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The Akron midtarsal dome osteotomy in the treatment of rigid pes cavus: a preliminary review.

This study reviews the preliminary results of a previously unreported midtarsal "dome" osteotomy, all operations being performed by a single surgeon. The procedure is centered at the apex of the deformity and allows for extensive angular and rotational correction of the midfoot. The initial review has demonstrated 67% satisfactory results in 22 patients representing 35 feet. Satisfactory results were obtained in 15 of 16 feet (94%) in patients greater than 8 years of age. Careful short-term analysis suggests that the midtarsal "dome" osteotomy is best indicated for the child greater than 8 years of age with a rigid cavus or cavovarus foot.

Adolescent↗

Cooperation and collaboration for clinical nursing research. The Akron-Canton Clinical Nursing Research Network.

Nursing research suffers from an image of being an academic exercise even though it is essential for the growth and improvement of professional practice. With the current emphasis on redesign and cost containment, nurses need to come to the planning table with information and data to assist in decision making and to keep the nursing perspective in patient care. There are barriers to conducting nursing research, but a group approach, through a regional clinical nursing research network, provides the support and resources for an active research program.

Clinical Nursing Research↗