RESUMEN
Hallux adductus, a horizontal plane deformity, often has an iatrogenic etiology especially as a complication of hallux abducto valgus surgery. A case at Sheridan Park Hospital is described in which the patient developed a steadily worsening static hallux adductus following foot surgery. She underwent further corrective procedures for the hallux adductus 11/2 years later. The authors conclude that if a mild static hallux adductus is observed in conjunction with bunionectomy or other surgery, it should be corrected at that time rather than some years later.
Asunto(s)
Hallux Valgus/cirugía , Osteotomía/métodos , Adulto , Femenino , Hallux/diagnóstico por imagen , Hallux Valgus/diagnóstico por imagen , Humanos , Huesos Metatarsianos/diagnóstico por imagen , Huesos Metatarsianos/cirugía , Complicaciones Posoperatorias , Radiografía , ReoperaciónRESUMEN
All first metatarsophalangeal joint implants used at Sheridan Park Hospital from 1979 through 1984 were evaluated for postoperative infection and subsequent implant removal. Thirteen (1.3%) of 929 implants used were removed due to infection. Antibiotic prophylaxis was not determined to be necessary to avoid this complication. However, in all cases in which prophylaxis was used, no infection occurred.
Asunto(s)
Antibacterianos/uso terapéutico , Articulación Metatarsofalángica/cirugía , Prótesis e Implantes , Infección de la Herida Quirúrgica/prevención & control , Articulación del Dedo del Pie/cirugía , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Infecciones Estafilocócicas/prevención & controlRESUMEN
This article reviews the history of topical bone hemostatic agents, listing advantages and disadvantages of the more commonly used agents. Gelfoam paste and bone wax were chosen to study the effects that bone hemostatic agents have on the occurrence and severity of postoperative edema and pain. The authors discovered 80% of the patients utilizing bone wax, and 91% of the patients receiving Gelfoam paste, had markedly decreased amounts of immediate postoperative edema. Furthermore, 90% of the patients treated with bone wax, and 75% of the patients treated with Gelfoam paste, reported less postoperative pain than anticipated with the surgical procedure performed.
Asunto(s)
Huesos/cirugía , Esponja de Gelatina Absorbible/administración & dosificación , Hemostasis Quirúrgica/métodos , Hemostáticos/administración & dosificación , Palmitatos/administración & dosificación , Ácidos Palmíticos/administración & dosificación , Ceras/administración & dosificación , Administración Tópica , Combinación de Medicamentos/administración & dosificación , Humanos , Pomadas , Distribución AleatoriaRESUMEN
The authors examine a technique that is performed for control of postoperative pain. Sixty-eight patients were evaluated who had received a combination of Marcaine with no epinephrine, plus Hexadrol, at the surgical site immediately postoperatively. It was found that 65% did not require any form of analgesia within the first 4 hours postsurgically; 44% the first 8 hours, and 28% the first 12 hours. Sixteen percent of the patients required no form of analgesia during their entire hospital stay.
Asunto(s)
Bupivacaína , Dexametasona , Enfermedades del Pie/cirugía , Dolor Postoperatorio/prevención & control , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Bloqueo Nervioso , Distribución AleatoriaRESUMEN
The study was conducted with 110 patients admitted to Sheridan Park Hospital to determine the efficacy of the nonsteroidal anti-inflammatory drug, naproxen, in relieving postoperative pain. Aspirin, as well as compounds classified as nonsteroidal, anti-inflammatory drugs (NSAID), such as naproxen, are known to inhibit synthesis of certain prostaglandins that are involved in the inflammation process. This is the cause of a significant percentage of postoperative pain.
Asunto(s)
Enfermedades del Pie/cirugía , Naproxeno/uso terapéutico , Dolor Postoperatorio/prevención & control , Administración Oral , Adolescente , Adulto , Anciano , Ensayos Clínicos como Asunto , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Naproxeno/administración & dosificación , Dolor Postoperatorio/tratamiento farmacológico , Premedicación , Prostaglandinas/fisiología , Distribución AleatoriaRESUMEN
The authors present their findings upon evaluation of 26 feet that had undergone a tibial sesamoid planing procedure. A preoperative method of radiographic evaluation is also presented. The subjective success rate was determined to be 88.8%, whereas the objective success rate was 76.9%, and a successful procedure was performed on feet with a first metatarsal declination angle not exceeding 8 degrees. It was also determined that the apparent postoperative changes in the hallux abductus and intermetatarsal angles were 0.73 degrees and 0.6 degrees, respectively. The authors believe this procedure does not significantly alter the biomechanics of the first metatarsophalangeal joint postoperatively.
Asunto(s)
Huesos Sesamoideos/cirugía , Articulación del Dedo del Pie/cirugía , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Métodos , Persona de Mediana Edad , Radiografía , Huesos Sesamoideos/diagnóstico por imagen , Articulación del Dedo del Pie/diagnóstico por imagenRESUMEN
Diabetic foot ulcerations exhibit a wide range of the bacterial spectrum. A long-standing question is whether any particular bacterium or class of bacteria is responsible for the more involved ulcers. A review of such cases at Sheridan Park Hospital reveals that there may be factors other than bacterial type that may account for the virulence of diabetic ulcers. Multifactorial causes host a vital role in this common, but potentially serious, podiatric problem.