Biomedical subjects

Babak Baravarian

Publications and source records attributed to Babak Baravarian.

9 recordsLinked to original sources

PubMed2006

Intermetatarsal compression neuritis.

Intermetatarsal compression neuritis can be a disabling condition. Individuals who don't respond well to initial treatments are left with persistent pain and frustration. The conservative approach to the treatment of neuromas includes shoe modifications, padding, orthotics, cortisone injections, and serial alcohol sclerosing injections. When a person has failed conservative treatment for a forefoot neuroma, surgery can be considered to alleviate pain and treat the condition. This article describes several different surgical approaches such as neurectomy, carbon dioxide laser, and neurolysis. Results to date show that decompression is similar to neurectomy surgery, if not more successful.

Decompression, Surgical↗

PubMed2006

Tarsal tunnel syndrome: a compression neuropathy involving four distinct tunnels.

Tarsal tunnel syndrome is a complex and often under-diagnosed or misdiagnosed condition that affects the foot and ankle. It is a compression neuropathy of the posterior tibial nerve as it passes in the anatomic tarsal tunnel in the medial ankle under flexor retinaculum. This article reviews diagnosis, conservative treatment, and surgical outcomes, which have dramatically improved with more comprehensive release of the foot nerves in addition to the tibial nerve. Internal neurolysis facilitates a second level of nerve decompression in needed cases. Physical therapy protocols have made it possible for patients to return to ambulation with limited long-term down time.

Decompression, Surgical↗

PubMed2006

Surgical decompression for painful diabetic peripheral nerve compression and neuropathy: a comprehensive approach to a potential surgical problem.

Diabetic nerve decompression is not for every patient. There is a definite learning curve to the surgery and recovery process and the surgeon must be available to the patient for concerns during the recovery period. The surgery itself is not very complex and can be mastered over time. Pain relief and return to activity results have been excellent and overall, the surgical decompression patients fair better in regard to ulcer formation and amputation risk than those without decompression. It is essential to select patients carefully and to make sure that the testing and examination findings discussed in the article are present before surgery.

Decompression, Surgical↗

PubMed2006

Pediatric and adult flatfoot reconstruction: subtalar arthroereisis versus realignment osteotomy surgical options.

One of the most common presenting problems to most foot and ankle surgical practices is the painful flatfoot. Often, the problem is treated with excellent outcomes through a combination of conservative options. In certain cases, conservative care may not alleviate the associated symptoms of foot, ankle, knee, and possibly even back fatigue, pain of the foot and leg, and arthritis of the midfoot, rearfoot, or ankle. In such cases, multiple surgical options are available to treat the underlying deformity and associated symptoms. it is essential to treat the foot and leg as a unit and not to perform surgical based on rapid recovery abut rather on a long-term stable and lasting outcome.

Adult↗

PubMed2004

Block distraction arthrodesis for the treatment of failed calcaneal fractures.

We had excellent results with our procedure and had only one unsatisfied patient. This patient's fusion site had an undersized graft; therefore, he had continued pain. Because he had no further intra-articular pain, he did not feel the need for further surgery. Block distraction arthrodesis is far more difficult to perform than subtalar arthrodesis without the use of bone graft. It is critical to allow more intraoperative time during the first two or three cases than required for regular arthrodesis of the subtalar joint. It also is essential to place the heel in a rectus position at the time of arthrodesis. With proper preoperative examination and planning, meticulous intraoperative treatment, and guarded postoperative care, block distraction arthrodesis is an excellent procedure for the treatment of poorly-treated or neglected calcaneal fractures.

Arthrodesis↗

PubMed2004

Arthrodesis of the Charcot foot and ankle.

The unstable Charcot foot remains a challenge to even the most experienced surgeon. Reconstructive surgical management of the neuropathic Charcot foot is a valuable treatment option for the patient who has severe musculoskeletal deformity. Frequently, the unstable nature of this deformity prevents successful use of therapeutic shoes or braces. For these high-risk individuals, reconstructive surgery often is the only way to avoid amputation. With precise surgical technique, appropriate postoperative care, and meticulous patient compliance, stability can be restored to the dysfunctional foot. The management of the Charcot foot can be extremely rewarding for the patient and surgeon.

Adult↗

PubMed2004

Lapidus bunionectomy: arthrodesis of the first metatarsocunieform joint.

Fusion of the first metatarsocunieform (MC) joint allows for correction of the first metatarsal in three planes, including adduction, plantarflexion, and rotation. It also allows for decreased jamming of the great toe joint and increased medial column stability. As knowledge about other medial column procedures grows, fusion of the first MC joint will continue to grow in popularity. It is an excellent procedure for hallux limitus and also for metatarsus primus elevatus cases.

Arthrodesis↗

PubMed2002

Soft-tissue disorders of the ankle: a comprehensive arthroscopic approach.

Ankle arthroscopy has dramatically advanced in the past decade. Many ailments of the ankle joint that were previously treated through open approaches are today treated with arthroscopic techniques. Arthroscopy allows for a more rapid recovery, better visualization of soft tissue lesions within the ankle joint and a more thorough examination of intracapsular ankle pathology. This article describes current arthroscopic treatments of ankle pathology limited to soft tissue structures. Additionally, a perspective is presented for the comprehensive treatment of lateral ankle pain including arthroscopic lateral ankle stabilization.

Ankle Injuries↗

PubMed2002

Use of the Cobb procedure in the treatment of posterior tibial tendon dysfunction.

Numerous surgical procedures have been described for the treatment of the adult acquired flatfoot deformity. The surgeon should review in detail all the clinical, radiographic and imaging tests and propose the best surgical procedure for the patient. Although flexor tendon transfer has shown excellent results, the split anterior tibial tendon transfer is a second option. If used properly, the Cobb procedure results in less functional loss, since only half of the anterior tibial tendon is transferred. Furthermore, the flexor tendon is not disrupted and continues its primary function in the foot and ankle. Ultimately, the goals of the surgical procedure are to alleviate the patient's symptoms and pain, restore a normal foot alignment, and limit the loss of foot and ankle function without causing any complications.

Foot Diseases↗