RESUMO
The complications associated with the hemi-silicone implants of the foot have been well documented. Reasons for their failure are many. In the past, there has been an overuse of these devices without strict adherence to their proper indications. Today, these implant failures are being manifested by extremely unusual pathology. Although silicone has not been shown to be carcinogenic, the florid reaction seen in this case demonstrated a degree of "malignancy" that may have incapacitated the patient.
Assuntos
Granuloma de Corpo Estranho/etiologia , Articulação Metatarsofalângica/cirurgia , Próteses e Implantes , Elastômeros de Silicone , Adulto , Diagnóstico Diferencial , Falha de Equipamento , Feminino , Granuloma de Corpo Estranho/diagnóstico , Granuloma de Corpo Estranho/patologia , Humanos , Articulação Metatarsofalângica/patologia , Sinovite/diagnóstico , Sinovite/etiologiaRESUMO
The authors present an alternative method of fixation for the Austin bunionectomy using the Richards self-tapping screw. A description of the screw and method of application is included. In more than 250 osteotomies fixated by this technique, no complications inherent to the self-tapping screw have been encountered.
Assuntos
Parafusos Ósseos , Hallux Valgus/cirurgia , Osteotomia/métodos , Desenho de Equipamento , Humanos , ImobilizaçãoRESUMO
The Richards Scaphoid compression clamp offers an alternative in the reduction and stabilization of many of the osteotomies and fractures treated by foot surgeons. The clamp provides a refinement of the technique of manual compression and has been used successfully in treating fractures of the fifth metatarsal base and osteotomies of the calcaneus and first metatarsal.