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Auteur Ian M. Barron
Documents disponibles écrits par cet auteur
Ajouter le résultat dans votre panier Affiner la rechercheDiabetes-Related Major and Minor Amputation Risk Increased During the COVID-19 Pandemic / Dominick J Casciato in Journal of the American Podiatric Medical Association, vol. 113, 02 (Mars 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 02 (Mars 2023)
Titre : Diabetes-Related Major and Minor Amputation Risk Increased During the COVID-19 Pandemic Type de document : article de périodique Auteurs : Dominick J Casciato ; Sara Yancovitz ; John Thompson ; Steven Anderson ; Alex Bischoff ; Shauna Ayres ; Ian M. Barron Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:A:Amputation chirurgicale:Amputation chirurgicale / classification
[Thésaurus Mesh]COVID-19
[Thésaurus Mesh]Pied diabétique
[Thésaurus Mesh]Ulcère du piedRésumé : Background: Along with significant case transmission, hospitalizations, and mortality experienced during the global severe acute respiratory syndrome coronavirus 2 pandemic, there existed a disruption in the delivery of health care across multiple specialties. We studied the effect of the pandemic on inpatients with diabetic foot problems in a Level I trauma center in central Ohio. Methods: A retrospective chart review of patients necessitating a consultation by the foot and ankle surgery service were reviewed from the first 8 months of 2020. A total of 270 patients met the inclusion criteria and were divided into prepandemic (n = 120) and pandemic groups (n = 150). Data regarding demographics, medical history, severity of current infection, and medical or surgical management were collected and analyzed. Results: The odds of undergoing any level of amputation was 10.8 times higher during the pandemic versus before the pandemic. The risk of major amputations (below-the-knee or higher) likewise increased, with an odds ratio of 12.5 among all patients in the foot and ankle service during the pandemic. Of the patients undergoing any amputation, the odds for undergoing a major amputation was 3.1 times higher than before the pandemic. In addition, the severity of infections increased during the pandemic, and a larger proportion of the cases were classified as emergent in the pandemic group compared to the prepandemic group. Conclusions: The effect of the pandemic on the health-care system has had a deleterious effect on people with diabetes mellitus (DM)–related foot problems, resulting in more severe infections and more emergencies, and necessitating more amputations. When an amputation was performed, the likelihood that it was a major amputation also increased. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Intermetatarsal Angle and Hallux Abductus Angle Reduction After First Metatarsophalangeal Joint Arthrodesis in Mild, Moderate, and Severe Hallux Valgus / Kimberly S. Cravey in Journal of the American Podiatric Medical Association, vol. 111, 02 (Mars-avril 2021)
[article]
in Journal of the American Podiatric Medical Association > vol. 111, 02 (Mars-avril 2021)
Titre : Intermetatarsal Angle and Hallux Abductus Angle Reduction After First Metatarsophalangeal Joint Arthrodesis in Mild, Moderate, and Severe Hallux Valgus Type de document : article de périodique Auteurs : Kimberly S. Cravey ; Ian M. Barron ; Said A. Atway ; Michael L. Anthony ; Erik Monson Année de publication : 2021 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Anomalies morphologiques du pied
[Thésaurus Mesh]Articulation métatarsophalangienne
[Thésaurus Mesh]Hallux valgus
[Thésaurus Mesh]Procédures de chirurgie opératoireMots-clés : metatarsus primus adductus Résumé : Background: First metatarsophalangeal joint fusion is a commonly used procedure for treating many pathologic disorders of the first ray. Historically, hallux valgus deformity with severely increased intermetatarsal angle or metatarsus primus adductus indicated need for a proximal metatarsal procedure. However, the effectiveness and reliability of first metatarsophalangeal joint arthrodesis in reducing the intermetatarsal angle has been increasingly described in the literature. We compared findings at our institution with current literature for further validation of this well-accepted procedure in correcting hallux valgus deformity with high intermetatarsal angle. Methods: Weightbearing preoperative and postoperative radiographs of 43 patients, 31 women and 12 men, meeting the inclusion and exclusion criteria were identified. Two independent investigators measured the hallux abductus and intermetatarsal angles. Preoperative and postoperative measurements for each angle were compared and average reduction calculated. The data were further analyzed by grouping deformities as mild, moderate, and severe. Mean follow-up was 10 months. Results: The overall mean preoperative intermetatarsal and hallux abductus angles decreased significantly (from 13.098 to 9.338 and from 23.728 to 12.198, respectively; both P , .01). When grouping deformities as mild, moderate, and severe, all of the categories maintained reduction of intermetatarsal and hallux abductus angles (P , .01). Furthermore, the mean reduction of the intermetatarsal and hallux abductus angles seemed to correlate with preoperative deformity severity. Conclusions: In patients undergoing correction of hallux valgus deformity, first metatarsophalangeal joint arthrodesis produced consistent reductions in the intermetatarsal and hallux abductus angles. Furthermore, these findings are consistent with those reported by other institutions. Note de contenu :
Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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