PubMed Health⌕ Search

Biomedical subjects

J F Grady

Publications and source records attributed to J F Grady.

13 recordsLinked to original sources
PubMed2000

The Boyd amputation as a treatment for osteomyelitis of the foot.

The Boyd amputation is a surgical technique used to treat osteomyelitis of the foot. This amputation is a technically more difficult procedure to perform than the Syme amputation, but it offers certain advantages. The Boyd amputation provides a more solid stump because it preserves the function of the plantar heel pad. Also, because a portion of the calcaneus is left and fused to the tibia, the weightbearing surface is more solid than in the case of a Syme amputation. The authors recommend a Boyd amputation as an alternative to a Syme or a below-the-knee amputation to treat patients with osteomyelitis of the forefoot and midfoot.

Amputation, Surgical↗
PubMed2000

Use of electrostimulation in the treatment of diabetic neuroarthropathy.

Charcot's joint is a difficult and sometimes frustrating condition to treat, for both the patient and the physician. The authors give a brief overview of Charcot's joint and the treatment options available. They discuss the use of bone stimulators and how electrostimulation may be used to help arrest the progression of Charcot's deformity. To the authors' knowledge, the use of electrostimulation for the treatment of Charcot's joint has been described only once in the literature; three patients were evaluated in that study. In the current study, 11 patients were evaluated, with promising results obtained, thus supporting the findings of the previous study.

Arthropathy, Neurogenic↗
PubMed2000

Subtalar arthroereisis in the neurologically normal child.

The problem of hypermobile or flexible flatfoot in children has been well documented in the medical literature for many years, and refers to a foot that has excessive motion in the form of pronation at the subtalar joint. The clinical presentation of a hypermobile flatfoot can be observed in all three planes. The use of arthroereisis to treat hypermobile flatfoot has been shown to effect the foot in all three planes; however, the most significant clinical improvement usually is seen in the frontal plane where a dramatic reduction of calcaneovalgus is often apparent. The authors provide figures and procedure for the surgical insertion of the subtalar arthroereisis (STA) peg.

Adolescent↗
PubMed1988

CT scanography for limb length determination.

The authors present an alternative to classic techniques used to measure limb length discrepancy radiographically. CT scanography seems to have advantages over currently-used Bell-Thompson roentgenography in that it uses less radiation and is of no increase in cost.

Adult↗
PubMedDate not supplied

The use of a transyndesmotic bolt in the treatment of tibiofibular diastasis: two case studies.

The authors present a brief overview of tibiofibular diastasis and the mechanisms of injury associated with it. This type of injury is frequently misdiagnosed or improperly treated. Two case studies are presented with specific emphasis placed on the use of a transyndesmotic bolt in the reduction of the tibiofibular diastasis. The authors have found this to be more beneficial in the treatment of this condition, as opposed to the traditional use of a transmalleolar screw.

Aged↗
PubMedDate not supplied

Hallux amputation in combination with a lumbar sympathectomy for treatment of a non-healing ulceration in a patient with Buerger's disease.

Buerger's disease is a distal vascular occlusive disease primarily affecting those with a history of tobacco use. Treatment of digital pathology can be quite difficult as a result. This paper discusses a patient who developed an ulceration of the left hallux that did not respond to local wound care and antibiosis. A lumbar sympathectomy was performed in conjunction with a hallux amputation to promote distal vasodilation and enhance the patient's ability to heal.

Amputation, Surgical↗
PubMedDate not supplied

Erythromelalgia: diagnosis and classification.

Erythromelalgia is not a commonly recognized or diagnosed condition that affects the lower extremities. The first reported case was in 1878, when Mitchell suggested the term "erythromelalgia." This condition is characterized by a burning sensation with erythema of the involved extremity. When the extremity is lowered, or heat is applied, the pain is intensified. The application of cold or elevation of the extremity will have the opposite effect of decreasing the pain. Erythromelalgia is classified as primary or idiopathic if there is no accompanying disease process. Secondary erythromelalgia is associated commonly with myeloproliferative syndrome-related thrombocythemia, and is mostly evident in adult onset of the condition. Treatment for adults with erythromelalgia includes a single daily dose of aspirin, but children who have no associated underlying disorder find little to no relief with acetylsalicylic acid.

Adult↗
PubMedDate not supplied

Effects of stretching the gastrocnemius muscle.

Many authors currently disagree on the amount of time necessary to provide an adequate stretch flexibility. Since gastrocnemius equinus has been recognized as a cause of athletic injury, the authors performed a study to test what may be an adequate amount of stretching a gastrocnemius to improve flexibility. This study could not be conducted blind, and it was hoped that the contralateral leg could offer some control. The results of this study are presented here and should be kept in mind when evaluating and treating patients with ankle equinus, especially when considering surgical intervention.

Adult↗
PubMedDate not supplied

Squamous cell carcinoma: a pedal case presentation.

Squamous cell carcinoma of the foot is a relatively uncommon pedal neoplasm. The authors discuss the etiology, metastatic rate, incidence, morphology, treatment and the histology of this entity. Additionally, the authors present a clinical case report successfully treated by surgical extirpation.

Adult↗
PubMedDate not supplied

The modified Valenti procedure for the treatment of hallux limitus.

The modified Valenti procedure for the treatment of hallux limitus offers the advantage of being technically easy to perform, allows for the intrinsic musculature to remain intact for stability, and is a viable alternative for patients who are not candidates for implant arthroplasty. The operation involves resection of the dorsal one third to one half of the metatarsal head and the dorsum of the proximal hallucal phalangeal base, including all osteophytic lipping and osteochondral defects. To date the procedure has resulted in a significant increase in range of motion, and decreased preoperative pain symptoms. The most common complication seen in a review of 21 cases is sesamoiditis.

Adult↗