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Infection, Ischemia, and Amputation, An Issue of Foot and Ankle Clinics - E-Book

Infection, Ischemia, and Amputation, An Issue of Foot and Ankle Clinics - E-Book

Michael Pinzur | Mark S. Myerson

(2010)

Additional Information

Book Details

Abstract

“Bone and Wound Healing in the Diabetic Patient”, “Surgery for Diabetic Foot Infection” “Antibiotic Therapy for Diabetic Foot Infection”, “Decision-Making in the Dysvascular Lower Extremity”, “Hindfoot and Midfoot Amputation in the Diabetic with Infection”, “Transmetatarsal, Ray and Toe Amputation in the Diabetic Patient” “Gait Abnormality Following Partial Foot Amputation in Diabetes” “Syme’s Amputation”, “What’s New in Transtibial Amputation”, “Angiosomes and Wound Care in the Diabetic Foot”, “Shoes, Orthoses and Prosthoses for Partial Foot Amputation and Diabetic Foot Infection”, “Avoiding Amputation in the Diabetic with Longitudinal Management.”

Table of Contents

Section Title Page Action Price
Front Cover Cover
Contributors iii
Contents v
Preface ix
Chapter 1. Decision Making in the Dysvascular Lower Extremity 391
SCOPE OF THE PROBLEM 391
PATHOGENESIS 392
CLINICAL PRESENTATION OF THE DYSVASCULAR EXTREMITY 392
EVALUATION FOR PAD 395
TREATMENT OF THE DYSVASCULAR EXTREMITY 403
SUMMARY 407
REFERENCES 408
Chapter 2. Bone and Wound Healing in the Diabetic Patient 411
CLINICAL CONSIDERATIONS 412
INTRAOPERATIVE MANAGEMENT 417
PERIOPERATIVE MANAGEMENT 426
REFERENCES 432
Chapter 3. Angiosomes and Wound Care in the Diabetic Foot 439
THE 3 POSTERIOR TIBIAL ARTERY ANGIOSOMES FED BY THE CALCANEAL, MEDIAL PLANTAR, AND LATERAL PLANTAR ARTERIES 442
THE ANTERIOR TIBIAL ARTERY AND DORSALIS PEDIS ANGIOSOME 447
THE PERONEAL ARTERY FED BY THE CALCANEAL BRANCH AND ANTERIOR PERFORATING BRANCHES 450
ANTERIOR TIBIAL AND PERONEAL CONNECTIONS 452
PERONEAL AND POSTERIOR TIBIAL CONNECTIONS 453
ANTERIOR TIBIAL AND POSTERIOR TIBIAL CONNECTIONS 453
ARTERIAL-ARTERIAL CONNECTIONS AROUND THE HEEL 454
ARTERIAL-ARTERIAL CONNECTIONS OF THE PLANTAR FOOT 455
DORSALIS PEDIS, LATERAL PLANTAR ARTERIES, AND CRUCIATE ANASTOMOSIS 456
CONNECTIONS ON THE DORSUM OF THE FOOT 456
INCISIONS AT THE ACHILLES TENDON 457
INCISIONS AT THE LATERAL CALCANEUS 458
INCISIONS OVER THE PLANTAR HEEL 459
INCISIONS AT THE PLANTAR MEDIAL MIDFOOT 459
INCISIONS ALONG THE MEDIAL AND LATERAL FOOT 459
INCISIONS ON THE DORSUM OF THE FOOT 461
INCISIONS FOR AMPUTATIONS 461
SUMMARY 462
REFERENCES 462
Chapter 4. Surgery for Diabetic Foot Infections 465
PATHOPHYSIOLOGY 466
MICROBIOLOGY 467
CLINICAL EVALUATION 467
IMAGING STUDIES 469
TREATMENT 470
SUMMARY 473
REFERENCES 473
Chapter 5. The Infected Calcaneus 477
ANATOMY 477
RISKS FOR WOUND HEALING 478
CLINICAL EVALUATION 480
LABORATORY STUDIES 481
IMAGING STUDIES 481
WOUND ISSUES AND TREATMENT OPTIONS 481
CHRONIC OSTEOMYELITIS 482
SOFT-TISSUE COVERAGE OPTIONS 484
SUMMARY 485
REFERENCES 485
Chapter 6. Syme’s Ankle Disarticulation 487
FUNCTIONAL ADVANTAGES 488
PERIOPERATIVE ADVANTAGES 488
INDICATIONS/CONTRAINDICIATIONS 488
PREOPERATIVE PLANNING 489
TECHNIQUE 489
COMPLICATIONS 492
POSTOPERATIVE MANAGEMENT 493
DISCUSSION 493
REFERENCES 493
Chapter 7. Risk and Prevention of Reulceration After Partial Foot Amputation 495
AMPUTATIONS AND THE DIABETIC FOOT 495
COMPLICATIONS OF DIABETES 496
FOOT RISK IDENTIFICATION 497
OUTPATIENT CARE AND MORBIDITY REDUCTION 498
SUMMARY 499
REFERENCES 499
Chapter 8. Gait Abnormality Following Amputation in Diabetic Patients 501
GAIT 502
AMPUTATION CONSIDERATIONS 503
FOREFOOT AMPUTATIONS 503
TRANSMETATARSAL AMPUTATION 504
MIDFOOT AMPUTATIONS 504
SYME AMPUTATION 505
TRANSTIBIAL AMPUTATION 505
SUMMARY 506
REFERENCES 506
Chapter 9. Shoes, Orthoses, and Prostheses for Partial Foot Amputation and Diabetic Foot Infection 509
PROPER SHOE SELECTION AND FIT 510
SHEAR AND PLANTAR PRESSURE 512
SHOE MODIFICATIONS 513
FOOT ORTHOSES 515
PARTIAL FOOT PROSTHESES 518
ANKLE FOOT ORTHOSES 519
Index 525