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Review ArticleClinical Review

Foot and Ankle Surgery: Considerations for the Geriatric Patient

Daniel K. Lee and Gerit D. Mulder
The Journal of the American Board of Family Medicine May 2009, 22 (3) 316-324; DOI: https://doi.org/10.3122/jabfm.2009.03.080122
Daniel K. Lee
DPM
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Gerit D. Mulder
DPM, MS
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Article Figures & Data

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    Figure 1.

    Forefoot arthritis. Preoperative (A) and postoperative (B) clinical views after first metatarsophalangeal joint and digital reconstruction.

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    Figure 2.

    Hallux valgus. Note the severe contractures and deviations in the forefoot.

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    Figure 3.

    Tailor's bunionette. Note the angular osseous malalignment of the 5th metatarsal.

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    Figure 4.

    Diabetic Charcot deformity. Note the osseous destruction and collapse in the midfoot preoperatively (A) and the postoperative view of the reconstruction (B).

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    Figure 5.

    Regional blocks: (A) ankle and (B) popliteal.

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    Figure 6.

    Non-weight bearing assistance devices as alternatives to traditional crutches and walkers.

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    Figure 7.

    Chronic Achilles tendon rupture. Note (A) the clinical view of the interrupted integrity of the Achilles tendon; (B) T2-weighted images of the ruptured Achilles tendon; (C) intraoperative view of the ruptured Achilles tendon; and (D) Achilles tendon reconstruction with graft.

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    Figure 8.

    Severe ankle osteoarthritis. Note the Ilizarov external fixation for earlier postoperative weight-bearing tolerance.

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    Figure 9.

    Subtalar joint arthritis. A postoperative view after isolated subtalar joint arthrodesis.

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    Figure 10.

    Ankle arthritis. A postoperative view of total ankle replacement. Note the complete bipolar components for the tibiotalar joint.

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    Table 1.

    Common Foot and Ankle Surgical Terms

    ProcedureDescription
    AO fixationSwiss method of application of internal fixation (Arbeitsgemeinschaft Fuer Osteosynthesefragen = Association for the Study of Internal Fixation)
    ArthrodesisSurgical immobilization of a joint by cartilage removal, usually with fixation
    ArthroplastyFormation or restoration of a joint, usually with a metallic or nonmetallic implant
    CheilectomyDorsal bone resection, typically of the first metatarsal head
    ChondroplastyRestorative or reshaping surgery of the cartilage
    Gastroc recessionLengthening of gastrocnemius aponeurosis because of gastrocnemius equinus or tightness
    Ilizarov methodRussian method of application of external fixation with fine wires and ring fixators
    Keller procedureResection of the base of proximal phalanx of hallux
    OsteotomyBone division to correct a deformity, usually stabilized with fixation (Akin for proximal phalanx; Chevron, SCARF, crescentic for first metatarsal; Dwyer for calcaneus)
    SynovectomyRemoving part or all of the synovial membrane
    Tendon transferShifting a functioning tendon from its original attachment to a new one to restore the action that has been lost
    Tendon/Achilles lengtheningLengthening of Achilles tendon because of gastrocsoleus equinus deformity or tightness, commonly known as TAL
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The Journal of the American Board of Family Medicine: 22 (3)
The Journal of the American Board of Family Medicine
Vol. 22, Issue 3
May-June 2009
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Foot and Ankle Surgery: Considerations for the Geriatric Patient
Daniel K. Lee, Gerit D. Mulder
The Journal of the American Board of Family Medicine May 2009, 22 (3) 316-324; DOI: 10.3122/jabfm.2009.03.080122

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Foot and Ankle Surgery: Considerations for the Geriatric Patient
Daniel K. Lee, Gerit D. Mulder
The Journal of the American Board of Family Medicine May 2009, 22 (3) 316-324; DOI: 10.3122/jabfm.2009.03.080122
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