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Titre : | Clinics in Podiatric Medicine and Surgery, Vol. 37, n° 3. Revisional Surgery - July 2020 |
Type de document : | Bulletin |
Paru le : | 01/07/2020 |
Dépouillements
Article
Autogenous, allogenic, or synthetic bone graft should be incorporated into the surgical plan for implant conversion to arthrodesis of the first metatarsophalangeal joint.
The optimal fixation for arthrodesis should include a construct that bi[...]
Article
Lesser metatarsophalangeal joint arthrodesis, although not common, provides a good option for revision surgery for a failed hammertoe.
A stable fixation construct provides an optimal healing environment.
Optimal positioning of the arthrodes[...]
Article
Trephine technique provides an excellent option for revision tarsometatarsal joint arthrodesis.
A stable fixation construct provides an optimal healing environment.
Maintaining a 1-mm cortical edge around the medial, lateral, and plantar co[...]
Article
Allograft lateral ankle ligament anatomic reconstruction seems to be a good option for revision surgery.
Patients that have failed a previous lateral ankle procedure need to be evaluated for conditions that lead to ligament laxity or biomecha[...]
Article
Understanding each component of the malaligned deformity is crucial to proper preoperative planning.
Ideal position for ankle fusion is 0° to 5° of hindfoot valgus, neutral position in the sagittal plane, and 5° to 10° of external rotation as[...]
Article
Total ankle explant involves some degree of bone loss and the segmental bone defect complicates reconstruction.
Determination of aseptic versus infective loosening is paramount.
Management of deformity and limb length discrepancy must be co[...]
Article
Lapidus arthrodesis.
Lapidus complications.
Nonunion after Lapidus.
Malunion after Lapidus.
Article
Recurrence is related to the misunderstanding of cause, misdiagnosis, or improper primary treatment, either by treatment option or technique.
Traditionally revision surgery is done by plantar excisional approach because of increased visualiza[...]
Article
When an osteochondral lesion of the talar dome (OCLT) is suspected, a magnetic resonance image has higher sensitivity but a computed tomographic scan has higher specificity in terms of size and extent of the osseous destruction.
Nonsurgical[...]
Article
Surgical management for the revisional Achilles tendon is complex and often involves a multifactorial approach with advanced repair options.
A gastrocnemius lengthening or fascial turndown may be performed to assist in end-to-end repair whe[...]
Article
Peroneal tendon revision for recurrent tears requires a high level of suspicion and thorough mechanical evaluation with advanced imaging for accurate evaluation.
Tendon degeneration is often found intraoperatively and requires tendon transf[...]
Article
Failed anatomic reduction of the syndesmosis can lead to chronic pain and limitations.
Complete evaluation of the fracture including thorough evaluation of the posterior malleolar fragment can aid in the diagnosis and reduction of syndesmot[...]
Article
Autologous bone graft has multiple harvest sites that can aid in revision surgery.
Bone marrow aspirate offers the potential of undifferentiated mesenchymal cells.
Allograft options are available for surgery.
Article
An understanding of the anatomy and three phases of tendon healing is important in tendon repair.
Current products being utilized in tendon surgery include amnion grafts, dermal allografts, tendon allograft and platelet rich plasma.
Ther[...]