Controversies in foot and ankle trauma:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1995
|
| Schriftenreihe: | The orthopedic clinics of North America
26,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 203 - 409 zahlr. Ill. |
Internformat
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| 245 | 1 | 0 | |a Controversies in foot and ankle trauma |c Mark S. Myerson, guest ed. |
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Datensatz im Suchindex
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| adam_text | CONTROVERSIES IN FOOT AND ANKLE TRAUMA
CONTENTS
Preface xi
Mark S. Myerson
Operative Treatment of Intra Articular Fractures of the Calcaneus 203
Roy Sanders and Paul Gregory
Displaced intra articular fractures of the calcaneus remain a diagnostic
and therapeutic dilemma. The classification of these fractures has been
frustrated in the past by limitations of radiographic technique. Because of
our need to consistently analyze our results, a CT scan classification was
developed, based on the number and location of articular fracture frag¬
ments. The authors have treated displaced intra articular calcaneal frac¬
tures according to an operative protocol using a modified lateral approach,
a new plate and lag screws, all without the use of bone graft. This
article will discuss in depth the treatment options available as well as the
controversies that surround them.
Primary Subtalar Arthrodesis for the Treatment of
Comminuted Fractures of the Calcaneus 215
Mark S. Myerson
Comminuted fractures of the calcaneus are extremely difficult to manage,
and the prognosis after this type of injury is particularly poor. The author
has approached this problem with precise and anatomic restoration of the
height and width of the calcaneus with open reduction and internal
fixation followed by primary subtalar arthrodesis. The surgical technique
of primary arthrodesis is complex and is described in detail. The rate of
arthrodesis and return of function is surprisingly good given the magni¬
tude of comminution present and has given us renewed hope that these
injuries should not be abandoned to later salvage attempts at reconstruc¬
tion.
Controversies in Tarsometatarsal Injuries 229
Saul G. Trevino and Steven Kodros
Lisfranc injuries still remain a problematic situation in many clinical cases.
Although thought to be an uncommon problem, they are actually a com
THE ORTHOPEDIC CLINICS OF NORTH AMERICA VOLUME 26 • NUMBER 2 • APRIL 1W3 vii
mon injury. This article serves to make the clinician aware of the many
recent changes in diagnosis and treatment. Emphasis is placed on the
precise diagnosis of this condition and subsequent follow up.
i
Repair of Acute Achilles Tendon Ruptures 239
Charles A. Soma and Bert R. Mandelbaum
Acute Achilles tendon injuries are discussed in terms of various etiologies,
pathomechanics, and treatment options. Surgical management has evolved
to promote the athlete s early return to sport utilizing a new suture
technique and aggressive rehabilitation protocol. The specific training and
recovery modalities have significantly reduced the morbidity of these
injuries by restoring strength, range of motion, and preventing disuse atro¬
phy.
Reconstruction of Neglected Achilles Tendon Injury 249
Keith L Wapner, Paul J. Hecht, and Robert H. Mills, Jr.
Chronic Achilles tendon injuries are debilitating injuries that are often
difficult to treat. A review of previously reported procedures is presented.
A new technique for repair is presented utilizing a transfer of the flexor
hallicus longus muscle and tendon to provide a dynamic repair. A review
of the clinical outcome from this procedure is provided.
Intramedullary Fixation of Metatarsal Fracture and Nonunion:
Two Methods of Treatment 265
G. James Sammarco and Hiram A. Carrasquillo
Fracture of a metatarsal is one of the most common fractures in the foot.
The location of the fracture depends to some extent on the metatarsal
involved, the activity, and the foot shape. The goal of treatment is to
achieve a successful outcome and to avoid prolonged disability. This
article covers patient selection, surgical technique, and postoperative care.
Fractures of the Tibial Plafond: Evolving Treatment Concepts for the
Pilon Fracture 273
Robert J. Brumback and William C. McGarvey
This article summarizes the recent history and developments in the diag¬
nosis and treatment of intra articular fractures of the distal tibia. The
principles and surgical techniques of anatomic joint reconstruction are
stressed with a comparative review of the results of open reduction and
plating versus minimal internal fixation of the joint surface supported by
external fixation. As higher rates of infection and repeat surgical interven¬
tion are reported with open plating of high energy pilon fractures, treat¬
ment with minimal internal fixation and external fixation is advised. A
review of the salvage and reconstructive procedures required, should
these complications develop, is provided.
Ring Fixators for Reconstruction of Traumatic Disorders of the
Foot and Ankle 287
Richard T. Laughlin and Jason H. Calhoun
External fixation methods have an accepted place in orthopedic manage¬
ment of problems involving the foot and ankle. Traditionally, reconstruc¬
tion and correction of deformity have been managed with extensive soft
tissue release, osteotomies, and arthrodeses. Methods of external fixation
have evolved dramatically over the past decade with the introduction of
the techniques of Ilizarov to the Western World. This article covers ankle
arthrodesis, burn scar contracture, distal tibial deformity, and fractures.
viii contents
Soft Tissue Coverage for Lower Extremity Trauma 295
Christopher Attinger
The basics of secondary intention, primary closure, skin grafting, local
flaps, pedicled flaps, and finally microsurgical flaps are reviewed so that
a logical approach to soft tissue coverage problems of the foot and ankle
can be taken.
Controversies in Treating Talus Fractures 335
Judith F. Baumhauer and Richard G. Alvarez
Controversies of talus fractures are related to the rare incidence of these
fractures and the even more sparse, clinically based, objective research
examining treatment outcomes. This article outlines various talus fracture
types, treatment, and treatment controversies. A discussion section sum¬
marizing treatment controversies of talar neck fractures, the most common
talus fracture, is also included.
Fractures of the Proximal Fifth Metatarsal 353
George E. Quill Jr.
Most of the controversy regarding fractures of the fifth metatarsal relates
to injuries sustained in the proximal third of the bone. This article serves
as an overview of proximal fifth metatarsal fractures, covering the cause,
mechanisms of injury, and pertinent anatomy of this injury. The author
proposes a classification scheme for fractures of the fifth metatarsal and
gives some historical and practical detail with regard to the treatment of
each fracture type.
Late Reconstruction After Failed Treatment for Ankle Fractures 363
Stuart D. Miller
Recognition of malunion and nonunion of ankle fractures can be difficult,
and management of these problems often involves aggressive surgical
intervention. Techniques for the recognition and methods of correction for
fibular shortening and rotation, medial malleolar malunion, and syndes
motic widening are addressed.
The Management of Neuroarthropathic Fracture Dislocations in the
Diabetic Patient 375
Lew C. Schon and Richard M. Marks
Appropriate management for the diabetic patient with a fracture or sprain
depends on recognition of at risk factors. For patients with stable, mini¬
mally displaced injuries, conservative modalities (prolonged immobiliza¬
tion and non vveight bearing) are sufficient. For patients with unstable or
displaced fracture dislocations, and whose general condition does not
contraindicate surgery, open reduction and internal fixation, at times com¬
bined with external fixation, is recommended. Initial aggressive manage¬
ment can avoid or minimize the disastrous sequelae of a destructive
neuroarthropathic process and can effect a biomeehanically sound planti¬
grade, braceable, and shoeable lower extremity.
Late Reconstruction of the Midfoot and Tarsometatarsal Region
After Trauma 393
Linda R. Ferris, Robin Vargo, Ian J. Alexander
This article details the clinical assessment, investigation, and nonoperative
treatment of painful arthritis and deformity of the midfoot following
CONTENTS ix
trauma. Arthrodesis of the tarsometatarsal (Lisfranc) joints, and medial
and lateral column fusions with restoration of arch or lengthening are
described.
Index 407
Subscription Information Inside back cover
X CONTENTS
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| spelling | Controversies in foot and ankle trauma Mark S. Myerson, guest ed. Philadelphia [u.a.] Saunders 1995 X S., S. 203 - 409 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier The orthopedic clinics of North America 26,2 Fußverletzung (DE-588)4155756-6 gnd rswk-swf Sprunggelenkverletzung (DE-588)4056586-5 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Fußverletzung (DE-588)4155756-6 s DE-604 Sprunggelenkverletzung (DE-588)4056586-5 s Myerson, Mark S. Sonstige oth The orthopedic clinics of North America 26,2 (DE-604)BV000001089 26,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006793887&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Controversies in foot and ankle trauma |
| title_auth | Controversies in foot and ankle trauma |
| title_exact_search | Controversies in foot and ankle trauma |
| title_full | Controversies in foot and ankle trauma Mark S. Myerson, guest ed. |
| title_fullStr | Controversies in foot and ankle trauma Mark S. Myerson, guest ed. |
| title_full_unstemmed | Controversies in foot and ankle trauma Mark S. Myerson, guest ed. |
| title_short | Controversies in foot and ankle trauma |
| title_sort | controversies in foot and ankle trauma |
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