Pan metatarsal head resections: The Hoffman procedure.
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Adult↗
Biomedical subjects
D W Hugar
Publications and source records attributed to D W Hugar.
Incidence of postoperative infection in a free-standing ambulatory surgery center.
A 1-year study was undertaken at the Hugar Surgery Center, a freestanding ambulatory surgery center, to determine the infection rate for outpatient podiatric surgery. One hundred and forty-eight patients underwent foot surgery that included digital, soft tissue, metatarsal, simple bunionectomies, complex hallux abducto valgus correction with osteotomy and internal fixation, first metatarsophalangeal joint implant arthroplasty, midfoot, and rearfoot procedures. An infection rate of 1.35% was identified. The study indicates all types of podiatric surgery may be performed at ambulatory surgery centers without increased risk of postoperative infection. Infection rate of 1.35% is quite acceptable for clean foot surgery and compares rather favorably with hospital infection rates.
Chicago↗
Dermatofibrosarcoma protuberans.
The authors describe a malignant tumor that is rarely encountered by the podiatric surgeon. Clinical presentation and treatment of choice are discussed along with a case report. The tendency for dermatofibrosarcoma protuberans to recur and to possibly metastasize makes accurate diagnosis, treatment, and careful follow-up essential.
Aged↗
Gunshot wound to the foot: early management and pathophysiology of projectile wounds.
The authors present a case study of gunshot wound and discuss the rationale for therapy after hemostasis is established. Treatment consists of debridement of necrotic tissue, immobilization to prevent further movement of the bullet, and immediate antibiotic therapy to prevent bacterial invasion. They emphasize the necessity of understanding the pathomechanics and pathophysiology of ballistic injuries and advocate removal of the bullet, when possible, to relieve discomfort, to prevent anemia and renal failure, and to avoid the danger of lead intoxication.
Adult↗
Fractures of the neck of the talus: a review of the literature based on Hawkins' classification with two case presentations.
In this paper the authors discuss the classification, management, and complications of different types of fracture of the neck of the talus. They recommend immediate reduction of displaced fractures to lessen the probability of avascular necrosis and traumatic arthritis.
Arthritis↗
Cutaneous hemangiosarcoma of the ankle.
A case study of an elderly woman who developed an hemangiosarcoma is presented. The lesion was firm, nodular, bluish-purple in color with an irregular surface and margin. A review of the literature shows that treatment modalities range from wide excision alone to surgical excision in conjunction with preoperative and postoperative chemotherapy and radiotherapy.
Aged↗