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Biomedical subjects

G T Kuwada

Publications and source records attributed to G T Kuwada.

At least 19 recordsLinked to original sources
PubMed1999

Use of the ROC anchor in foot and ankle surgery. A retrospective study.

A retrospective study was conducted on the use of the ROC (Radial Osteo Compression) soft-tissue anchor in foot and ankle surgery. This article describes how the anchor is deployed, problematic aspects of using the anchor, and complications and success rates associated with the anchor in ankle stabilizations, posterior tibial tendon reconstruction, peroneus brevis tendon reconstruction after fracture of the base of the fifth metatarsal, and detachment and reattachment of the Achilles tendon. The ROC anchor consists of the anchor with nonabsorbable suture attached to the shaft, the deployment handle, and drill bits. The anchor and shaft are snapped into the deployment handle and inserted into the drill hole. Compression of the trigger deploys the anchor into the hole. The ROC anchor was found to be reliable, useful, and relatively easy to deploy, with outcomes similar to those of other soft-tissue anchors.

Ankle↗
PubMed1999

An update on repair of Achilles tendon rupture. Acute and delayed.

Current surgical treatments for Achilles tendon rupture are thoroughly discussed. New repair techniques, such as the use of soft-tissue anchors, are reviewed, as is the use of synthetic mesh to augment the surgical repair. A classification system devised by the author is presented to make it easier to select the appropriate surgical procedure or combination of procedures in delayed rupture repair. Postoperative physical therapy is paramount in the return to preinjury level of activity for these patients.

Achilles Tendon↗
PubMed1995

Plantar incisional approaches. Current perspectives.

Plantar incisions on the feet have been a controversial subject for many years because of the potential untoward effects of scarring. The author presents a variety of techniques and the rationale for the use of plantar foot incisions, along with discussion on the prevention of complications.

Foot↗
PubMed1995

Diagnosis and treatment of Achilles tendon rupture.

Achilles tendon ruptures are challenging injuries. The author's intraoperative classification and concomitant reconstructive procedures serve as guidelines for surgeons. The goals of surgical repair are outlined.

Achilles Tendon↗
PubMed1995

Current concepts in the diagnosis and treatment of ankle sprains.

Simple ankle sprains are common injuries. Failure to evaluate, diagnose, and adequately treat severe ankle sprains results in continued pain, instability, and decreased function. This article reviews the examination, stabilization procedures, physical therapy techniques, and complications of these injuries.

Ankle Injuries↗
PubMed1995

Transchondral fractures of the talar dome.

The authors thoroughly review transchondral fractures of the talar dome. The causes, presentation, diagnosis, and treatments are discussed in detail. In addition, a study of 85 patients with chronic ankle pain is presented.

Cartilage, Articular↗
PubMed1991

Long-term evaluation of partial and total surgical and phenol matrixectomies.

Surgical matrixectomies and phenol alcohol matrixectomies have been effective in eliminating certain nail conditions. The complication rate is at an acceptable level; however, there is a need for comparison to other techniques, such as negative galvanism, trephine, osteotripsy, and laser ablation. Of the 353 patients in this study, two were known diabetics who were seen preoperatively by a vascular surgeon for vascular studies and by their internist. Both consultants agreed that the patients would heal. Both patients healed without complications. The author described the use of a modified Frost partial matrixectomy and modified Fowler total matrixectomy in this review. The phenol alcohol technique had a total complication rate of 9.6%, as did the partial matrixectomy. The total matrixectomy had an overall complication rate of 10.9%.

Ethanol↗
PubMed1986

Contact dermatitis. A review.

Contact dermatitis of the lower extremity is reviewed in regard to symptoms, clinical manifestations, etiologic agents, and treatment. Examples of some of the clinical manifestations are presented pictorially.

Administration, Topical↗
PubMed1983

The resistant, painful, plantar lesion: a surgical approach.

Osteotomies designed to lift the metatarsal head dorsally on the sagittal plane are performed to alleviate painful plantar lesions beneath the metatarsal head. Correcting the position of the bone reduces the plantar pressure and stresses that are believed to cause the painful lesions. The authors found that resistant plantar lesions secondary to a plantarly depressed or long lesser metatarsal responded to a combination of plantar excision and modified cartilaginous articulation preservation osteotomy procedure.

Adolescent↗
PubMedDate not supplied

A severe acute Achilles rupture and repair.

An unusual type IV rupture is described, whereby the Achilles tendon was ruptured in two places. This required several innovative techniques to repair this injury, which are described herein. The patient recovered uneventfully and returned to his exercise activities in 3 months.

Achilles Tendon↗
PubMedDate not supplied

Retrospective study of the use of a plantar transverse incision versus a dorsal incision for excision of neuroma.

The authors present a retrospective study comparing the results and complications of dorsal incision versus plantar transverse incision for excision of neuroma. The authors found several advantages using the plantar transverse incision. These included improved exposure and access to the neuroma, and no incidence of amputation neuromas postoperatively.

Foot Diseases↗
PubMedDate not supplied

Retrospective analysis of calcaneal spur removal and complete fascial release for the treatment of chronic heel pain.

Doctors Gormley and Kuwada investigate the pathology of chronic heel pain secondary to soft tissue and osseous inflammatory conditions. Pertinent literature review regarding success following fascial release as well as bone spur removal is provided. Ninety-four patients are reported having sustained spur removal with fascia resection according to the authors' technique. They report a 95% success rate postoperatively.

Adult↗