The Use of Marigold Therapy for Podiatric Skin Conditions
By Robert A. Hadfield, BS1, Tracey C. Vlahovic, DPM2, M. Tariq Khan, PhD (Lond), BSc (Pod Med), BSc (Hons), MChS, DFHom (Pod), FBAHChP PFLS3
Abstract: Marigold therapy has been used for over 30 years in the United Kingdom and has been evaluated by numerous randomized double-blind placebo-controlled studies for various skin issues on the lower extremity. Various species of marigold are naturally anti-viral, keratolytic, and anti-inflammatory when applied topically to the affected area. Marigold therapy offers a non-invasive and gentle treatment for difficult to treat plantar verruca, painful hyperkeratotic lesions, and inflamed bursa secondary to hallux abducto valgus.
The Foot & Ankle Journal, Volume 1, No. 7 (2), 2008
Non-union of a Plantar Calcaneal Spur Fracture: A case report
By Shishir P. Nawghare, D’Ortho1, Yogesh V. Kolwadkar , MS (Ortho), MRCS (Ed)2, Pradeep K. Singh, MS Ortho3
Abstract: We report a case of a 35-year-old female who presents with acute pain involving the heel after minimal trauma. This case represents a non union of a fractured plantar calcaneal spur. We present the clinical and radiological data on a single case of non-union of a fractured plantar calcaneal spur. Results revealed that a fracture of a plantar calcaneal spur can proceed to a non-union if neglected, but may still be managed conservatively. A thorough literature search and an exhaustive online search using various search engines revealed only two reported fractures of a plantar heel spur. This is an unusual fracture and only the third case reported in literature.
The Foot & Ankle Journal, Volume 1, No. 7 (3), 2008
Rubinstein-Taybi Syndrome: A case report
By Taren Cardona, BS1, Al Kline, DPM2
Abstract: Rubinstein-Taybi Syndrome (RSTS) is a rare genetic disorder. Individuals are characterized by broad halluces and thumbs, hyper-extensible joints and other classic features. The broad hallux often leads to complications such as ingrown toe nails. The syndrome is extremely rare and this appears to be the first reported case in the podiatric literature.
The Foot & Ankle Journal, Volume 1, No. 7 (4), 2008
Augmented Bröstrom Repair Using Biologic Collagen Implant: Report on 9 Consecutive Patients
By Robert Fridman, DPM, AACFAS1, Jarrett D. Cain, DPM, AACFAS2, Lowell Weil, Jr., DPM, MBA, FACFAS3
Abstract: The Modified Bröstrom stabilization is commonly performed for chronic lateral ankle injuries. However, tissue viability, chronic injury, and/or injury severity may require a non-anatomic repair necessitating a tendon transfer. We present a series of 9 consecutive cases of Modified Bröstrom stabilization with OrthADAPT™ Bioimplant augmentation with 9 month follow-up. The average pre-operative Visual Analog Pain Score (VAS) was 5.78 out of 10 (range 5-8, SD 1.09). The mean duration of physical therapy was 2.3 months (range 6 weeks – 3 months). The mean length of time from surgery to discharge from care was 4.4 months (range 4-6 months). VAS was reduced to an average of 1.89 post-operatively at time of discharge from care (range 0-3, SD 1.05). The results were statistically significant (p>0.0001) at a 95% confidence interval. We conclude that the OrthADAPT™ Biologic Collagen provides support for augmentation and enhance the stability of the Modified Bröstrom procedure. Additionally, it may prevent the need for tendon transfer and its inherent complications.
The Foot & Ankle Journal, Volume 1, No. 7 (5), 2008
By Lowell Weil, Jr., DPM, MBA, FACFAS1, Patrick A. McEneaney, DPM2, Jennifer L. Prezioso, DPM3
Abstract: Fourth metatarsal base fractures are an uncommon foot injury. These fractures can take extended periods of time to heal that is similar to a Jones fracture. The authors report on four metatarsal fractures, three of which resulted in non-unions in middle-aged women with osteoporosis. When conservative treatment failed, two cases were treated with open reduction and internal fixation while the other was treated with extracorporeal shockwave therapy. All three of these fractures ultimately led to radiographic union.
The Foot & Ankle Journal, Volume 1, No. 7 (6), 2008
Clinical Tip: Extraction of a difficult to remove intramedullary antibiotic rod in the ankle
By Ronald Belczyk, DPM1, Dane K. Wukich, MD2
Abstract: The purpose of this clinical tip is to describe a technique which can facilitate extraction of an antibiotic impregnated polymethylmethacrylate (PMMA) spacer from the intramedullary canal of the hindfoot, ankle and distal tibia. This method employs the Revision Moreland instrumentation system which was originally designed for total hip revision surgery.
