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Biomedical subjects

S Mendicino

Publications and source records attributed to S Mendicino.

5 recordsLinked to original sources
PubMedDate not supplied

Percutaneous injuries in a high-volume podiatric surgical residency program.

Percutaneous injuries (i.e., needlesticks) are a possible occupational hazard to all residents performing invasive procedures. Transmission of blood-borne pathogens has become a potential risk in these injuries. As such, the purpose of this investigation was to assess the frequency and circumstances involving percutaneous injuries in the podiatric surgical resident. A survey of 20 present residents from July 1991 to July 1999 was conducted to assess percutaneous injuries. These residents participated in 19,505 surgical cases in this timeframe; 16,185 were podiatric cases and 3,347 were nonpodiatric. Using a two-part questionnaire to assess the circumstances surrounding any percutaneous injury, 80% of the residents reported at least one percutaneous injury during their training. A total of 33 were injuries reported for the 19,505 cases. The incidence of injury per surgical case was 0.17% overall, and 0.14% for foot and ankle cases. Analysis of the data showed a median = 2, mode = 2, and a mean = 1.63 injuries per resident with a range of 0-5. When analyzing the circumstances involving the injuries, most injuries were self-inflicted (66.7%), occurred during wound closure (72.7%), and were caused by a nonhollow bore needle or instrument (81.8%). Also, no correlation could be made to the time of day during which the procedure was performed, the year of residency training, or the number of cases that the resident performed that day before the injury occurred. Interestingly, over 67% of the injuries occurred to the resident's left hand. Although 97% of the injuries were reported to the employee health officer, the patient and resident were screened for HIV and hepatitis B or C in only 78.8% of the cases. In those tested, no resident was exposed to HIV or hepatitis B or C.

Accidents, Occupational↗
PubMedDate not supplied

Calcaneonavicular bar resection: a retrospective study.

Fourteen patients (16 feet) were reviewed an average of 4.5 years after undergoing treatment by calcaneonavicular bar resection. After subjective and objective evaluation, 75% (12 feet) were judged to have had satisfactory results. Preoperative degenerative changes in the rearfoot correlated directly with poor results. Recurrence of the bar in every case was associated with inadequate resection. The study showed no difference in the results when resecting completely ossified bars as compared with resecting incompletely ossified bars.

Adolescent↗
PubMedDate not supplied

The Smith STA-peg: a 7-year retrospective study.

The Smith design subtalar joint arthroeresis has been performed at The Podiatry Hospital of Pittsburgh since 1982 for the surgical correction of hypermobile flatfeet in children. The authors review the historical background of the procedure with emphasis on surgical procedure, indications, and complications. The results of a 7-year retrospective study of over 40 cases revealed a 95% success rate with limited complications. Some interesting radiographic changes in the talus and calcaneus are described.

Adolescent↗