Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
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The incidence of venous thromboembolism (VTE) is unknown in elective foot and ankle surgery. The National Institute for Health and Clinical Excellence (NICE) recently published guidelines on reducing the risk of venous thromboembolism in surgical patients. This includes patients undergoing elective foot and ankle surgery. ⋯ We question the applicability of the NICE guidelines to patients undergoing elective foot and ankle surgery. We consider that this data justifies the prospective study of the incidence of VTE in patients undergoing elective foot and ankle surgery, without the use of chemical thromboprophylaxis.
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Case Reports
Dorsal dislocation of the first metatarsophalangeal joint associated with fractured second metatarsal head.
Traumatic dislocations of the first metatarsophalangeal joint were first described by Mouchet in 1931. The anatomical complexity of the first metatarsophalangeal joint makes this injury one of a kind. There have been a limited number of case reports of this injury. ⋯ The papers principle message is that significant injuries to the metatarsophalangeal joint may be associated with fractures of adjacent bone segments, which may change diagnostic and therapeutic approaches. Also, the evolution of patients with this kind of injury after reduction is not well know today, at short, medium and long term. Thus could be considered to be a further development of Jahss's classification.
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Case Reports
Compartment syndrome of the foot secondary to fixation of ankle fracture--a case report.
Compartment syndrome in the leg after open reduction and internal fixation (ORIF) of ankle fractures is rare. Compartment syndrome in the foot after ORIF of ankle fractures has not been reported before. A high degree of vigilance must be exercised when managing these fractures in order to avoid complications and morbidity. We report a case in which a bimalleolar fracture of the left ankle resulted in compartment syndrome of the foot.
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Comparative Study
Temporal and spatial expression of TGF-beta1 in an Achilles tendon section model after application of platelet-rich plasma.
To investigate the effect of platelet-rich plasma (PRP) on TGF-beta1 expression during tendon healing. ⋯ Our results suggest that PRP may affect the tendon healing process by altering the expression of TGF-beta1.
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Talar fracture in children is extremely rare. In 1919, Anderson described talar fractures and used the term of aviator astragalus in his series. ⋯ We describe the radiological features of the fracture and outline its therapy and prognosis. To the best of the authors' knowledge, such a case with this unusual presentation has not been previously reported in the literature.