The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
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A retrospective study was undertaken to determine the importance of performing noninvasive blood flow studies on the diabetic patient population prior to undergoing elective foot surgery. Thirty diabetic patients, contemplating elective foot surgery, underwent noninvasive blood flow studies. Eighty-seven percent of these patients, with ankle/brachial indices greater than 0.6, successfully healed after surgery was performed.
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Complications from lower extremity pneumatic tourniquet use can range from transient to devastating. A major factor that can lead to complications is simply the applied site pressure. Recent advancements in tourniquet design, including increased width and curve allow for consistent hemostasis at pressures as low as 200 mm. ⋯ The Zimmer Automatic Tourniquet System (A. T. S.) Low Pressure Cuffs were followed at these minimal pressures with promising results.
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Nail bed malignancies are rare entities. Most nail bed malignancies are squamous cell carcinomas. ⋯ The importance of a biopsy for chronic nonhealing lesions is stressed. The diagnosis, treatment, and prognosis are reviewed.
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Case Reports
Three-dimensional computed tomography reconstruction. A presurgical adjunct in the severely traumatized rearfoot.
The use of computed tomography in visualizing the complex anatomy of the foot is well documented in current literature. However, one difficulty with CT films, as well as those of other imaging modalities, is that three-dimensional anatomy is represented in two dimensions. ⋯ Many physicians may find the results of this process unacceptable and inaccurate in select cases of severely abnormal patient anatomy. The authors present a solution, three-dimensional computed tomography reconstruction, and its clinical usefulness in a case presentation.