Biomedical subjects

Brandon L Tullis

Publications and source records attributed to Brandon L Tullis.

3 recordsLinked to original sources

PubMedDate not supplied

Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing.

Nineteen patients (20 feet) with severe hindfoot and ankle deformity underwent tibiotalocalcaneal fusion with a retrograde locked intramedullary nail as a limb-salvage procedure. The purpose of this study was to compare the complication rates of this procedure in diabetic versus nondiabetic patients. There were 8 men and 11 women with preoperative diagnoses including Charcot neuroarthropathy, primary osteoarthritis, rheumatoid arthritis, equinocavovarus, posttraumatic osteoarthritis, gouty arthritis, and ankle malunion. Ten of 20 procedures were performed in patients with diabetes. The average patient age was 56 years, and the average postoperative follow-up was 19.8 months. Nineteen of 20 ankles (95%) achieved successful fusion with an average time of 4.1 months. Four patients (21%) required either a fracture brace or an ankle foot orthosis at final follow-up. Five patients (25%) had major complications and 11 patients had minor complications. Major complications included osteomyelitis (n = 2), Charcot arthropathy (n = 2), failure of fixation (n =1), soft-tissue necrosis (n = 1), cardiac arrest (n = 1), cerebral vascular accident (n = 1), and fatal pulmonary embolus (n = 1). All patients with major complications were diabetic, and 14 of 20 combined major and minor complications occurred in patients with diabetes. The complication rate was found to be high in diabetic patients with end-stage deformity undergoing a limb salvage

Adult↗

PubMedDate not supplied

The Cole midfoot osteotomy: a retrospective review of 11 procedures in 8 patients.

This article presents the results of a retrospective chart and radiographic review of 11 feet (8 patients) that underwent a Cole midfoot osteotomy from February 1998 through October 2000 at the Western Pennsylvania Hospital. The average time to follow-up was 23 months (range, 11 to 29.5 months). A 100% bony union rate was achieved, with an average time to radiographic union of 2.3 months (range, 1.2 to 4.5 months). The average time until full weightbearing was 3.3 months (range, 2 to 4.25 months). The average preoperative talo-first metatarsal angle on an anteroposterior radiograph was 8.60 degrees and 8.64 degrees on the lateral radiograph. The average postoperative change was 3.50 degrees (P =.03) on the anteroposterior radiograph and 16.82 degrees (P =.003) on the lateral radiograph. At the final follow-up visit, all patients were independently active and were able to wear conventional shoe gear. A postoperative questionnaire was completed by 5 of 8 patients (8 of 11 feet) at a mean 21 months (range, 13 to 29.5 months) postoperatively. Of these patients, 4 of 5 patients (7 of 8 feet) would recommend this surgery to others. No major complications were reported in this study. These results suggest that the Cole midfoot osteotomy is a reasonable procedure to consider for correcting pes cavus deformities with the apex in the midfoot.

Foot Deformities↗

PubMedDate not supplied

Pes cavus.

Pes cavus is a complex deformity with various components. The etiology is multifaceted, which can result in changes to the rearfoot, forefoot, or both areas. Proper patient evaluation is crucial to understanding the deformity and its management. Various soft-tissue and osseous procedures may be used in the reconstruction of the symptomatic cavus foot deformity. This article discusses the clinical and radiographic findings of pes cavus, as well as the various etiologies of this challenging foot deformity and the surgical principles of its correction.

Arthrodesis↗