This presentation summarizes the results discovered on implantation surgery of 18 digits on 16 patients for correction of hallux limitus, or hallux rigidus. Of those studied, 66.7% received excellent and good results, 22.2% had fair results, and 11.1% had poor results. Comparison with the literature shows good correlation between studies and allows for quantification of the probability of positive returns on this form of surgery.

Adult↗

PubMed1982

Squamous cell carcinoma of the hallux.

The purpose of the case report is to present a means of clinical diagnosis and treatment of a rarely encountered squamous cell carcinoma involving the pedal extremity and to alert the podiatric physician of the necessity of promptness and the definitive diagnostic tools to be utilized in such cases. Chronic recalcitrant ulcerations must be evaluated with a high degree of suspicion and treated aggressively. A thorough history and physical examination and proper biopsy technique are essential in the treatment and care of a squamous cell carcinoma.

Aged↗

PubMedDate not supplied

Neuromas associated with tailor's bunion.

The purpose of this paper is to present to the physician a common clinical problem associated with tailor's bunion, a probable traumatic neuroma of the proper digital branch of the superficial division of the lateral plantar nerve. Many of the patients who presented to the authors with tailor's bunion also exhibited a traumatic neuroma. The authors discuss this clinical problem, its treatment, and its eradication.

Foot↗

PubMedDate not supplied

Primary wound closure in chronic osteomyelitis.

The sequelae of chronic osteomyelitis include not only the common clinical and radiographic signs and symptoms unique to it, but also the frequent residual deformity or amputation secondary to surgical intervention. Exacerbations and relapses are common and may occur as a result of trauma or a decrease in the resistance of the patient. Treatment of this condition over the years has been controversial. Some authors (1, 2) advocate treatment with high oral doses of antibiotics over a period of time up to 6 months. Although good results have been obtained with this regimen, other factors must be taken into account before initiation of such therapy such as severity and location of infection, drug allergy, renal and hepatic function, and attainable antibiotic blood levels. However, because of thrombosis of nutrient, marrow, and periosteal blood vessels, along with fibrosis of surrounding soft tissue, there is no guarantee that adequate serum antibiotic levels provide for the minimal inhibitory concentration of the drug in the infected bone. Antibiotic therapy without surgical intervention to improve blood supply cannot cure the disease and may result in an acquired resistance by the organism (3). The most widely accepted treatment today is surgical curetment, sequestrectomy, or resection of the infected osseous tissue with extensive debridement of all sinus tracts and devitalized tissues. Adding to the morbidity of this disease is the excessive scarring produced by inadequate and improper wound closure after surgical intervention. The following is a description of several methods utilized for contaminated wound closure.

Aged↗

PubMedDate not supplied

The relationship between foot structure and intermetatarsal neuromas.

Intermetatarsal neuromas are caused by trauma secondary to biomechanical factors. A review of the literature concerning intermetatarsal neuromas is presented. The authors discuss foot structure as a possible cause and present data from 292 radiographs that substantiate the proposed theory. They suggest that intermetatarsal neuromas are caused by a combination of factors.

Adolescent↗