Clinics in podiatric medicine and surgery
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Stress fractures of the foot and ankle are common injuries that require a high index of suspicion to make the appropriate diagnosis. If required, advanced imaging modalities should be used to establish the diagnosis. ⋯ A fitness plan must be developed with the runner to ensure that strength, flexibility, and cardiovascular conditioning are maintained during this period. Ideally the physician should develop this plan with the runner and not dictate the type of activity that is used to obtain these goals.
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The intent of this article is to present the current understanding of fracture repair and offer investigative evidence to the use of exogenous growth factors enhancing fracture healing. The authors believe that exogenous growth factors have tremendous clinical applications and will continue to influence bone healing in the future. With the expanding knowledge of the intricate molecular and cellular biology of fracture repair being realized, surgeons will be able to enhance and ensure healing of surgical osteotomies, fractured bone ends, or delayed unions. This field of medicine is continuously growing and the possibilities seem endless.
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Clin Podiatr Med Surg · Oct 2000
ReviewPentoxifylline. Adjunctive therapy in the treatment of pedal frostbite.
Frostbite injury to the extremities has the potential for disastrous effects. Prompt recognition and treatment are paramount. The use of Pentoxifylline to minimize tissue damage in the treatment of frostbite is a viable addition to the traditional therapy of rewarming soaks, pain management, and vesicle débridement. ⋯ The dosage of Pentoxifylline in controlled release tablet form is one 400 mg tablet three times a day with meals. The duration of treatment should be from two to six weeks. As this drug has many actions and therefore possibilities, more research is warranted with regards to its use not only with frostbite, but with other pathological processes.
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Clin Podiatr Med Surg · Jan 2000
The use of the hybrid external fixator system in the foot and ankle.
The proper techniques of external fixation are demanding regardless of the type of external fixator used. Attention to detail, including preoperative planning and strict postoperative care, is essential to maximize the advantages and minimize the disadvantages associated with external fixation.
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Clin Podiatr Med Surg · Jan 1999
ReviewPeripheral nerve surgery of the foot and ankle. A review of current principles.
Planning for peripheral nerve surgery requires consideration of a multitude of factors, as well as a surgeon's meticulous skill and experience. With so little room for error, every advantage must be taken to optimize repair. Peripheral nerve surgery of the foot and ankle is an underappreciated area of neurosurgery with comparatively limited published reports and data. The authors reviewed the current trends in the surgical management of peripheral nerve injuries of the foot and ankle in the hope that an understanding of the basic principles involved will allow for future study of the results of such surgery by more surgeons who deal with these problems.