摘要:

Summary:Use of a hybrid bone graft consisting of bone marrow and blood mixed with a crushed cancellous allograft has been utilized in over 40 arthrodeses procedures in the foot and ankle over a l½-year period. The fusion rates appear to be equal to those of autograft, with less patient morbidity and the ability to obtain a much larger amount of graft material to solve difficult reconstructive situations. The technique is relatively easy. An incision roughly 1½″ long is made over the iliac crest. As much bone as possible is removed from a 1″ × 1-cm slot in the iliac crest, all of the bleeding bone marrow is saved, and 30-60 cc of a crushed cancellous allograft, depending on the amount of bone necessary, is fully saturated. We will discuss utilizing this technique in subtalar fusions

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:High-energy torsional injuries to the forefoot may result in severe disruption of the lateral column of the foot. Compression fractures of the cuboid or distallateral calcaneus are commonly associated with ligament injuries represented as joint subluxations and/or dislocations. Restoration of the lateral column may be achieved with the application of an external fixator device and adjunctive internal fixation. The details of this surgical technique are presented, as well as indications and contraindications

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Subtalar arthrodesis is a widely accepted treatment for deformity and arthritis of the subtalar joint. The most common methods of arthrodesis involve preparation of cancellous joint surfaces, bone grafting, and internal fixation. We describe in detail our preferred technique. Two specific indications for subtalar arthrodesis— calcaneal malunion and severe planovalgus associated with posterior tibial tendon dysfunction—are also discussed. We discuss our rationale and treatment of these specific conditions

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:The joints of the midfoot form a stable transverse and longitudinal arch but allow the forefoot to adapt to irregular surfaces upon stance and pushoff. The midfoot is affected by arthritis, fractures and dislocations, and subsequent deformity. Midfoot fusion is performed when conservative treatment fails to relieve pain or accommodate deformity. Preoperative workup prior to fusion may include examination, selective cortisone injections, x-rays, special stress x-rays, and computerized tomography (CT). In this fashion, the midfoot joints specifically requiring fusion are determined. Most fusions performed to relieve arthritis are resurfacing or “in situ” fusions. When gross deformity such as pes planus or cavovarus deformity exists, a midfoot wedge osteotomy with midfoot fusion is performed. There are many fixation devices for midfoot fusion: K-wire, Steinmann pins, screws, and plates. The author's preferred method of midfoot fusion using a mini condylar blade plate and mini Tplate is presented

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Triple arthrodesis of the calcaneocuboid, subtalar, and talonavicular joints is a well-established procedure in the treatment of complex disorders of the foot. Long-term follow-up studies have demonstrated that excellent results can be achieved, but the procedure requires careful preoperative planning, meticulous attention to detail, and technical precision. Complications of triple arthrodesis are primarily technique- dependent and include nonunion, malalignment, and degeneration of the adjacent, unfused articulations of the foot and ankle. This article presents our preferred technique for triple arthrodesis. It also identifies the causative factors leading to potential complications as well as measures to ensure their prevention

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Patients who have undergone a hindfoot arthrodesis may develop further difficulty secondary to malalignment. When this is the case, an analysis of the recurrent deformity will direct the surgeon as to the types of procedures required to afford a long-lasting correction. The goal is a pain-free, plantigrade foot

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Summary:Arthrodesis of the first metatarsophalangeal joint is recommended for rheumatoid arthritis, hallux rigidus, severe hallux valgus, traumatic arthritis, and in cases of neuromuscular instability secondary to head trauma, strokes, or cerebral palsy. Although there are a variety of ways to achieve arthrodesis of the first metatarsophalangeal joint, a successful result is most dependent on achieving a solid fusion in the correct position

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1996

数据来源: OVID