Evidence-Based Podiatry: A Clinical Guide to Diagnosis and Management

Preface......Page 5
Contents......Page 6
Contributors......Page 8
Introduction – Overview of Topics and What to Expect......Page 10
Introduction......Page 11
Conservative Therapies......Page 13
Partial Nail Avulsions and Adjunctive Procedures......Page 14
Surgical Matrixectomy and Soft Tissue Debulking......Page 18
References......Page 19
Introduction......Page 21
Clinical Evaluation......Page 22
Pharmacologic Treatment Options: Topical Therapy......Page 23
Pharmacological Treatment Options: Oral Agents......Page 24
Nonpharmacologic Treatment Options......Page 25
Combination Therapy......Page 26
References......Page 27
Chapter 3: Hammertoe Fixation: Traditional Percutaneous Pin Versus Internal Fixation......Page 31
History......Page 32
Technique, K-Wire......Page 33
Effectiveness of K-Wires (Table 3.1)......Page 36
Technique, Commercial Implant......Page 39
One-Piece Implants......Page 40
Effectiveness of One-Piece Implants (Table 3.2)......Page 42
Shape Memory......Page 43
Effectiveness of Shape Memory Implants (Tables 3.2 and 3.3)......Page 44
Bone Allograft......Page 46
Implant Variant: Bioabsorbable Implant......Page 47
Two-Piece Implant......Page 48
Implant Removal......Page 49
Complications......Page 50
K-Wire Versus Implants (Table 3.3)......Page 51
Fibrous Union Versus Osseous Union......Page 52
References......Page 53
Relevant Anatomy of the 2nd Metatarsophalangeal Joint......Page 56
The Plantar Plate......Page 57
Patient History......Page 59
Pain......Page 60
Plantar Grip......Page 61
Classification of Plantar Plate Injury......Page 63
Grade IV......Page 65
Grade 1......Page 66
Metatarsal Parabola/Metatarsal Protrusion Distance (Fig. 4.10)......Page 67
Normal and Abnormal Appearance......Page 69
Supportive Literature......Page 71
Supportive Literature......Page 72
What Is the Comparison Between Ultrasound and MRI?......Page 73
Suture Button......Page 74
Combined Dorsal-Plantar Approach......Page 75
Postoperative Considerations......Page 76
Long-Term Outcome-Based Studies......Page 77
References......Page 78
History......Page 81
Historical......Page 82
Current Indications......Page 83
Radiographic Evaluation......Page 84
Anatomy and Surgical Biomechanics......Page 85
Surgical Considerations......Page 86
Summary......Page 89
References......Page 90
Background......Page 93
Anatomy and Biomechanics of the Midfoot......Page 94
Causes of Midfoot Arthritis......Page 96
Physical Exam......Page 99
Imaging......Page 102
Treatments......Page 105
Conservative......Page 106
Surgical......Page 107
Arthroplasty (Midfoot)......Page 108
Arthrodesis......Page 109
Lateral Column......Page 115
Lateral Column: For Arthroplasty......Page 116
Concomitant Procedure......Page 118
Complications......Page 119
Midfoot Arthritis: Post-Traumatic Acute......Page 121
Conclusions......Page 123
References......Page 125
Introduction......Page 128
Question 1: What Is the Pathoanatomy of the Flatfoot Deformity?......Page 130
Question 2: What Dictates the Symptomatology of a Flatfoot?......Page 136
Question 3: Can Flatfoot Be Effectively Treated Conservatively?......Page 138
Question 4: What Is the Effectiveness of a Single Surgical Procedure?......Page 140
Question 5: What Should Be the Expectations of Patients and Physicians with Respect to Surgical Treatment?......Page 142
References......Page 143
History......Page 146
Indications......Page 147
Instrumentation......Page 148
Instruments for Viewing......Page 150
Excisional Instruments......Page 152
Accessory Instruments......Page 155
Standard Setup and Patient Positioning......Page 156
Commonly Treated Conditions......Page 158
Complications......Page 163
Summary......Page 165
References......Page 166
Case Presentation......Page 169
The Science Behind Achilles Tendon Rupture......Page 170
Treatment Goal......Page 171
Rate of Re-rupture......Page 172
Functional Outcome......Page 173
The Current Trend in Treatment......Page 174
Repair of Chronic Achilles Tendon Rupture......Page 175
References......Page 176
Introduction......Page 179
Question 1: What Is the Value of Early Diagnosis in Charcot Neuroarthropathy?......Page 180
Question 2: What Is the Utility of Classification Systems for Charcot Neuroarthropathy?......Page 181
Question 3: What Is the Goal of Intervention for Charcot Neuroarthopathy?......Page 183
Protected Immobilization......Page 185
Bisphosphonates......Page 186
3b: How Does Surgical Management Help Achieve This Goal?......Page 187
Question 4: What Are Reasonable Expectations Following Intervention in Charcot Neuroarthropathy?......Page 189
References......Page 191
Definition......Page 195
Etiology......Page 196
Pathoanatomy......Page 197
Kinesiology......Page 198
Clinical Assessment......Page 200
Treatment History and Options......Page 202
Treatment Protocols: Ponseti......Page 210
Recurrence/Relapse......Page 215
Complications......Page 217
References......Page 219
Comorbidities......Page 226
Ulcer Evaluation......Page 227
Offloading......Page 228
Debridement......Page 229
Negative-Pressure Wound Therapy......Page 230
Compression......Page 231
References......Page 232
Evaluation of the Literature......Page 234
Age......Page 235
Immunosuppression......Page 236
Diabetes......Page 237
Obesity......Page 238
Tobacco Use......Page 240
Deformity......Page 241
Types of Implants......Page 245
FDA-Approved Implants......Page 248
Navigation Guidance......Page 250
Approach......Page 251
Bone Resection......Page 252
Complications......Page 253
Wound Healing......Page 254
Osteolysis......Page 255
Heterotopic Ossification......Page 258
Implant Failure......Page 259
Revision Rates......Page 260
Summary......Page 261
References......Page 262
Index......Page 267