Biomedical subjects
Publications and source records attributed to G M Lepow.
The pathologic condition pes planus has been noted in orthopedic and podiatric literature for a number of years. The many scientific and technical terms assigned to the condition have become synonymous, emerging in the vernacular as the common term "flatfoot." In the broadest sense, flatfoot refers to the weight-bearing or nonweight-bearing foot that exhibits collapse of the medial column. A discussion of the history and attitudes toward flatfoot is presented.
A review of five distinct medial column stabilization procedures sets forth criteria specific to certain presentations of pes planus deformity. The importance of considering the manifestation of the condition and its implications with regard to the overall health of the particular patient cannot be overemphasized. The collective goal of all such corrective procedures is identical; it is the variable factors particular to a specific presentation that dictate the preferred corrective action. The course selected by a physician with respect to surgical correction of flexible pes planus must be determined by taking both the procedure and the presentation of the condition under advisement.
The STA Peg procedure was developed to correct flexible flatfoot in young children prior to the age when secondary deformities are likely to develop. The procedure involves the implantation of a peg fashioned from ultra-high molecular weight polyethylene into the dorsal surface of the calcaneus, anterior to the posterior facet of the subtalar joint and fixed with polymethylmethacrylate. Smith has reported excellent overall results in the great majority of patients. The primary importance of the procedure is its rate of success, coupled with a relatively easy postoperative period, virtually no immobilization, its application for very young patients (beginning at 3 years of age), and its accommodation for the continued growth of the child.
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Mucinous cysts are rare neural lesions. There has been no documentation of this lesion affecting the sural nerve. The lesion is referred to by a number of confusing names. The authors present a case history, and propose a new name based on consistent histologic characteristics.