Biomedical subjects

Vincent J Mandracchia

Publications and source records attributed to Vincent J Mandracchia.

9 recordsLinked to original sources

PubMed2006

Congenital transverse deficiencies: bilateral presentation of the foot.

Congenital transverse deficiency is a rare structural anomaly, primarily occurring in utero. Even though it is rare, congenital transverse deficiency is seen in the private practice setting, and many physicians may be unprepared to make the diagnosis or offer treatment. Furthermore, congenital transverse deficiencies, particularly of the lower extremity, are given little attention in literature. This article briefly highlights congenital transverse deficiencies and discusses the differences and similarities between true Ainhum and congenital transverse deficiency. It provides a case presentation in the hope of helping readers understand, identify, and treat patients who have such afflictions.

Adult↗

PubMed2006

Fractures of the forefoot.

Fractures of the forefoot are common injuries of various causes. Although not crippling, forefoot fractures can be debilitating if they go undiagnosed or are mistreated. Whenever patients complain of foot pain with ambulation or difficulty ambulating, radiographs should be taken as part of a standard routine to assess for bony pathology. This article discusses the classification and treatment of metatarsal fractures, digital and sesamoid fractures, and open fractures about the forefoot.

Compartment Syndromes↗

PubMed2006

Ankle fractures.

Although ankle injuries are common, it is imperative for the treating physician to be able to identify the mechanism of injury and accurately restore the normal anatomy of the ankle joint. Attention must be given to restoring the normal alignment and length of the fibula because of its dominant role in controlling talar stability. The medial ankle must not be overlooked, with the role of the deltoid taken into consideration. With a thorough understanding of the anatomy, biomechanics, mechanism of injury, and fixation techniques, repair of the damaged ankle joint can lead to rewarding outcomes for the patient and physician.

Ankle Injuries↗

PubMed2004

Pantalar arthrodesis.

Pantalar arthrodesis is a demanding procedure that serves a useful purpose for stabilization of the ankle, rearfoot, and midfoot. These fusions should be recognized as salvage procedures in the treatment of unstable and debilitating conditions as a result of severe degenerative joint disease, rheumatoid arthritis, neuropathic joint destruction, and paralytic or flail extremity dysfunction. As with all salvage-type procedures, patient and physician expectations must be the same to afford an acceptable and functional postoperative result.

Ankle Joint↗

PubMed2004

Management of osteomyelitis.

Osteomyelitis is an infection of the medullary or cortical bone that is becoming more difficult to cure with the increasing prevalence of methicillin- and vancomycin-resistant organisms. This article discusses the etiology of osteomyelitis and the effectiveness of various treatment options.

Animals↗

PubMed2004

Treatment of nonunited hindfoot fusions.

The management of delayed union and nonunion is complex and is contingent on appropriate diagnosis and classification. Detection techniques and treatment options, including cast immobilization, electrical stimulation, surgical repair, or a combination of regimens, are discussed in this article.

Arthrodesis↗

PubMed2002

Behçet's disease: a case report.

While Behçet's disease is an uncommon presentation to a podiatric clinical setting, it is nonetheless a fascinating and poorly understood disease as demonstrated by the current and historical research available about the topic. Much debate remains about the disease cause, course and treatment goals. Only through further research into the specific components of this multisystem disease will medicine be more fully able to address the needs of the patient. This discussion should offer the podiatric physician an overview of the disease as well as available treatment options.

Adult↗

PubMed2002

Pigmented villonodular synovitis. A literature review and unusual case report.

The literature contains various nomenclature and classifications regarding the pigmented villonodular pathology that have proven to be quite confusing. This article clarifies this and emphasizes the fact that there is a spectrum of inflammatory pathologies that may affect synovial tissue. The primary focus of this article is pigmented villonodular Synovitis (PVNS) which refers to joint pathology.

Adult↗

PubMedDate not supplied

The physician's attire and its influence on patient confidence.

Although physician appearance has been a topic of discussion in the medical literature for many years, no objective research has been performed on this topic in the field of podiatric medicine. Our primary objective was to examine patient confidence in physicians as it relates to professional clinic attire versus casual or scrub outfits. We also assessed the influence of other variables, such as white coat, name tag, age, and sex, on patient confidence. We surveyed 155 podiatric medical patients from a private practice and a hospital-based clinic. The results indicate that 68% of patients surveyed felt that professional attire inspired the most confidence. Ninety-six percent of all patients either preferred white coats or were indifferent to their presence. We conclude that professionally dressed podiatric physicians may inspire more confidence in a significant percentage of their patients.

Adolescent↗