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Biomedical subjects

R M Stuck

Publications and source records attributed to R M Stuck.

14 recordsLinked to original sources
PubMed1997

Syme's ankle disarticulation: the transmalleolar amputation.

Salvage of the infected extremity in diabetic patients continues to be a complex problem. Amputation at the Syme's level helps maintain patient independence and decreases the rehabilitation expense associated with more proximal amputation. Although the wound complication rates are relatively high, the ultimate healing rate and favorable functional outcomes in this high risk patient population make this an outstanding amputation level for pedal amputation.

Ankle Joint↗
PubMed1995

Amputations in the diabetic foot.

Foot amputation in the diabetic population can help maintain a patient's independent ambulation and function. Such surgery requires diligence of the surgeon and a watchful eye for the development of early and long-term complications. Careful adherence to the listed healing parameters can assist the surgeon in achieving healing rates of above 90%.

Amputation, Surgical↗
PubMed1992

Partial calcanectomy for the treatment of large ulcerations of the heel and calcaneal osteomyelitis. An amputation of the back of the foot.

Twelve patients who had a large ulceration over the heel were managed with a partial calcanectomy, in lieu of a below-the-knee amputation, after unsuccessful non-operative treatment of the ulcer. Only patients who had an ankle-arm index (the ratio of blood pressure at the ankle to the brachial blood pressure) of more than 0.45, a transcutaneous PO2 of more than twenty-eight millimeters of mercury (3.7 kilopascals), a level of albumin of more than 3.0 grams per deciliter (thirty grams per liter), and a total lymphocyte count of more than 1500 were managed with a partial calcanectomy. The primary diagnosis was diabetes in seven patients, peripheral vascular disease in three, quadriplegia in one, and myelodysplasia in one. The duration of follow-up averaged thirty-three months and ranged from seven to sixty-four months. The wound healed after the partial calcanectomy in ten of the twelve patients. Nine of these ten patients maintained the level of mobility that they had had preoperatively. (One patient was unable to walk because he was quadriplegic before the operation). The wound did not heal in two patients, and those patients ultimately had a below-the-knee amputation and a decrease of one grade on the scale that was used to evaluate walking ability.

Adult↗
PubMedDate not supplied

Intraosseous lipoma of the calcaneus: a clinicopathologic study of three cases.

Intraosseous lipoma is a neoplasm which has classically been regarded in the literature as a rare bone tumor. The tumor has several distinguishing characteristics on plain film radiograph, magnetic resonance imaging, and computerized tomography scan. Due to appearances that are similar to simple bone cysts, infarctions, and other lesions, intraosseous lipomas are often misdiagnosed, possibly accounting for their purported rarity. Diagnosis based on plain film radiographs, magnetic resonance imaging, and computerized tomography scans, and appropriate treatments are discussed. Three case studies of calcaneal intraosseous lipomas are followed through the treatment course from initial presentation to postoperative follow-up. Radiographic studies and surgical procedures are discussed, as well as surgical pathology results that demonstrate the potential misdiagnosis of this tumor.

Adult↗
PubMedDate not supplied

Time analysis for screw application: traditional lag technique versus self-tapping lag technique.

A study was conducted to compare the procedural time of a 2.7-mm. fully threaded cortical screw versus a self-tapping, 2.4-mm. lag screw, which is reported to eliminate the need for overdrilling and tapping. The screws were applied by four board-certified podiatric and orthopedic physicians and four second-year podiatric and orthopedic residents. Each screw was placed through two 8-mm. layers of Last-a-foam, and the participants were timed for length of application of four screws from each system per week. The trials were repeated weekly for 4 weeks. The results showed a statistically significant difference between the length of time for insertion between a traditional cortical screw and a self-tapping lag screw, regardless of physician experience.

Bone Screws↗
PubMedDate not supplied

The aging foot.

In the aging patient changes that compromise mobility may occur in the feet. Common foot pathologies are heel pain, metatarsalgia, hammertoes and clawtoes, bunions, hallux rigidus, corns and calluses, nail pathologies, arthritis, and neuropathies. To educate patients and families, nurses must be familiar with these conditions and their prevention, conservative treatment, surgical procedures, nursing interventions, and patient education.

Aged↗