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Biomedical subjects

R J Giorgini

Publications and source records attributed to R J Giorgini.

10 recordsLinked to original sources
PubMed1993

Podiatric surgical considerations in the older patient.

The goal of podiatric surgery in the older patient should be pain management with the highest degree of functional restoration. Thorough preoperative analysis, meticulous surgical technique, and careful postoperative planning are necessary to ensure a favorable surgical result. Each planned procedure must coincide with the specific needs of the individual patient while conforming to the body's physical limitations. A complete medical examination with laboratory studies is indicated due to the elderly patient's inherent diminished physical status. When the patient is deemed a proper candidate for surgery, the medical team, family, and friends should be consulted regarding immediate and long-term postoperative care. Strict adherence to these principles is in the best interest of both the practitioner and the older patient.

Aged↗
PubMed1990

Sinus tarsi syndrome in a patient with talipes equinovarus.

The literature reports that 70% of the cases of sinus tarsi syndrome are post-traumatic, following an inversion sprain, and that 30% result from inflammatory disorders, such as rheumatoid arthritis, ankylosing spondylitis, and gouty arthritis. However, in the case presented, talipes equinovarus deformity and sinus tarsi syndrome coexisted. One of the corrective goals in the management of the talipes equinovarus deformity is the realignment of the articulation between the medial plantarly deviated talar head and the anteromedial segment of the calcaneus. The calcaneus must be rotated from a plantarflexed position into a dorsiflexed position. The posterior tubercle will be moved down and in, with the anterior process moved up and out away from the talar head. By correcting the plantarflexed varus attitude of the calcaneus, it is put in a valgus position that often closes down the sinus tarsi upon weightbearing. This compression may result in pain over the lateral aspect of the midfoot with hindfoot instability, as seen in the case presented. As a result of the abnormal anatomical relationship of the talus and calcaneus, the patient developed severe pain in the sinus tarsi. Based on the medical history and present postoperative results, the authors find a long-term sequela of talipes equinovarus deformity to be sinus tarsi syndrome.

Adolescent↗
PubMedDate not supplied

Subtalar arthroereisis: a combined technique.

This study reports the evolution and results of an arthroereisis procedure utilizing a talonavicular desmoplasty, tibial tendon suspension (posterior and anterior) and implantation of a Silastic interpositional sphere in the sinus tarsi. Four cases were reviewed with a maximum 6-year follow-up. This study should be considered when presented with a severely hypermobile and symptomatic flatfoot in the child. The procedure is efficacious in combination with a strict postoperative regimen and appropriate biomechanical management.

Ankle Joint↗
PubMedDate not supplied

Surgical approach to polydactyly.

Polydactyly of the foot most often affects the first or fifth rays although any digit may be involved. In order to make possible the restoration of normal foot structure and function, it is essential to make a thorough clinical and radiographic examination.

Adult↗