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- Author or Editor: JD Johnson x
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The evaluation of ulcer size is normally limited to measuring length, width, and depth, and comparing those figures to previously obtained values. These comparisons are grossly inaccurate, and a more representative technique can be used by treating the ulceration as a three-dimensional object. The author proposes several mathematical formulae that are easily computed on a hand-held calculator. The formulae use the measurements of length, width, and depth, and translate those dimensions into surface area and volume.
Distal saphenous vein cutdown is an excellent method for intravenous access. It allows for a rapid infusion of fluids. Although the saphenous vein cutdown is not commonly performed, the podiatrist should be familiar with this procedure, as it may be necessary during an emergency situation.
The cubonavicular coalition is a rare form of tarsal coalition that probably accounts for less than 1% of all coalitions. The authors present a new case of cubonavicular coalition as well as the findings of the 17 previously published accounts. Etiology, clinical presentation, diagnosis, and treatment of the condition are discussed.
The authors present a case of bullous dermatosis in a diabetic patient. The lesions were drained and deroofed, and at 1-year follow-up, the patient related no problems. Proper diagnosis and treatment of these lesions will avoid infection and ulceration.
The T-Screw was patented in 1984. A 5-year study was begun in 1980, and FDA approval was granted in 1985. Detailed results of this clinical study will be reported in a later paper. The purpose of this paper is to introduce the device. The authors have found that early return to normal function and wearing shoes has been possible when using T-Screws for fixation of podiatric osteotomies. The screw appears to accelerate bone healing and has numerous applications throughout the foot. The authors believe that its ease of application and removal as well as its ability to generate rigid, compressive fixation makes it an excellent alternative to current fixation devices.
The authors compared the use of the power saw with bone-cutting forceps for excision of bone. A total of 44 digits were studied in 12 patients. The study was performed on patients requiring bilateral digital arthroplasties of the proximal and distal interphalangeal joints. The authors examined the differences in healing: pain, inflammation, and fibrosis. Digits on which the power cuts were made showed a slight advantage with regard to inflammation and pain, until 1 week after surgery. By week 12, neither technique demonstrated superiority. Overall results demonstrated no significant digit (p > 0.2) or treatment effect (p = 0.11). The authors believe that the study showed that the technique used for bone excision may have little effect on inflammation and healing in the long-term management of a surgical patient.
