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Biomedical subjects

K T Mahan

Publications and source records attributed to K T Mahan.

14 recordsLinked to original sources
PubMed1992

Bone graft reconstruction of a flail digit.

The author presents a case report with a 1-year follow-up period demonstrating successful bone graft stabilization of an iatrogenic flail second toe. The author discusses the techniques for calcaneal autogenous bone grafting for reconstruction of the iatrogenic shortened toe combined with ancillary procedures to improve the digital length pattern. After 18 months, this staged approach to stabilization of the digit and realignment of the digital length pattern appears to be successful.

Adult↗
PubMed1992

The future of podiatric medical education. Cautious optimism.

The leadership of the Pennsylvania College of Podiatric Medicine sets forth the following treatise on the outlook for podiatric medical education into the 21st century. Despite the seemingly impossible challenges facing the profession and its students, it is their opinion that the future is bright and with dedicated effort the profession will become stronger in the years ahead.

Education, Medical↗
PubMed1992

Surgical repair of a talar body nonunion.

Fractures of the talus are significant injuries and are usually intra-articular. The authors discuss the evaluation and management of a patient with a delayed union of a talar body fracture. Assessment of talar vascularity and joint integrity should be performed preoperatively. The role of internal fixation and continuous passive motion is discussed.

Adult↗
PubMed1991

Juvenile hallux valgus with compensated metatarsus adductus. Case report.

The authors describe a case report of a patient with compensated metatarsus adductus and juvenile hallux valgus bilaterally. Treatment included closing base wedge abductory osteotomies of metatarsals one through five, modified McBride bunionectomy, Evans calcaneal osteotomy, and a percutaneous tendo Achillis lengthening. The patient maintained excellent correction on the right foot after 6 years. Hallux valgus recurred on the left foot after 2 years. The authors attribute this recurrence to a significant internal femoral torsion on the left leg. The significance of superstructural deformities on juvenile hallux valgus is discussed.

Age Factors↗
PubMed1991

Recent concepts in understanding a child's pain.

The management of pain in children is a complex process that has significant differences from adult pain management. The authors describe the myth of children's lack of pain and how that myth has resulted in frequent undermedication of children's pain. The authors describe the physical and psychological aspects of pain. Assessment techniques for more accurately determining pain in children are also described. The authors conclude with a description of pharmacologic aspects of pediatric pain management.

Analgesics↗
PubMed1988

New procedures?

Explore the source record for details and available documents.

Bone Screws↗
PubMed1987

Patient preparation in pediatric surgery.

This article has outlined the developmental concerns which make pediatric preparation for surgery a necessity. The goals, methodology, and essential elements of programming have been presented, along with a review of the supporting literature. Some of the major concerns expressed by children have been illustrated. In summary, the following are the essential points to keep in mind when planning pediatric patient care: Honesty. There is no substitute for the trust developed between an honest physician and the patient. Awareness of developmental concerns. The timing, wording, and presentation of preparation materials must be based on an accurate assessment of the child's cognitive and emotional readiness. Involvement of the patient and parent in decision making, treatments, and procedures whenever possible. Patients and families who feel in control are much more trusting and receptive to the physician's plan. Follow-up. Make certain the patient and family are aware of your continued concern for their well-being. In addition, ask what they feel helped them and their child the most, and what could have been done to be more helpful. This helps continued refinement of a program designed to meet client needs.

Adolescent↗
PubMed1987

Evans calcaneal osteotomy for flexible pes valgus deformity. A preliminary study.

This procedure was quite successful, particularly in patients with a transverse plane dominant flexible pes valgus deformity. The modifications that have proved to be successful include the use of the oblique skin incision following the relaxed skin tension lines, the use of allogeneic bone graft, and the use of ancillary procedures, including the gastrocnemius recession and medial arch tendosuspension. The procedure is less predictable in those patients whose deformity is primarily in the frontal or sagittal plane. It is most critical that preoperative analysis be used to discover the presence of the masked metatarsus adductus prior to performing this procedure.

Adolescent↗
PubMed1986

Lateral calcaneal artery skin flap for posterior heel coverage.

The lateral calcaneal artery flap is a neurovascular flap from the lateral side of the calcaneus consisting of the lateral calcaneal artery, sural nerve, and small saphenous vein. It is most useful in coverage of defects over the posterior heel with or without exposure of the tendo Achilles. The donor site is covered with a split-thickness skin graft. Preoperative planning for this flap must include Doppler examination of the course of the artery, as well as documentation of the presence of the other pedal pulses. Disadvantages to use of the flap are the skin depression at the donor site and a loss of two-point discrimination along the dorsolateral foot caused by transfer of the sural nerve.

Adolescent↗
PubMedDate not supplied

Multiple ruptures of the tendo Achillis.

An abundance of literature has been published regarding rupture of the tendo Achillis. Certain studies review various options for management, while others focus on the mechanisms and pathogenesis of injury. There are, however, significant differences in the outcomes of these studies. This article reviews the basic anatomy of the tendo Achillis, as well as the various parameters relating to the spontaneous rupture of this tendon. A case study of a recurrent tendo Achillis rupture is also presented, to illustrate principles of management of recurrent ruptures.

Achilles Tendon↗
PubMedDate not supplied

Brachymetapody: case report of surgical correction.

Brachymetapody is an uncommon condition that can have both cosmetic and functional considerations. The literature is reviewed with respect to techniques for repair of short metatarsals. Surgical indications are discussed as well as techniques for repair. A case report of bilateral first and fourth metatarsal brachymetapody is reviewed with illustration of a successful surgical outcome after more than 5 years of follow-up.

Adolescent↗
PubMedDate not supplied

Flexor hallucis brevis muscle flap.

The use of muscle flaps for treatment of chronic wounds has become more widespread. The specific use of intrinsic muscle flaps of the foot for treatment of diabetic ulcerations has the potential to provide alternative ways of avoiding amputations. A case report is presented that illustrates the use of the flexor hallucis brevis flap for a chronic ulceration beneath the first metatarsal head. The technique and indications are discussed.

Adult↗