Biomedical subjects
Publications and source records attributed to A E Burns.
Correction of digital deformities by an arthroplasty procedure is by far the most commonly used technique. However, the choice of procedure is complicated by contradictory methods described in many texts. The goal of surgery is to maintain as much function as possible, achieve a cosmetic result, and give the best prognosis for avoidance of recurrence.
Fractures of the calcaneus account for approximately 60 per cent of all tarsal injuries and 1 to 2 per cent of all diagnosed fractures. The length of treatment and rehabilitation and disability has a marked effect on the working population. This helps to explain the great disparity in the classification and treatment of calcaneal fractures.
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Two meanings of the term comprehensive care are delineated. The first refers to a wide scope of health services, the second to a humanistic approach to the patient. Findings from a sample of patients from one pediatric practice suggest that the two meanings constitute two independent variables with respect to patient expeciations. Patient responses to questions regarding their expectations of the pediatrician revealed a tendency to hold a traditional disease orientation. Comprehensive care as a broad scope of health services that include mother guidance in child rearing is not a common goal for mothers utilizing the pediatric practice under study. On the other hand, a comprehensive approach by the pediatrician is a standard shared by most respondents in the sample: high priority is accorded the pattern of the personal physician with whom a patient forms a continuous doctor-patient relationship which instills in the patient trust that the physician's recommendations are based on thorough knowledge of the patient as an individual.
Although bone tumors of any type are rare in the foot, if they do occur, enchondroma is among the most common. Asymptomatic enchondromas do not warrant treatment, but aggressive treatment is warranted when these tumors are painful. Pain occurs when there is a fracture, compression of soft tissues, or malignant conversion. Methods of treatment include excision, curettage and packing with bone chips, and subtotal or total resection and bone grafting. Two cases of painful enchondroma and how they were treated by different means is presented.
The purpose of this paper is to present preliminary findings of an ongoing prospective study of the effectiveness of total digital implants. Forty hinged implants and 22 nonhinged implants have been evaluated to compare the two implants and establish preoperative criteria for their use. Our findings indicate better results for toe purchase and stability with the nonhinged implant and marginally better joint range of movement with the hinged implant. Preoperative dorsal contracture at the metatarsophalangeal joint leads to the most consistent postoperative complications.