RESUMO
We estimated the predictive value of methicillin-resistant Staphylococcus aureus (MRSA) nasal polymerase chain reaction (PCR) for blood, bone, and soft-tissue cultures. The specificities were 88.8%, 88.5%, and 92.7% for all cultures, blood cultures, and bone and soft-tissue cultures respectively, and the negative predictive values were 99.3%, 99.8%, and 92.7% respectively.
RESUMO
Postoperative complications can be burdensome on both the patient and the surgeon. Attention in literature is often directed toward different forms of treatment and successful outcomes in surgery. The incentive of this article is to bring insight toward postoperative complications in rearfoot surgery, more specifically, the repair of the Achilles tendon with suture tape and suture anchors. This article directs attention to the recent reports on hypersensitivity reactions seen with the use of suture tape and nonabsorbable suture anchors and may encourage physicians to make patients aware of this potential complication when using these materials.
Assuntos
Tendão do Calcâneo/cirurgia , Complicações Pós-Operatórias , Tendão do Calcâneo/lesões , Idoso , Reação a Corpo Estranho/etiologia , Reação a Corpo Estranho/cirurgia , Humanos , Hipersensibilidade/etiologia , Hipersensibilidade/cirurgia , Masculino , Pessoa de Meia-Idade , Ruptura Espontânea , Fita Cirúrgica/efeitos adversos , Infecção da Ferida Cirúrgica/etiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Âncoras de Sutura/efeitos adversos , Tendinopatia/etiologia , Tendinopatia/prevenção & controle , Trombose Venosa/etiologia , Trombose Venosa/prevenção & controleRESUMO
Revision hammertoe surgery can be extremely challenging for the foot and ankle surgeon given the scar tissue and available osseous and soft tissue. Although not a common procedure, lesser metatarsophalangeal joint arthrodesis is an option for the patient especially in lieu of an amputation. This article describes the current literature and the surgical technique for a lesser metatarsophalangeal joint arthrodesis.
Assuntos
Artrodese , Síndrome do Dedo do Pé em Martelo/cirurgia , Articulação Metatarsofalângica/cirurgia , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , ReoperaçãoRESUMO
This article reviews the basic anatomy and physiology of tendon healing and ways to use biologics with tendon surgery. Many different products have been used, and this article reviews the literature to distinguish what is still recommended or proven effective through research.
Assuntos
Produtos Biológicos/uso terapêutico , Traumatismos dos Tendões/cirurgia , Humanos , Cicatrização/fisiologiaRESUMO
Revision surgeries, as well as conversions from implants to arthrodesis, can present unique challenges to the foot and ankle surgeon. Proper perioperative planning assists in optimizing the outcome of the procedure. In general, some amount of bone loss and/or shortening of the first metatarsal takes place, leading to the need for augmenting the site with bone graft or a synthetic substitute. Fixation also plays a key role in obtaining a successful conversion. A solid construct combined with bone graft assists the foot and ankle surgeon in achieving an optimal outcome.