RESUMO
This article presents a literature review of the use of bone grafts in reconstructive osteotomies of the foot. Applications of this techniques, specifically for the calcaneus, cuneiforms, and metatarsal bones, are discussed. Surgical treatment of various conditions such as pes valgus, metatarsus adductus, hallux abducto valgus, and brachymetatarsia are highlighted.
Assuntos
Transplante Ósseo/métodos , Deformidades do Pé/cirurgia , Osteotomia/métodos , Calcâneo/cirurgia , Humanos , Ossos do Metatarso/cirurgia , Ossos do Tarso/cirurgiaRESUMO
The authors present a case report with a 1-year follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the distal metaphysis of the right tibia in an 11-year-old female. The author discusses the pathology of hematologic osteomyelitis and its role in the development of a subacute abscess. A review of the literature and a detailed description of the pathogenesis of Brodie's abscess is submitted as well.
Assuntos
Abscesso/cirurgia , Osteomielite/cirurgia , Tíbia , Abscesso/diagnóstico por imagem , Transplante Ósseo , Criança , Curetagem , Desbridamento , Drenagem , Feminino , Seguimentos , Humanos , Osteomielite/diagnóstico por imagem , Radiografia , Tíbia/diagnóstico por imagem , Tíbia/cirurgiaRESUMO
Brachymetatarsia is a relatively rare condition, although there are many surgical procedures to correct the condition. The authors present a case study with a 2-year follow-up period demonstrating the successful surgical treatment of a 4th metatarsal brachymetatarsia of the left foot of a 14-year-old female. The operative technique and literature review are discussed. This technique combines the idea of bone grafting with a specific graft shape and donor site to facilitate graft stability and graft healing.
Assuntos
Transplante Ósseo , Deformidades Congênitas do Pé/cirurgia , Metatarso/anormalidades , Adolescente , Alongamento Ósseo/métodos , Transplante Ósseo/métodos , Feminino , Seguimentos , Deformidades Congênitas do Pé/diagnóstico por imagem , Humanos , Metatarso/diagnóstico por imagem , Metatarso/cirurgia , Radiografia , Transplante AutólogoRESUMO
Fourteen patients (16 feet) were reviewed an average of 4.5 years after undergoing treatment by calcaneonavicular bar resection. After subjective and objective evaluation, 75% (12 feet) were judged to have had satisfactory results. Preoperative degenerative changes in the rearfoot correlated directly with poor results. Recurrence of the bar in every case was associated with inadequate resection. The study showed no difference in the results when resecting completely ossified bars as compared with resecting incompletely ossified bars.
Assuntos
Calcâneo/cirurgia , Sinostose/cirurgia , Articulações Tarsianas/cirurgia , Adolescente , Adulto , Idoso , Calcâneo/diagnóstico por imagem , Calcâneo/patologia , Criança , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Amplitude de Movimento Articular , Recidiva , Estudos Retrospectivos , Procedimentos Cirúrgicos Operatórios/métodos , Articulações Tarsianas/diagnóstico por imagem , Articulações Tarsianas/patologia , Fatores de TempoRESUMO
1. Results of resection of calcaneonavicular bars in 16 feet are reported. Satisfactory results were obtained in 75% (12 of 16 feet). 2. Inadequate resection of the bar correlated with regrowth (recurrence) of the bar. 3. Good postoperative subtalar joint range of motion correlated with good results. 4. Degeneration in the rearfoot correlated with poor results. 5. Resecting the bar in the presence of another coalition yielded a poor result. 6. Resection of completely ossified bars versus incompletely ossified bars yielded no difference in results as long as no degeneration in the rearfoot was present.
Assuntos
Calcâneo/cirurgia , Ossos do Tarso/cirurgia , Calcâneo/anormalidades , Seguimentos , Humanos , Ossificação Heterotópica , Recidiva , Procedimentos Cirúrgicos Operatórios/métodos , Ossos do Tarso/anormalidadesRESUMO
The authors present a retrospective study of pan metatarsal head resection. Overall outcome of pan metatarsal head resection with various modifications are analyzed. Subjective data are obtained ascertaining initial chief complaint, appearance, pain relief, and overall patient satisfaction. Additionally, an objective analysis was undertaken. It was found that over the first 4-year postoperative period, patient satisfaction was quite high. However, after this initial postoperative period, a majority of patients were very dissatisfied. This manuscript suggests recommendations pertaining to pan metatarsal head resection based on the results of this study.