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Auteur Patrick Burns
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Ajouter le résultat dans votre panier Affiner la rechercheOutcomes of Tibiotalocalcaneal Arthrodesis with a Femoral Nail / Nicholas S Powers in Journal of the American Podiatric Medical Association, Vol. 111, 03 (Mai-juin 2021)
[article]
in Journal of the American Podiatric Medical Association > Vol. 111, 03 (Mai-juin 2021)
Titre : Outcomes of Tibiotalocalcaneal Arthrodesis with a Femoral Nail Type de document : article de périodique Auteurs : Nicholas S Powers ; Paul R. Leatham ; Justin D. Persky ; Patrick Burns Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Arthrite
[Thésaurus Mesh]Arthrodèse
[Thésaurus Mesh]Complications postopératoires
[Thésaurus Mesh]Fémur
[Thésaurus Mesh]Membre inférieur
[Thésaurus Mesh]Pied diabétiqueMots-clés : arthrodèse tibiotalocalcanéenne clou de fixation enclouage intramédullaire rétrograde Résumé : Background: Retrograde intramedullary nailing for tibiotalocalcaneal arthrodesis (TTCA) is used for severe hindfoot deformities, end-stage arthritis, and limb salvage. The procedure is technically demanding, with complications such as infection, hardware failure, nonunion, osteomyelitis, and possible limb loss or death. This study reports the outcomes and complications of patients undergoing TTCA with a femoral nail, which is widely available and offers an extensive range of lengths and diameters. Methods: We performed a retrospective review of 104 patients who underwent 109 TTCAs using a femoral nail as the primary procedure (January 2006 through December 2016). Demographic data, risk factors, and outcomes were evaluated. Results: At final follow-up, the overall clinical union rate was 89 of 109 (81.7%). Diabetes mellitus was negatively associated with limb salvage (P ¼ .03), and peripheral neuropathy (P ¼ .02) and Charcot’s neuroarthropathy (P ¼ .03) were negatively associated with clinical union. Only four patients (3.8%) underwent proximal amputation, at an average of 6.1 months, and 11 patients (10.6%) died, at a mean of 38.0 months. The most common complication was ulceration in 27 of 109 limbs (24.8%), followed by infection in 25 (22.9%). Twenty-three patients (22.1%) underwent revision procedures, at a mean of 9.4 months. Thirteen of these 23 patients (56.5%) had antibiotic cement rod spacers/rods for deep infection–related complications. Conclusions: Use of a femoral nail has been shown to provide similar outcomes and limb salvage rates compared with other methods of TTCA reported for similar indications in the literature Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Protecting medial soft tissue structures in hindfoot arthrodesis with the medial displacement calcaneal osteotomy / Patrick Burns in Podiatry today, vol. 32, 3 (Mars 2019)
[article]
in Podiatry today > vol. 32, 3 (Mars 2019) . - p. 20-23
Titre : Protecting medial soft tissue structures in hindfoot arthrodesis with the medial displacement calcaneal osteotomy Type de document : article de périodique Auteurs : Patrick Burns ; Jason St John, Auteur Année de publication : 2019 Article en page(s) : p. 20-23 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Ostéotomie
[Thésaurus Mesh]Pied
[Thésaurus HELB]:Paramédical:metatarsus varusMots-clés : osteotomy general surgery foot Résumé : Hindfoot arthrodesis has grown into a powerful tool for foot and ankle surgeons with applications in multiple pathologies. Since Ryerson’s original description of hindfoot arthrodesis, much has changed, including a variety of incision approaches as well as a growing number of fixation techniques.1 The number of joints included in the hindfoot arthrodesis for many surgeons has also evolved to include only subtalar and talonavicular joints, or the “double” arthrodesis [...] En ligne : https://www.podiatrytoday.com/protecting-medial-soft-tissue-structures-hindfoot- [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité P Périodique Erasme - périodiques Périodiques Disponible Tibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing : A Report of Two Cases / Nicholas S Powers in Journal of the American Podiatric Medical Association, vol. 110, 03 (Mai-juin 2020)
[article]
in Journal of the American Podiatric Medical Association > vol. 110, 03 (Mai-juin 2020)
Titre : Tibia Fracture in Staged Limb Salvage Using External Ring Fixation and Intramedullary Nailing : A Report of Two Cases Type de document : article de périodique Auteurs : Nicholas S Powers ; Jason St John ; Patrick Burns Année de publication : 2020 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / chirurgie
[Thésaurus Mesh]:F:Fractures du tibia:Fractures du tibia / complications
[Thésaurus Mesh]Arthropathie nerveuse
[Thésaurus Mesh]Fixateurs externes
[Thésaurus Mesh]Fractures du tibiaMots-clés : diaphyse tibiale fixation intramédullaire Résumé : Limb salvage for Charcot's neuroarthropathy has been shown to have high complication and failure rates. The aim of our report of two cases it to present a unique complication encountered with staged limb salvage for Charcot's neuroarthropathy. In two cases, patients developed delayed tibial shaft fracture associated with previous wire placement despite insertion of locked intramedullary nail fixation that spanned the delayed fracture. Both patients experienced fractures following advancement of weight after definitive fixation. In both patients, there was noted complication with the sites of the pins and revision of external fixation before fracture. In each case, the fracture was within the construct of the intramedullary fixation and successfully treated with an extended course of nonweightbearing. Complications of external fixation and intramedullary fixation are well reported within the literature; however, tibia fracture is rare. Based on these cases, it would seem prudent to recognize the risk of delayed pin-site complications and ensure adequate length of intramedullary fixation to span the potential areas of stress. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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