Clinics in podiatric medicine and surgery
-
Clin Podiatr Med Surg · Jul 2010
ReviewPlantar fasciitis: current diagnostic modalities and treatments.
Plantar fasciitis is a common cause of heel pain. The diagnosis is made clinically and validated with different diagnostic modalities ranging from ultrasound to magnetic resonance imaging. Treatments vary from stretching exercises to different surgical options. No single treatment is guaranteed to alleviate the heel pain.
-
Heel pain is a condition that is generally more common in the adult population. However, it is a condition that the foot and ankle specialist must be prepared to treat in pediatric patients. ⋯ The presenting signs and symptoms, as well as proper workup and treatment are discussed. Two case reports of unusual pediatric calcaneal fractures are also presented.
-
Clin Podiatr Med Surg · Apr 2010
Case ReportsSubtalar joint arthrodesis, ankle arthrodiastasis, and talar dome resurfacing with the use of a collagen-glycosaminoglycan monolayer.
Intraarticular fractures of the calcaneus are a common injury to the hindfoot leading to posttraumatic arthrosis of the subtalar joint. Operative treatment with reduction and internal fixation at the time of initial presentation and once the soft tissue envelope is deemed suitable has become the standard of care for the surgical management of calcaneal fractures. However, numerous complications have been associated with calcaneal fractures, most notably subtalar joint arthrosis and calcaneal malunion. The authors describe a method of a delayed subtalar joint arthrodesis, ankle joint arthrodiastasis, and talar resurfacing with positive results for the management of painful posttraumatic concomitant arthrosis of the subtalar and ankle joints.
-
Clin Podiatr Med Surg · Apr 2009
ReviewTibiotalocalcaneal arthrodesis for salvage of severe ankle degeneration.
Tibiotalocalcaneal arthrodesis is a successful and proven surgical procedure for patients who have significant arthritic changes, deformity, and failed previous operations. Surgical technique varies depending on the type of fixation. ⋯ Correction of the deformity with appropriate joint preparation and stable fixation is important for a good outcome. Other adjunctive materials, such as bone growth stimulators and orthobiologics, should be used appropriately to ensure adequate primary arthrodesis.
-
Arthroscopic ankle arthrodesis provides the foot and ankle surgeon with an alternative to traditional open techniques. Advancements in arthroscopic techniques and instrumentation have made the procedure easier to perform. ⋯ This article reviews the literature on the subject and discusses the procedure's indications and contraindications, and surgical technique. It concludes that while total ankle replacement continues to grow in popularity, arthroscopic ankle arthrodesis is a viable alternative for management of the end-stage arthritic ankle.