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Biomedical subjects

J Gerbert

Publications and source records attributed to J Gerbert.

At least 19 recordsLinked to original sources

Effectiveness of absorbable fixation devices in Austin bunionectomies.

Forty-eight Austin bunionectomies were fixated by using an absorbable fixation device. Twenty-three were fixated with a 1.5- or 2.0-mm diameter Biofix rod and twenty-five were fixated with a 1.3-mm diameter Orthosorb pin. To be included in this project, all patients were followed radiographically for a minimum of 3 months. One foot (4%) fixated with Biofix developed a sterile sinus discharge 3 months postoperatively after uneventful wound healing. There were no clinical or radiographic changes seen in the feet in which Orthosorb was used. Also, there were no infections or osteotomy dislocations with either fixation device.

Biodegradation, Environmental

Digital arthrodesis.

Digital arthrodesis is a common surgical procedure but requires selection of the proper procedure and fixation device to achieve the desired result. This article presents the various methods which have been found effective in achieving an arthrodesis of the hallux and/or lesser toes. The various procedures and fixation devices are described in detail along with their advantages and disadvantages.

Arthrodesis

Digital implantation.

The digital implant is an excellent alternative to arthroplasty or fusion procedures, provided that all preoperative criteria are met. It appears to yield the best result with the fewest complications when inserted in a second or third toe at the proximal interphalangeal joint in a rectus foot type.

Arthrodesis

Digital arthrodesis.

This article briefly reviews the literature regarding digital arthrodesis. It presents an in-depth description of the techniques presently used for such procedures at the California College of Podiatric Medicine.

Arthrodesis

Complications of the Austin-type bunionectomy.

The California College of Podiatric Medicine has evaluated the complications encountered in the Austin-type bunionectomy and compiled the following list of possible causes: 1) improper preoperative criteria, 2) incorrect angle between arms of the V-osteotomy, 3) incorrect direction of the osteotomy on the transverse plane, 4) removal of too little or too much bone medially in a bi-correctional procedure, 5) transposition of capital fragment too far laterally, 6) failure to remove medial wedge at least 80% through the head, 7) placement of V-osteotomy in cystic or osteoporotic bone, and 8) improper instrumentation. Dr. Gerbert believes that the use of templates preoperatively will minimize the number of complications.

Biomechanical Phenomena

Synopsis of managing soft tissue podiatric surgical infections.

Every effort should be made to prevent the occurrence of postoperative foot infections. However, since they are not always avoidable, every surgeon must be prepared to manage these infections. Early diagnosis is essential in preventing overwhelming sepsis and minimizing disability, and immediate therapy is necessary to resolve the complication and prevent it from recurring.

Anti-Bacterial Agents