical shoe. The cases were evaluated radiographically for malunion, delayed union, nonunion, aseptic necrosis, bone callus formation, and final alignment. Soft tissue and bone infection, as well as pin irritation, were also evaluated. Computation of results demonstrated eight malunions, one delayed union, no nonunions, and two cases of aseptic necrosis. There were 52 cases (10.4%) that led to bone callus formation; 54 patients (10.8%) experienced pin irritation. A total of seven infections occurred (1.4%) that could possibly be attributed to the pin, of which four (0.8%) required incision and drainage. It was observed that certain procedures, such as the Laird osteotomy, decreased the effectiveness of the K-wire, while others, such as the Chevron osteotomy, resulted in the fewest complications. Bunionectomies performed bilaterally or with adjunct procedures, in contrast to isolated bunionectomies, were also found to decrease the effectiveness of the K-wire. Due to the minimal number of complications that were encountered and the high success rate that was attained, the authors conclude that utilization of smooth K-wire fixation for distal metaphyseal osteotomy bunionectomies remains a viable and effective treatment alternative.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 3","pages":"276-84"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12785676","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":"An assessment of oblique base wedge osteotomy stability in the first metatarsal using different modes of internal fixation.","authors":"A S Landsman, H W Vogler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The modified Juvara osteotomy is a classic oblique base wedge osteotomy of the first metatarsal and is often used to reduce hallux valgus deformity. However, complications attributed to osteotomy instability and currently available modes of osteosynthesis are common. The authors have developed a technique that enables them to quantitatively and objectively evaluate the stability of this osteotomy when various modes of internal fixation are used. Stability testing was performed on fresh, previously frozen human cadaveric specimens using engineering principles. Results indicate that there is no statistically significant difference in stability between crossed 0.062-inch Kirschner wire fixation and internal fixation using a single 3.5-mm. cancellous screw. The tests also indicate that both of these techniques are superior to two 2.7-mm. cortical screws for stability.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 3","pages":"211-8"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12785665","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}
P Gebuhr, M Soelberg, T Larsen, B V Niclasen, N O Laursen
{"title":"McBride's operation for hallux valgus can be used in patients older than 30 years.","authors":"P Gebuhr, M Soelberg, T Larsen, B V Niclasen, N O Laursen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over a 10-year period, 46 feet with hallux valgus in 36 patients were treated with the McBride procedure. The median age was 35 years. At follow-up of 2 to 11 years after operation, a reduction in the hallux valgus angles, the intermetatarsal angles and the width of the forefeet was found. In patients older than 30 years there were significant reductions. In patients younger than 30 years, the reduction was not significant. The rate of problems with daily footwear was reduced from 36 of 46 feet to 13 of 38 feet. The authors noted few problems and a high rate of satisfied patients, despite the age. In 37 of 46 feet the overall result was found satisfactory by the patients. The authors find that McBride's operation can be used for hallux valgus, also in patients above 30 years, in spite of the generally accepted restriction to younger individuals.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 3","pages":"241-3"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12785669","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":"A unique osteochondral fracture of the first metatarsophalangeal joint.","authors":"S J Wertheimer, J E Balazsy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Presented is a case report of an osteochondral fracture occurring at the base of the proximal phalanx of the hallux secondary to trauma. Initial radiographic and clinical examination did not reveal the diagnosis. However, prolonged symptoms of pain, swelling, and limitation of first metatarsophalangeal joint range of motion led to further radiographic evaluation, which confirmed a suspected diagnosis of an osteochondral fracture. This is regarded as a most interesting case by the authors, in light of the fact that review of the literature revealed a paucity of descriptions of osteochondral fracture of the first metatarsophalangeal joint. In addition, all of the previously described lesions have been localized to the first metatarsal head. A review of the literature failed to reveal any fractures occurring at the base of the proximal phalanx of the hallux.</p>","PeriodicalId":76649,"journal":{"name":"The Journal of foot surgery","volume":"31 3","pages":"268-71"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12785674","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}