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Full-Text Articles in Medicine and Health Sciences

Introduction To Prosthetic Limbs, Victoria Ramos Oct 2015

Introduction To Prosthetic Limbs, Victoria Ramos

The Kabod

Approximately 2 million people in the Unites States alone have had an amputation, and many of these people use a prosthetic limb daily. The prosthetic limb, which began as a primitive device, is now a highly sophisticated piece of technology. It is because of many devoted scientists that we now have access to this life-transforming device. There are many causes for amputation; a few causes included disease, accidents, and congenital conditions. Although missing a limb can be life-altering, health care teams consisting of physicians, physical therapists, and orthotists are dedicated to helping people return to everyday activities and to excel …


Gangrene: Five Case Studies Of Gangrene, Preventing Amputation Through Homoeopathic Therapy, Seema Mahesh, Mahesh Mallappa, George Vithoulkas Jun 2015

Gangrene: Five Case Studies Of Gangrene, Preventing Amputation Through Homoeopathic Therapy, Seema Mahesh, Mahesh Mallappa, George Vithoulkas

Indian Journal of Research in Homoeopathy

Gangrene and its associated amputations are clinically challenging, but Homoeopathy offers therapy options. In this case series, 5 cases are presented, in which the homoeopathic treatment prevented amputation of a body part. Homoeopathy stimulates the body′s ability to heal through its immune mechanisms; consequently, it achieves wound healing and establishes circulation to the gangrenous part. Instead of focusing on the local phenomena of gangrene pathology, treatment focuses on the general indications of the immune system, stressing the important role of the immune system as a whole. The aim was to show, through case reports, that homoeopathic therapy can treat gangrene …


Surgical Management Of Diabetic Foot And Ankle Infections., Claire M Capobianco, John Stapleton, Thomas Zgonis Feb 2015

Surgical Management Of Diabetic Foot And Ankle Infections., Claire M Capobianco, John Stapleton, Thomas Zgonis

John J Stapleton DPM, FACFAS

Delayed treatment of any diabetic foot infection can lead to a limb- or life-threatening scenario. Urgent and/or emergent surgery may be necessary in the early diagnosis of a severe diabetic foot infection that is followed by staged reconstructive procedures. This article provides the reader with a thorough understanding of the surgical management of severe diabetic foot infections and describes and guides treatment based on a rational schematic approach that identifies the anatomic location of the diabetic foot infection.


Split-Thickness Skin Grafts For Closure Of Diabetic Foot And Ankle Wounds: A Retrospective Review Of 83 Patients., Crystal L Ramanujam, John Stapleton, Krista L Kilpadi, Roberto H Rodriguez, Luke C Jeffries, Thomas Zgonis Feb 2015

Split-Thickness Skin Grafts For Closure Of Diabetic Foot And Ankle Wounds: A Retrospective Review Of 83 Patients., Crystal L Ramanujam, John Stapleton, Krista L Kilpadi, Roberto H Rodriguez, Luke C Jeffries, Thomas Zgonis

John J Stapleton DPM, FACFAS

The aim of this study was to determine if split-thickness skin grafts could be successfully used for closure of foot and ankle wounds in diabetic patients. The authors retrospectively reviewed the charts of 100 consecutive patients who underwent a soft tissue surgical reconstruction with split-thickness skin grafts to their foot and/or ankle in our institution from 2005 to 2008. After application of inclusion criteria, 83 eligible charts remained. Of the 83 patients, 54 (65%) healed uneventfully, 23 (28%) required regrafting, and 6 (7%) had a complication resolved with conservative management. All patients had a successful surgical outcome, defined as having …


Transmetatarsal Amputations., George F Wallace, John Stapleton Feb 2015

Transmetatarsal Amputations., George F Wallace, John Stapleton

John J Stapleton DPM, FACFAS

Transmetatarsal amputation is an excellent procedure in the face of nonhealing ulceration, infection, trauma, peripheral vascular disease, and tumors. This article discusses transmetatarsal amputations, the decision-making process, timing of surgery, operative techniques, postoperative management, and salvage of the failed transmetatarsal amputation.


Plastic Surgery Reconstruction Of The Diabetic Foot., Thomas Zgonis, John Stapleton, Roberto H Rodriguez, Valerie A Girard-Powell, Douglas T Cromack Feb 2015

Plastic Surgery Reconstruction Of The Diabetic Foot., Thomas Zgonis, John Stapleton, Roberto H Rodriguez, Valerie A Girard-Powell, Douglas T Cromack

John J Stapleton DPM, FACFAS

Soft tissue reconstruction of the diabetic foot is a challenge for the perioperative team. Primary closure may not be an option and secondary healing may not be reliable. Therefore, surgery is vital and should be coordinated among a well-functioning multidisciplinary team that specializes in caring for patients with diabetes mellitus. Team members must have expertise in reconstructive surgery to ensure adequate wound healing. This article emphasizes the appropriate timing and staging of surgery, discusses the most common plastic surgery techniques, and underscores the importance of a team approach in the management of diabetic foot wounds.


Surgically Induced Charcot Neuroarthropathy Following Partial Forefoot Amputation In Diabetes., T Zgonis, John Stapleton, N Shibuya, T S Roukis Feb 2015

Surgically Induced Charcot Neuroarthropathy Following Partial Forefoot Amputation In Diabetes., T Zgonis, John Stapleton, N Shibuya, T S Roukis

John J Stapleton DPM, FACFAS

No abstract provided.


Surgical Management Of Diabetic Foot Infections And Amputations., Thomas Zgonis, John Stapleton, Valerie A Girard-Powell, Ryan T Hagino Feb 2015

Surgical Management Of Diabetic Foot Infections And Amputations., Thomas Zgonis, John Stapleton, Valerie A Girard-Powell, Ryan T Hagino

John J Stapleton DPM, FACFAS

The incidence of diabetes with severe foot infections (eg, necrotizing fasciitis, gas gangrene, ascending cellulitis, infection with systemic toxicity or metabolic instability) has risen significantly during the past decade. Foot infections are a major cause of hospitalization and subsequent lower extremity amputation among patients with diabetes mellitus who have a history of a preexisting ulceration. Surgical management often is required to address severe diabetic foot infections because they can be limb- or life-threatening. Critical limb ischemia, neuropathy, and an immunocompromised host, which often are associated with diabetic foot infections, complicate treatment and are associated with a poorer prognosis.


Four-Digit Hand: Anatomy Of Ray Ii Amputation, Sadie Volk Jan 2015

Four-Digit Hand: Anatomy Of Ray Ii Amputation, Sadie Volk

The Journal of Undergraduate Research

The South Dakota State University anatomy program received a male cadaver, age eighty-four, in January 2014. Upon arrival, the cadaver was observed for any signs of surgery, skin ulcerations, or abnormality. The inspection revealed that his right hand only had four digits. In order to observe such a unique extremity, a dissection was conducted to understand the anatomy of the four-digit hand. This dissection would search for standard anatomical landmarks as well as abnormalities that could have been in relation to the absent finger. In this case study, both amputation and a possible birth defect were taken into account and …


Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur Jan 2015

Therapeutic Horseback Riding With Military Veterans: Perspectives Of Riders, Instructors, And Volunteers, Leslie Lafleur

Antioch University Dissertations & Theses

Statistics reveal that over 353,000 military members have been diagnosed with PTSD and/or TBI resulting from war-related activities. With the rising number of war stress injuries, there have not been enough psychotherapeutic services to meet the current demand for the care of returning veterans from Iraq and Afghanistan. Although some intervention strategies have been deemed successful, the current standards of care (e.g., exposure therapy, cognitive therapy) are limited by training inadequacies, accessibility, and outcomes (e.g., retention, early drop out, resistance, non-responsiveness). Furthermore, it is unclear whether these treatments are efficacious in addressing the unique symptom presentations of this population. The …