Biomedical subjects
Publications and source records attributed to T A Graziano.
Crossover second toe deformity is a common, but quite difficult, condition to treat. Its causes are multifactoral but resultant clinical findings are fairly constant. An aggressive surgical approach is mandatory to produce permanent correction. This involves a combination of soft-tissue and appropriate osseous reconstruction.
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Transposition of intrinsic muscles of the foot may be beneficial for coverage of local full-thickness defects. A case representing this situation is presented. The authors report successful resolution of the procedure 28 months postoperatively.
It is difficult to assess the damage resulting from crush or avulsion injuries so they may be treated adequately. The authors present a systematic approach to evaluating tissue involved in foot trauma. They also discuss antibiotic and tetanus prophylaxis and a technique of bacterial quantification that is helpful in determining the advisability of primary or delayed wound closure.
Chronic neurotrophic ulcerations involving weightbearing portions of the foot present a unique management challenge. Under the appropriate clinical setting, muscle transposition can be a rewarding operation in managing these otherwise unresponsive pedal ulcerations. Presented herein is a case demonstrating the successful resolution of a recalcitrant ulceration. The authors recommend this approach, not as a replacement, but merely as an alternative to more traditional techniques.