Elective foot surgery: relative roles of doctors of podiatric medicine and orthopaedic surgeons.
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Biomedical subjects
Publications and source records attributed to L S Weil.
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This paper discusses the normal adult values of the fibular deviation of the distal phalanx of the great toe. Occurrence of this deviation at birth is a normal finding and an increase can be expected during periods of active growth within the foot. This developmental increase is dependent upon transverse plane stability at the metatarsophalangeal joint. Preoperative procedures and postoperative reviews are discussed.
Long-term results of 484 cases of Silastic total first joint replacement are presented. The history, discussion of other total first implants, and a descriptive surgical technique with a discussion of complications are also presented. The authors propose a new, universal grading system for assessment of results following bunion surgery.
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The success of applying split-thickness porcine xenografts to nail beds after nail avulsion with matrix chemocauterization depends on the adherence of the graft to the underlying tissue. When this was obtained, the authors found that porcine xenografts contribute markedly toward reducing postoperative pain and drainage. Further investigation is being undertaken to determine whether total healing time following chemomatrixectomy has been reduced by utilizing xenografts.
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Lengthening of the peroneus longus tendon is very important when performing cavus foot surgery. This tendon directly affects all three components (varus heel, increased arch height, and forefoot adduction) of the idiopathic cavus foot which can be accounted for by increased strength and activity of the peroneus muscle. The deforming force is removed or weakened according to the degree, duration and rigidity of the cavus foot by lengthening or transferring the tendon.
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