Learn More
A retrospective analysis of arthrodesis of the first metatarsophalangeal joint was done to determine the procedure's long-term subjective and objective results. The authors reviewed the long-term results of arthrodesis in 25 patients with 32 operated feet. The average age was 54.8 years (range 22 to 72 years), and the average length of follow-up was 31.9(More)
The authors present their experience, at the University of Texas Health Science Center at San Antonio, with foot surgery in patients with diabetes mellitus. It is important to note that the results that follow are a reflection of the authors' experience with foot surgery in these patients from 1980 to 1985. The authors report two separate groups of(More)
In 1977, Davidson et al wrote an article entitled "Heel Neuroma." Since that time there has been a strong debate on whether the heel neuroma actually exists. The authors present a study of 14 patients presenting with recalcitrant heel pain. Each patient underwent surgical excision of a plantar heel mass. Two patients had bilateral procedures. Preoperative(More)
Puncture wounds present a clinical dilemma when considering the amount of intervention. Through a logical and thorough history and physical examination a wound score is reached. This scoring system allows for a more objective approach to treatment. Although by no means perfect, wound score will help the clinician in decision making for this difficult(More)
The authors present a review of the literature on arteriovenous shunting, which is a relatively new theory. It is described in the patient with diabetes and coexisting neuropathy. The authors present a case report of a patient with arteriovenous shunting and diabetic neuropathic ulcerations.
  • S M Krych
  • Clinics in podiatric medicine and surgery
  • 1992
All patients should be considered seropositive, and protective measures always should be taken. The mainstays of universal precautions are the use of barrier techniques and protection from inadvertent sharps exposure. Various studies show that emergency room or trauma patients have a higher HIV prevalence than the population as a whole. Several studies of(More)
Cases that are seen early often can be treated by closed reduction. It is believed that the injury in the case presented could have been treated by closed reduction if it had been recognized at the time of occurrence. This would have decreased the patient's long postoperative course. Hardcastle et al found that the postoperative results with the partial(More)
  • S M Krych
  • Clinics in podiatric medicine and surgery
  • 1993
PVNS because of its indolent symptomatology can present with confounding clinical, radiographic, and pathologic findings. The case study detailed in this article demonstrates the need in most cases to excise clean margins with the involved tissue for better pathologic diagnosis. Currently, the patient described in this article has been followed for over 2(More)