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Lower Extremity Complex Trauma and Complications, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Lower Extremity Complex Trauma and Complications, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

John J. Stapleton

(2014)

Abstract

Lower Extremity Complex Trauma and Complications, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Table of Contents

Section Title Page Action Price
Front Cover Cover
Lower Extremity Complex Trauma and Complications\r i
Copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Contributors v
Contents vii
Clinics In Podiatric Medicine And Surgery\r xi
Foreword\r xiii
Preface\r xv
Open Fractures of the Foot and Ankle 461
Key points 461
Introduction 461
Classification of open fractures 462
Generalized management principles 462
Antibiotic delivery 463
Surgical debridement 464
Irrigation 465
Timing of debridement 466
Skeletal stabilization 467
Wound management 469
Open ankle fractures 470
Open hind-foot injuries 475
Open mid-foot and lisfranc injuries 480
Special cases 484
Summary 484
References 484
Diabetic Charcot Neuroarthropathy of the Foot and Ankle with Osteomyelitis 487
Key points 487
Introduction 487
Summary 491
References 491
Midfoot Crush Injuries 493
Key points 493
Introduction 493
Epidemiology of midfoot fractures 493
Functional anatomy of the midfoot joints 494
The soft tissue envelope 495
Compartment syndrome 496
Fracture blisters 498
Tarsometatarsal joint crush injuries 499
Chopart joint trauma 500
Navicular comminution 502
Isolated cuboid comminution 503
Global midfoot crushing 504
Rehabilitation 505
Summary 506
References 506
Fractures of the Talus 509
Key points 509
Introduction 509
Anatomy 510
Bony Anatomy 510
Vascular Supply 510
Initial assessment 510
Radiographs 511
Advanced Imaging 511
Initial management and timing 511
Management of specific fractures 512
Talar Neck 512
Technique 513
Reduction and Internal Fixation Technique 514
Reduction of Extruded Talar Body 515
Long-term results 515
Talar body fractures 517
Talar Head Fracture 518
Lateral process fractures 518
Posterior Process Fractures 519
Summary 520
References 520
Management in High-risk Patients 523
Key points 523
Polytrauma and the foot and ankle injury 523
Fracture management in the diabetic patient 525
Management of foot and ankle fractures in the geriatric population 527
Summary 534
References 535
Surgical Treatment of Intra-articular Calcaneal Fractures 539
Key points 539
Preoperative evaluation and surgical planning 539
Open calcaneal fractures 540
Minimal incision versus extensile lateral approach 542
Postoperative complications 544
Discussion 544
Summary 546
References 546
Surgical Treatment of Tibial Plafond Fractures 547
Key points 547
Initial care plan 547
Stepwise approach 548
Fracture pattern and reduction techniques 551
Surgical incisional approaches 553
Anteromedial 553
Anterolateral 556
Direct Lateral Approach 556
Osteosynthesis of the fibula 558
Postoperative complications 563
Summary 564
References 564
The Mangled Foot and Ankle 565
Key points 565
Preoperative assessment 568
Non–Soft Tissue Issues 568
Wound Preparation 568
Subunits 568
Timing 569
Surgical treatment 570
Donor Site Alternatives 570
Donor Site Selection 571
Intraoperative Concerns 573
Postoperative expectations 574
Summary 574
Acknowledgement 574
References 574
Strategies for Managing Bone Defects of the Lower Extremity 577
Key points 577
Plate fixation 578
Intramedullary nailing 579
The Papineau method 579
Mesh titanium cages 579
Porous tantalum cones and cylinders 580
External fixation methods 580
Vascularized fibular transport 582
Summary 583
References 583
Rehabilitation After Major Extremity Trauma 585
Key points 585
Introduction 585
Rehabilitation 586
Pain 588
Foot and ankle trauma at work 589
Case study 590
Workman’s compensation 591
Worker’s compensation benefits 591
The difference if injured on the job 593
A case study 594
Summary 594
References 594
Supramalleolar Osteotomy and Ankle Arthrodiastasis for Juvenile Posttraumatic Ankle Arthritis 597
Key points 597
Case report 597
Surgical technique 598
Discussion 600
Summary 601
References 601
Index 603