Elephantiasis nostras verrucosa or "mossy foot lesions" in lymphedema praecox: report of a case.

Elephantiasis nostras verrucosa is a rare disorder that results from chronic obstructive lymphedema. It is characterized clinically by deforming, nonpitting edema; malodorous hyperkeratosis with generalized lichenification; cobblestoned papules; and verrucous changes, that often result in extreme enlargement of the involved body part. Although elephantiasis nostras verrucosa is striking in clinical appearance, biopsy reveals only moderately abnormal findings: pseudoepitheliomatous hyperplasia with dilated lymphatic spaces in the dermis, accompanied by chronic inflammation and fibroblast proliferation.

Comparison of two alcohol-based surgical scrub solutions with an iodine-based scrub brush for presurgical antiseptic effectiveness in a community hospital.

The antiseptic effectiveness and acceptability of a commercial alcohol-based waterless (ABWL) and an alcohol-based water-aided (ABWA) scrub solution were compared with a brush-based iodine solution (BBIS) under conditions encountered in community hospital operating rooms. This randomized partially blinded study was based on guidelines from the American Society for Testing and Methods. The three scrub solutions were compared for antimicrobial efficacy, using criteria within the Food and Drug Administration's Tentative Final Monograph for Healthcare Antiseptic Products (FDA-TFM), and for participants' acceptance of the products.

Mechanical comparison of the Youngswick, sagittal V, and modified Weil osteotomies for hallux rigidus in a sawbone model.

The purpose of this study was to compare the mechanical properties of 3 osteotomies often used for hallux rigidus. Maximum load, failure energy, stiffness, and fracture pattern were determined for 3 different test models as well as a control group. Twenty-eight first metatarsal polyurethane sawbone models were equally divided into 4 groups.

Syndesmosis fixation: analysis of shear stress via axial load on 3.5-mm and 4.5-mm quadricortical syndesmotic screws.

The effect of shear stress on a fixated distal syndesmosis of the ankle was evaluated with a servohydraulic materials-testing machine. Eighteen syndesmoses were fixated in a quadricortical technique using 3.5-mm cortical and 4.

Fixation of the offset V osteotomy: mechanical testing of 4 constructs.

The purpose of this study was to assess 4 methods of fixation for the offset V osteotomy. Maximum load, failure energy, and stiffness were determined in a control group and in 4 different test models. There were 10 specimens for each group.

A mechanical comparison of first metatarsal diaphyseal osteotomies for the correction of hallux abducto valgus.

The purpose of this study was to perform a mechanical comparison of four commonly performed diaphyseal first metatarsal osteotomies. Fifty first metatarsal-first cuneiform sawbone models were divided equally into five groups: control, offset V, inverted Z, Mau, and Ludloff osteotomy groups. All osteotomies were fixated with two 2.

Resection of talocalcaneal middle facet coalition. Interposition with a tensor fascia lata allograft: a case report.

Tensor fascia lata is utilized in the management of complex soft-tissue injuries and defects, but has not been described in the literature in the use of tissue interposition with resection of talocalcaneal middle facet coalitions. This article is a case presentation of a resection of a middle facet coalition with interposition of an allograft of tensor fascia lata. At 14 months postoperative follow-up, range of motion of the subtalar joint was noted to be 20 degrees, and without pain or crepitus.

Rupture of the tibialis anterior tendon.

Closed rupture of the tendon of tibialis anterior is an infrequently reported entity. A thorough review of the literature was performed with 49 reported cases of this condition identified. Those patients who were treated conservatively experienced late sequelae, including continued slapping of the foot, mild to moderate flatfoot deformity, and ankle arthrosis.