Joint distraction, whether manual or mechanical, is a common practice in orthopedic surgery for knee and shoulder arthroscopy and can be extrapolated to include ankle joint arthroscopy. Manual joint distraction involves manipulation of the ankle joint by gravity or manual traction applied by an assistant. Mechanical distraction can be achieved by joint infiltration with solution or a joint distractor. Although the use of a joint distractor in arthroscopy of the ankle is not a new technique, podiatric literature has rarely reported on its use to allow for easier access and implementation of arthroscopic instruments. The ankle joint distractor allows the surgeon to take advantage of pathologic ligamentous laxity, thus increasing the joint space from an average 3.4 to 7.8 mm.

Adolescent↗

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Ciprofloxacin: a study of usage in pedal infections with case reports.

Ciprofloxacin, an antibiotic of the quinolone class, has exhibited properties that may lead to frequent use in the febrile patient. Particularly important to the podiatrist is the bactericidal action of the drug on penicillinase producing Staphylococcus aureus and Pseudomonas species. Ciprofloxacin also kills many Gram-negative bacteria, and some anaerobic bacteria. Infections of this nature have been classically treated with parenteral antibiotics in a hospital setting. Ciprofloxacin has demonstrated, in clinical studies, the ability to kill these organisms in skin, soft tissues, and bone while using an oral route of administration. When considering cost-containment strategies in the patient with osteomyelitis, ciprofloxacin can cost between 50% to 80% less than parenteral therapy.

Ciprofloxacin↗

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An unusual mixed infection in a diabetic patient: Citrobacter freundii and Peptococcus magnus.

A case of an unusual mixed infection of the foot involving Citrobacter freundii and Peptococcus magnus is presented. Characteristics and treatment of infections caused by these organisms are reviewed. The possible effects of an infection of this type in a compromised patient are also presented.

Aged↗

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Joint depression calcaneal fracture.

A case report of a joint depression type calcaneal fracture (Rowe type 5) is presented. The causes, history, and suggested treatments, as well as sequelae and complications are discussed.

Ankle Injuries↗