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Application of medial column classification in treatment of intraarticular calcaneal fractures

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World Journal of clinical Cases 2020年第19期8卷 4400-4409页

作者： Gang Zheng Fan Xia Shuang Yang Jun Cui Department of foot and ankle Surgery Central Hospital Affiliated to Shenyang Medical CollegeShenyang 110024Liaoning ProvinceChina

BACKGROUND There are many types of treatments for calcaneal fractures,including conservative treatment,conventional surgical treatment,and minimally invasive *** choice of specific treatment options is still *** reduction and internal fixation are currently the most commonly used surgical procedures in the clinic.A good fracture reduction effect can be achieved by using the lateral extension incision of the calcaneus;however,many studies have reported a high incidence of postoperative incision *** there are many methods for the classification of intra-articular calcaneal fractures,it is generally believed that the computed tomography(CT)classification proposed by Sanders has high application value in the selection of treatment methods and evaluation of prognosis of calcaneal ***,this method has no clear guiding significance for the choice of surgical incision and surgical *** To explore the application and clinical efficacy of medial column classification in the treatment of intra-articular calcaneal *** From July 2017 to July 2018,91 patients,including 60 males and 31 females aged 27 to 60 years,were *** participants had closed intra-articular calcaneal fracture,and their surgical options were selected under the guidance of medial column *** patients'fractures were classified according to the Sanders classification:Type II,35 cases;Type III,33 cases;and Type IV,23 *** them,53 patients had medial column displacement(shortened varus)and underwent open reduction and internal fixation with L-lateral incision of the calcaneus;38 patients had no displacement of the medial column and underwent open reduction and internal fixation with tarsal sinus *** calcaneus Bohler angle,Gissane angle,length,width,height,and step thickness of the articular surface were evaluated by X-ray and three-dimensional CT before and after surgery and at the last *** func

关键词： Calcaneus Fracture Medial side Surgical treatment Classification

Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature

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World Journal of Orthopedics 2020年第2期11卷 137-144页

作者： Danilo Ryuko Cândido Nishikawa Fernando Aires Duarte Guilherme Honda Saito Cesar de Cesar Netto Fábio Correia Paiva Fonseca Bruno Rodrigues de Miranda Augusto César Monteiro Marcelo Pires Prado Department of Orthopedics Foot and Ankle SurgeryHospital of the Municipal Public Servant of São Paulo(HSPM)Aclimação 01532-000São PauloBrazil Ortocity Orthopaedic clinic Lapa 05078-000São PauloBrazil Department of Orthopaedics Foot and Ankle SurgeryHospital Israelita Albert EinsteinJardim Leonor 05652-900São PauloBrazil Department of Orthopedics Foot and Ankle SurgeryUniversity of IowaIowa CityIA 52242United States

BACKGROUND Peroneal tendon disorders are common causes of lateral hindfoot ***,total rupture of the peroneal longus tendon is *** treatment for this condition is usually a side-to-side tenodesis of the peroneal longus tendon to the peroneal brevis *** the traditional procedure involves a long lateral curved incision,this approach is associated with damage to the lateral soft tissues(up to 24%incidence).CASE SUMMARY A 50-year-old female had developed pain at the lateral aspect of the hindfoot 1 mo after an ankle sprain while walking in the *** treatments were anti-inflammatory drugs,ice,rest and Cam-walker *** physical exam,there was pain and swelling over the course of the peroneal *** instability and cavovarus foot deformity were ruled *** strength was weak(4/5).Imaging showed complete rupture of the peroneal longus tendon associated with a sharp hypertrophic peroneal *** repair was indicated after failure of conservative treatment(physiotherapy,rest,analgesics,and ankle stabilizer).A less invasive approach was performed for peroneal longus tendon debridement and side-to-side tenodesis to the adjacent peroneal brevis tendon,with successful clinical and functional *** Peroneus longus tendon tenodesis can be performed through a less invasive approach with preservation of the lateral soft tissue integrity.

关键词： Peroneus longus tendon Complete rupture Tenodesis Minimally invasive surgery Wound breakdown Case report

Veno-arterial extracorporeal membrane oxygenation for the treatment of obstructive shock caused by venous air embolism:A case report

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World Journal of clinical Cases 2024年第19期12卷 4016-4021页

作者： Gui-Wei Zhu Yan-Min Li Wen-Hui Yue Jian-Xia Sun Xin Zhou Ying-Xia Xu Hai-Bo Wang Qing-Hai Zhang Department of Critical Care Medicine The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261000Shandong ProvinceChina Office of Medical Affairs The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261042Shandong ProvinceChina Department of Hand&foot Orthopedic Surgery The First Affiliated Hospital of Shandong Second Medical UniversityWeifang 261000Shandong ProvinceChina

BACKGROUND Venous air embolism(VAE)is a potentially lethal condition,with a reported incidence rate of about 0.13%,and the true incidence may be higher since many VAE are *** current treatments for VAE include Durant's maneuver,aspiration and removal of air through venous catheters,and hyperbaric oxygen *** critically ill patients,use of cardiotonic drugs and chest compressions remain useful *** wider availability of extracorporeal membrane oxygenation(ECMO)has brought a new option for VAE *** SUMMARY A 53-year-old female patient with VAE presented to the emergency clinic due to abdominal pain with fever for 1 d and unconsciousness for 2 *** day ago,the patient suffered from abdominal pain,fever,and *** suddenly became unconscious after going to the toilet during the intravenous infusion of ciprofloxacin 2 h ago,accompanied by nausea and vomiting,during which a small amount of gastric contents were *** was immediately sent to a local hospital,where cranial and chest computed tomography showed bilateral pneumonia as well as accumulated air visible in the right ventricle and pulmonary *** condition deteriorated despite endotracheal intubation,rehydration,and other treatments,and the patient was then transferred to our ***-arterial ECMO was applied in our hospital,and the patient's condition gradually *** patient was successfully weaned from ECMO and extubated after two *** ECMO may be an important treatment for patients with VAE in critical condition.

关键词： Venous air embolism Obstructive shock Veno-arterial extracorporeal membrane oxygenation Critical Case report

Müller-Weiss disease:Four case reports

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World Journal of Orthopedics 2020年第11期11卷 507-515页

作者： Antonio Volpe Luca Monestier Teresa Malara Giacomo Riva Giuseppe La Barbera Michele FrancescoSurace foot and ankle clinic Policlinico Abano TermeAbano Terme 35031Italy Orthopedic and Trauma Unit ASST Sette LaghiVarese 21100Italy Department of Biomedical Science and Functional Images Universitàdi MessinaMessina 98122Italy Interdisciplinary Research Centre for Pathology and Surgery of the Musculoskeletal System Department of Biotechnology and Life Sciences(DBSV)University of InsubriaVarese 21020Italy

BACKGROUND Müller-Weiss disease(MWD)is an idiopathic foot condition characterized by spontaneous tarsal“scaphoiditis”in *** bilateral and affecting females during the 4th-6th decades of life,the pathogenesis of MWD remains unclear:It has been traditionally considered a spontaneous osteonecrosis of the *** typical presentation of MWD is a long period of subtle discomfort followed by prolonged standing,atraumatic,disabling ***,there is no gold standard for the treatment of patients with *** support initial conservative *** treatment should be considered for failure of conservative therapies longer than 6 *** indication for surgery is severity of symptoms rather than severity of *** treatment options include core decompression,internal fixation of the tarsal navicular,open or arthroscopic triple fusion,talo-navicular or talo-navicular-cuneiform arthrodesis,and navicular excision with reconstruction of the medial *** SUMMARY In this study,we report four patients affected by *** and radiographic assessment,follow-up and treatment are *** As it is frequently misdiagnosed,MWD is challenging for orthopedic *** diagnosis and effective treatment are mandatory to avoid sequelae.

关键词： Müller-Weiss Etiopathogenesis Review Treatment Case report

Charcot osteoarthropathy in diabetes: A brief review with an emphasis on clinical practice

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World Journal of Diabetes 2011年第5期2卷 59-65页

作者： Evanthia Gouveri Nikolaos Papanas Outpatient clinic of the Diabetic foot Second Department of Internal Medicine Democritus University of Thrace

Charcot osteoarthropathy (COA) is a potentially limbthreatening condition that mainly affects diabetic patients with neuropathy. In everyday practice, it presents as a red, hot, swollen foot, usually painless, and is frequently trig gered by trivial injury. Its etiology is traditionally attributed to impairment of either the autonomic nervous system, leading to increased blood flow and bone resorption, or of the peripheral nervous system, whereby loss of pain and protective sensation render the foot susceptible to repeated injury. More recently, excessive local inflammation is thought to play a decisive role. Diagnosis is based on clinical manifestation and imaging studies (plain X-rays, bone scan, Magnetic Resonance Imaging). The mainstay of management is immediate off-loading, while surgery is usually reserved for chronic cases with irreversible deformities and/or joint instability. The aim of this review is to provide an overview of COA in terms of pathogenesis, classification and clinical presentation, diagnosis and treatment, with an emphasis on the high suspicion required by clinicians for timely recognition to avoid further complications.

关键词： Charcot osteoarthropathy Diabetes mellitus Diabetic neuropathy Diabetic foot

Nociception at the diabetic foot,an uncharted territory

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World Journal of Diabetes 2015年第3期6卷 391-402页

作者： Ernst A Chantelau Diabetic foot clinic Heinrich-Heine-University Düsseldorf40001 DüsseldorfGermany

The diabetic foot is characterised by painless foot ulceration and/or arthropathy;it is a typical complication of painless diabetic *** depletes the foot skin of intraepidermal nerve fibre endings of the afferent A-delta and C-fibres,which are mostly nociceptors and excitable by noxious stimuli ***,some of them are cold or warm receptors whose functions in diabetic neuropathy have frequently been ***,it is well established by quantitative sensory testing that thermal detection thresholds at the foot skin increase during the course of painless diabetic *** perception(nociception),by contrast,has rarely been *** pilot studies of pinprick pain at plantar digital skinfolds showed that the perception threshold was always above the upper limit of measurement of 512 m N(equivalent to 51.2 g) at the diabetic ***,deep pressure pain perception threshold at musculus abductor hallucis was beyond 1400 k Pa(equivalent to 14 kg;limit of measurement) only in every fifth *** discrepancies of pain perception between forefoot and hindfoot,and between skin and muscle,demand further *** nociception at the feet in diabetes opens promising clinical perspectives.A critical nociception threshold may be quantified(probably corresponding to a critical number of intraepidermal nerve fibre endings),beyond which the individual risk of a diabetic foot rises *** of diabetic neuropathy according to nociception thresholds at the feet is highly desirable as guidance to an individualised injury prevention strategy.

关键词： foot ulcer Neuroarthropathy Insensitivityto pain Pain perception Diabetes mellitus Amputation Diabetic neuropathy

Bilateral carpal tunnel syndrome and motor dysfunction caused by gout and type 2 diabetes:A case report

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World Journal of clinical Cases 2023年第11期11卷 2535-2540页

作者： Gao-Feng Zhang Cun-Min Rong Wei Li Ben-Lei Wei Ming-Tong Han Qing-Luan Han Department of Hand and foot Surgery Affiliated Hospital of Jining Medical UniversityJining 272029Shandong ProvinceChina

BACKGROUND Carpal tunnel syndrome(CTS)has been associated with gout and type 2 diabetes mellitus(T2DM).However,due to insufficient clinical understanding of goutrelated CTS and reliance on the diagnostic importance of elevated serum uric acid levels,such cases are prone to missed diagnosis,misdiagnosis,and delayed *** addition,the effect of T2DM on gout-induced carpal tunnel syndrome has not been *** SUMMARY Herein,we present an unusual case of CTS and motor dysfunction caused by miliary tophaceous gout and *** patient presented to the hand and foot clinic with paresthesia of the fingers of both hands,especially at *** patient was diagnosed with type 2 diabetes a month *** revealed bilateral transverse carpal ligament thickening with median nerve compression during *** patient was successfully treated with carpal tunnel decompression and tendon *** postoperative pathological examination revealed typical gout *** case suggests that the presence of T2DM could accelerate tophi formation and worsen CTS symptoms,although no definitive proof in this regard has been described *** Tophi formation may most likely cause the co-occurrence of CTS and flexor dysfunction in gout and incipient diabetes patients.

关键词： Carpal tunnel syndrome Motor dysfunction Tophaceous gout Type 2 diabetes mellitus Operate Case report

3D bioprinting-a model for skin aging

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Regenerative Biomaterials 2023年第1期10卷 1212-1221页

作者： Ryeim B.Ansaf Rachel Ziebart Hemanth Gudapati Rafaela Mayumi Simoes Torigoe Stella Victorelli Joao Passos Saranya P.Wyles Department of Biology Colorado State University PuebloPuebloCO 81001USA Mayo clinic Alix School of Medicine RochesterMN 55905USA Mayo clinic Department of Dermatology RochesterMN 55905USA Mayo clinic Graduate School of Biomedical Sciences RochesterMN 55905USA Mayo clinic Department of Physiology and Biomedical Engineering RochesterMN 55905USA Mayo clinic Robert and Arlene Kogod Center on Aging RochesterMN 55905USA

Human lifespan continues to extend as an unprecedented number of people reach their seventh and eighth decades of life,unveiling chronic conditions that affect the older ***-related skin conditions include senile purpura,seborrheic keratoses,pemphigus vulgaris,bullous pemphigoid,diabetic foot wounds and skin *** methods of drug testing prior to clinical trials require the use of pre-clinical animal models,which are often unable to adequately replicate human skin ***,a reliable model for aged human skin is *** current challenges in developing an aged human skin model include the intrinsic variability in skin architecture from person to *** ideal skin model would incorporate innate functionality such as sensation,vascularization and *** advent of 3D bioprinting allows us to create human skin equivalent for use as clinical-grade surgical graft,for drug testing and other *** this review,we describe the process of human skin aging and outline the steps to create an aged skin model with 3D bioprinting using skin cells(***,fibroblasts and melanocytes).We also provide an overview of current bioprinted skin models,associated limitations and direction for future research.

关键词： 3D bioprinting skin aging bioink regeneration

促进糖尿病患者足溃疡愈合的干预措施指南(2023年更新版)——《国际糖尿病足工作组:糖尿病相关的足病预防与管理指南(2023)》的一部分

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感染、炎症、修复 2024年第1期25卷 23-51页

作者： Pam Chen Nalini Campillo Vilorio Ketan Dhatariya William Jeffcoate Ralf Lobmann Caroline McIntosh Alberto Piaggesi John Steinberg Prash Vas Vijay Viswanathan Stephanie Wu Fran Game on behalf of the International Working Group on the Diabetic foot 杨彩哲谷熠彬(译) 曹瑛邹梦晨许樟荣(审校) Joondalup Health Campus Ramsay Healthcare AustraliaJoondalupWestern AustraliaAustralia Faculty of Health University of TasmaniaHobartTasmaniaAustralia Department of Diabetology Diabetic Foot UnitPlaza de la Salud General HospitalSanto DomingoDominican Republic Elsie Bertram Diabetes Centre Norfolk and Norwich University Hospitals NHS Foundation TrustNorwichUK Norwich Medical School University of East AngliaNorwichUK Retired physician NottinghamUK clinic for Endocrinology Diabetology and GeriatricsKlinikum StuttgartStuttgartGermany Podiatric Medicine School of Health SciencesUniversity of GalwayIreland Diabetic foot Section Department of MedicineUniversity of PisaItaly Georgetown University School of Medicine Washington DCUSA King's College Hospital NHS Foundation Trust LondonUK MV Hospital for Diabetes and Prof M Viswanathan Diabetes Research Center ChennaiIndia Dr.William M.Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science North ChicagoIllinoisUSA University Hospitals of Derby and Burton NHS Foundation Trust DerbyUK 不详空军特色医学中心北京100042 战略支援部队特色医学中心北京100101 南方医院广东广州510515

创面处理的原则,包括清创、创面准备和使用涉及改变创面生理以促进愈合的新技术,在试图治愈慢性糖尿病相关的足溃疡时是至关重要的。此外,糖尿病相关的足溃疡的发病率和治疗成本不断上升,这就需要结合作为金标准的多学科治疗已有共识,... 详细信息

创面处理的原则,包括清创、创面准备和使用涉及改变创面生理以促进愈合的新技术,在试图治愈慢性糖尿病相关的足溃疡时是至关重要的。此外,糖尿病相关的足溃疡的发病率和治疗成本不断上升,这就需要结合作为金标准的多学科治疗已有共识,运用高质量的疗效和成本效益证据来支持和加强慢性糖尿病相关的足溃疡创面愈合的干预措施。本指南是2023年国际糖尿病足工作组(IWGDF)针对促进糖尿病患者足溃疡愈合的干预措施的循证指南。它是对2019年IWGDF指南的更新。我们遵循推荐、评估、发展、评价分级(GRADE)方法,以患者-干预-对照-结果(PICO)形式设计临床问题从而得出重要结果,进行系统综述,制定评判表汇总,并为每个问题撰写推荐和理由。每条推荐的形式都是基于系统综述中发现的证据,并使用GRADE评判汇总项目,包括理想和不理想的效果、证据的可信度、对患者的价值、所需的资源、成本效益、公平性、可行性和可接受性;我们制定的推荐由作者同意并由独立专家和利益相关者审查。根据系统综述和从证据到决策过程的结果,我们提出29条推荐。我们对使用干预措施改善糖尿病患者足溃疡的愈合提出了一些有条件的支持性推荐。这些推荐包括蔗糖八硫酸盐敷料的使用,对手术后的创面使用负压疗法,使用胎盘衍生产品,使用自体白细胞、血小板、纤维蛋白贴剂,使用局部氧疗,以及使用高压氧,但我们强调在任何情况下这些推荐应在单独应用最佳标准治疗无法治愈伤口且有资源可用于干预的情况下使用。这些关于创面愈合的推荐应该有助于提高糖尿病伴足溃疡患者的疗效,我们希望这些推荐能得到广泛的实施。然而,尽管作为推荐基础的许多证据的准确性正在提高,但总体上仍然很差,我们鼓励在这一领域进行更多、质量更好的试验,包括那些有关卫生经济学分析的试验。

关键词：糖尿病足溃疡干预指南国际糖尿病工作组