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T D Vitale

Publications and source records attributed to T D Vitale.

4 recordsLinked to original sources

Autonomic dysreflexia and foot and ankle surgery.

Autonomic dysreflexia is a syndrome of massive imbalance of reflex sympathetic discharge occurring in patients with spinal cord injury with a lesion above the splanchnic outflow (Thoracic 6). Autonomic dysreflexia is characterized by a sudden and severe rise in blood pressure and is potentially life threatening. Because the onset of this entity is rapid and the potential morbidity is severe, it is important for those caring for spinal cord injury patients to be aware of this syndrome. The paper presents a review of the literature, and familiarizes one with the diagnosis, pathophysiology, and treatment. Two illustrative case reports are also presented.

Adult↗

Distal tibiofibular synostosis and late sequelae of an ankle sprain.

The late sequelae of an ankle sprain is described in the form of an acquired tibiofibular synostosis. A synostosis can result in loss of dynamic motion between the tibia and fibula, which may create decreased and painful ankle motion. A case report and surgical procedure is presented.

Adult↗

Biomaterials: selection and complications.

Basic concepts of bioengineering and biomechanics are presented. The application of these various terms explain the mechanical and physical properties of biomaterials widely used in implanted devices. An explanation and literature review explains the possible biocompatibility reactions to these implants.

Biocompatible Materials↗

Lateral ankle sprains: evaluation and treatment.

The increased exposure of podiatric physicians to emergency room trauma, especially lateral ankle injuries, necessitates immediate knowledge to evaluate and treat this complex injury. The appropriate knowledge necessary includes the ability to recognize normal anatomy and variants from pathologic states, either osseous or soft tissue; the ability to perform specialized tests and their relationship to the clinical state; and, lastly, the ability to have at grasp various treatment modalities and the experience to initiate the proper treatment plan. The intent of this paper is, therefore, to present: normal anatomy of the lateral ankle and possible anomalies; mechanism of injury of lateral ankle sprains; performance of specialized tests, especially stress roentgenographs and arthrograms with examples of normal, normal variants, and abnormal findings; and a review of the literature of the present state of treatment, as well as the experience at our institution. Additionally, the authors hope to arrest the thought that a lateral ankle sprain is a simple soft tissue injury.

Ankle↗