Table Of ContentCumulative  Index  1991 
Volume 8 
January  MINIMAL INCISION  SURGERY,  pages  1—247 
April  COMPLICATIONS  OF FOOT SURGERY,  pages 249-440 
July  REARFOOT SURGERY,  pages 401-722 
October  WOUND  HEALING,  pages 723-974 
Note: Page numbers of article titles are in boldface type 
Abrasions, treatment of, 762  Adductor hallucis tendon release, iatrogenic 
Abscess, after laser surgery, 404  hallux varus in, 367, 369-370 
in diabetic ulcer, 262-266  Adenosine diphosphate, in wound healing, 
Absorptive dressings, 810-811  730 
debridement function of, 801  Adenosine triphosphate production, in 
Accessory bones, exostectomy in, navicular,  wounded tissue, 725-726, 730 
605-611  Air support system, as pressure-relieving 
os trigonum, 617, 619-620  device, 858, 879-880 
Acetic acid, wound healing and, 776  Akin bunionectomy/osteotomy, cylindrical, 
Achilles tendon, anatomy of, 518-519  234 
avulsion of, surgical approach for, 402—  minima: incision approach to, 13-23 
403  preoperative criteria in, 233-235 
dysfunction of, in calcaneal osteotomy,  Albumin level, in diabetic ulcer healing, 265 
421  Alginate dressings, 791, 811-812 
lengthening of, in ankle equinus defor-  debridement function of, 801 
mity, 536-538  Allergy, to fixation devices, 312-313 
surgical approach for, 403-406  to local anesthesia, 426 
ossification of, surgical approach for, 402-  Aloe gels, in wound care, 804, 807 
403  Alternating pressure pad, as pressure- 
rupture of, 766—767  relieving device, 858 
after Haglund’s exostectomy, 213  Amputation, auto-, of gangrenous toe, 268 
surgical approach for, 403-405  in diabetic patient, 269-270, 847-849 
surgery on, in ankle equinus deformity  Anaerobic infections, postoperative, 348 
correction, 513-542  Analgesics, in postoperative joint disorders, 
anatomy of, 513-520  257 
healing and, 531-533  Anaphylaxis, from anesthesia, 425-426 
muscular activity and, 521-522  Anesthesia.  See also specific procedure. 
percutaneous, 537-538  choice of, 894 
techniques for, 533-541  complications of, 425-433 
incisions for, 402—406  epidural, 428-429 
Achillobursitis.  See Haglund’s deformity.  general, 429-430 
Acidic fibroblast growth factors, in wound  in geriatric patients, 431-432 
healing, 939-943  intravenous sedation, 427-428
956  CUMULATIVE  INDEX 1991 
Anesthesia (Continued)  Antibacterial effects, of electric stimulation, 
local, 425-427  836-837 
malignant hyperthermia, 432  Antibiotics, broad-spectrum, wound healing 
spinal, 428  and, 777 
with tourniquets, 430-431  in pressure ulcer infection, 877 
for diabetic foot surgery, 265  in puncture wound, 794 
for heel spur removal,  170-171  in trauma, 897 
Angiogenesis,  in wound healing, 939  postoperative, 243, 349-350 
Angiopathy, in diabetes mellitus, 251, 257,  preoperative, 244-246 
260  Anticoagulants, bone healing and, 247 
Ankle, arthrodesis of, surgical approach for,  wound healing and, 776-777 
424-436  Antineoplastic agents, wound healing and, 
arthroplasty of, anterior, 625-635  776 
arthrotomy of, surgical approach for,  Antiseptics, for pressure ulcers, 884-885 
429  Arch, claudication of, heel pain in, 162 
equinus deformity of, 513-542  reconstruction of. See also Medial column 
acquired muscle contracture in, 523-  stabilization. 
524  surgical approach for, 428-429 
anatomy of, 513-520  Arthritis, in elderly persons, 820 
classification of, 522-524  of subtalar joint, synovectomy-arthroplasty 
clinical findings in, 527, 530-531  in, 489, 493, 496, 498 
compensation in, 523 
postoperative, 254-257 
congenital muscle shortness in,  psoriatic, heel pain in, 158 
523 
rheumatoid, heel pain in, 159-161 
etiology of, 522-524 
vs. spondyloarthropathy,  155-156 
muscular activity in, 520-522 
Arthrodesis, ankle, surgical approach for, 
osseous, 524-525 
424-436 
pathomechanics of, 522 
navicular-cuneiform,  in Cole osteotomy, 
postoperative care of, 541 
spastic, 523, 525-527  637-645 
surgical procedures for, 533-541  in medial column stabilization, 667, 
tendon healing in, 531-533  671, 674 
uncompensated,  523  pantalar, 701-715 
vs.  pseudoequinus deformity, 530  talonavicular joint, in medial column sta- 
fracture of, 769-770  bilization, 667 
lateral instability of, 579-600  tarsal, fixation devices for, 443, 445-446 
anatomic considerations in, 579-582  triple. See Triple arthrodesis. 
clinical evaluation of, 582-584  Arthroplasty, implant, operative correction 
radiography of, 582-584  loss in, 273-276 
surgical procedures for,  415-416, 584-  in heloma durum, 224, 226 
598  in heloma molle, 228 
triple ligament repair in, 596  of ankle, anterior, 625-635 
pseudoequinus deformity of, 530  of metatarsal joints, complications of, 392— 
surgical approaches to, arthrodesis, 424—  393 
426  of subtalar joint, in painful conditions, 
arthrotomy, 429  485-500 
clubfoot release, 426—427 
Arthrotomy, of ankle, surgical approach for, 
fibular malleolar fracture, 419-421 
429 
lateral collateral repair, 414-415 
lateral stabilization, 415-416  Atherosclerosis,  heel pain in, 162 
in diabetes mellitus, 845-847 
medial malleolar fracture, 421-424 
posterior malleolar fracture, 427  Athlete’s ankle, anterior ankle arthroplasty 
Ankle brachial index, in vascular  in, 625-635 
assessment, 792-793  Austin bunionectomy, preoperative criteria 
Ankylosing spondylitis, heel pain in, 156-  in, 235-236 
157  Autoamputation, of gangrenous toe, 268 
Anterior drawer test, in ankle instability,  Autonomic neuropathy, in diabetes mellitus, 
582-584  251-252, 257, 845 
Anti-inflammatory agents, in postoperative  Avascular necrosis, of talus, in triple 
joint disorders, 255, 257  arthrodesis, 695
CUMULATIVE  INDEX 1991  957 
Bacitracin, in wound irrigation, 245  resorption of, in reflex sympathetic dys- 
Bacteria, in laser plume, 403  trophy, 290 
in postoperative infection, 342, 347-348  Bone cyst, calcaneal, bone grafting in, 456, 
Bacterial culture, in postoperative infection,  461 
240-241  heel pain in, 162 
Bactericidal effects, of electric stimulation,  Bone graft, failure of, in calcaneal 
836-837  osteotomy, 421 
Baker procedure, 418, 421  in malunion/nonunion, 252 
in ankle equinus deformity, 535-536  in medial column stabilization, 685 
Bar, calcaneonavicular,  resection of, 469—  in nonunion, 331, 926-928 
483  in rearfoot surgery, 449-467 
Basement membrane thickening, in diabetic  autogenous, advantages/disadvantages 
angiopathy, 260  of, 455 
Basic fibroblast growth factors, in wound  clinical applications of, 456, 461 
healing, 939-943  fixation of, 453-454 
Bassett-Baker procedure, in ankle equinus  harvesting of, 454 
deformity, 536  healing of, 449-452 
Beads, wound cleansing, 801  radiology of, 456 
Bed, specialized, in pressure ulcer  pantalar arthrodesis, 709 
management, 879-880  surgical considerations in, 452-456 
Biologic dressings, 862  types of, 449, 453 
Biomechanics, of diabetic foot, 847  Bone paste, inadequate removal of, joint 
of heel pain, 163  pain in, 254 
of pantalar arthrodesis, 701-702  Bone plates, bone healing and, 254 
Biopsy, in postoperative infection, 353  Bone scan (scintigraphy), in bone healing, 
of bone, in osteomyelitis, 241 
Blisters, 789  in infection, 241-242 
Blood flow, electric stimulation effects on,  in nonunion, 327 
836  in osteomyelitis, 266-267 
Blood pressure, segmental, in vascular  in reflex sympathetic dystrophy, 294-295 
assessment, 909-912 
Bone, biopsy of, in osteomyelitis, 241  Brace, in nonunion treatment, 327-328 
Bradykinin, in wound healing, 729, 736 
debridement of, 899-900  Broomhead approach, in malleolar fractures, 
fixation devices for. See Fixation devices. 
427-528 
healing of, delayed union in, 248-249, 
Bunion, tailor’s. See Tailor’s bunion. 
251-253 
Bunionectomy, Akin, minimal incision 
electrical stimulation in, 923-935 
approach to, 13-23 
contraindications for, 933 
devices for, 932  preoperative criteria in, 233-235 
dose-response curve in, 931-932  Austin, preoperative criteria in, 235-236 
historical aspects of, 928-929  Hohmann, preoperative criteria in, 235- 
236 
immobilization with, 933 
indications for, 932  iatrogenic hallux varus in, 367, 377 
methods for, 929-932  implant failure after, 273-276 
progress monitoring in, 933  in tailor’s bunion, 384-386 
electromagnetic stimulation in, 251-252  internal fixation in, 234-235 
failure of. See Nonunion.  McBride, minimal incision approach to, 
fixation and, 253-254, 309-310  65-67, 71-80 
imaging studies of, 250  operative correction loss after, 276-279, 
malunion in, 248, 252-253  281-284 
nonunion in. See Nonunion.  preoperative criteria in, 232-235 
physiology of, 321-322  Reverdin, preoperative criteria in, 235- 
primary, 923  236 
pseudoarthrosis in, 249-250, 252  Reverdin-Isham procedure in, minimal in- 
|  secondary, 923  cision approach to, 81-94 
stages of, 246-247, 250, 923-925  Silver, preoperative criteria in, 233 
infection of. See Osteomyelitis.  soft-tissue, complications of, 67 
pegging of, in nonunion, 331  goals of, 64-65 
emodeling of, fixation devices effects on,  minimal incision approach to, 63-70 
311-312  results of, 69-70
958  CUMULATIVE INDEX 1991 
Bunionectomy (Continued)  Capacitive coupling electromagnetic 
with first metatarsal ostectomy,  minimal  stimulation, in fracture, 931 
incision approach to, 71-80  Capsulorrhaphy, medial, iatrogenic hallux 
Weinberger,  111-136  varus in, 372 
Wilson, minimal incision approach to, 95-  Capsulotomy, in heloma durum, of lesser 
110  digits, 225-226 
preoperative criteria in, 235-236  Capsulotomy-tenotomy, of extensor hallucis 
without internal fixation,  111-136  longus tendon, 9-12 
Burns, healing of, electrical stimulation in,  Carbon dioxide laser. See Laser surgery. 
837  Carbon fiber reinforced plastic plates, in 
laser, 401  bone healing, 254 
treatment of, 762-763, 793  Carcinogenesis, of fixation devices, 314-316 
Bursitis,  retrocalcaneal.  See Haglund’s  Cardiac dysrhythmia, from general 
deformity.  anesthesia, 430 
Butte procedure, in medial column  Cast, in nonunion treatment, 327-328 
stabilization, 674  total contact, 791 
for diabetic ulcer, 259-260 
Catheter infections, 345 
Causalgia, in reflex sympathetic dystrophy, 
Calcaneofibular ligament, stabilization of,  287-298 
596  Cavus foot (pes cavus), 410-411, 413-415 
Calcaneonavicular bar, resection of, 469-483  heloma durum in, 227 
Calcaneus, apophysitis of, heel pain in, 162  idiopathic, Cole osteotomy in, 637-645 
bone cyst of, bone grafting in, 456, 461  Cellulitis, in diabetic ulcer, 262-266 
decompression of, in heel pain, 197-202  in puncture wound, 794-795 
exostosis of, removal of, minimal incision  Charcot’s foot, 254—255, 847 
approach to, 203-220  Cheilectomy,  in hallux valgus, incomplete 
fracture of, 769  correction with, 279-281 
surgical approach for, 410-412  Chemotherapy, wound healing and, 776 
impingement with fibula, subtalar joint  Chrisman-Snook procedure, modified, in 
synovectomy-arthroplasty in, 495  lateral ankle stabilization, 596 
osteotomy of, 409-423  Chromium, in fixation devices, allergy to, 
Baker, 418, 421  313 
complications of, 419, 421  Cincinnati incision, in Achilles tendon 
crescentic technique for, 649-651  exposure, 403-405 
in clubfoot, 426 
Dwyer, 413-414, 419 
Ciprofloxacin, in postoperative infection, 243 
effects of, posterior, 647-649 
Claudication, arch, heel] pain in, 162 
errors in, 409, 423 
Clawtoe, in diabetes mellitus, 251 
Evans, 418, 421 
Closed tear injury, treatment of, 763, 765- 
Gleich, 414-415, 418-419, 421 
767 
history of, 409-410  Closure, wound.  See Wound, closure of. 
in Haglund’s deformity, 659-665 
Clotting cascade, in wound healing, 728 
in nonneurologic flatfoot, 655-656 
Clubfoot, surgical approach for, 426-427 
in pes cavus, 410-411, 413-415 
Coagulation disorders, wound healing in, 
in pes planus, 411-412, 415-418 
783 
in tarsal coalition, 652-655  Coalition, tarsal. See Tarsal coalition. 
Koutsogiannis, 415, 421  Colchicine, wound healing and, 777 
posterior, 647-657  Cold compress, wound healing retardation 
reverse  Dwyer, 652  from, 779 
Samilson, 415  Cole osteotomy, 637-645 
Selakovich, 418  Collagen, in wound healing, 737-747 
Silver, 415, 417, 421, 651-652  biosynthesis of, 734, 740-741 
surgical approach for, 428  energy metabolism and, 743-745 
Calcium alginate dressings, 811-812  in malnutrition, 781-782 
debridement function of, 801  lactate in, 745-747 
Callous, sesamoid surgery in, 56-58  regulation of, 741-743 
Callus, in bone healing, 246-247, 325, 923  molecular biology of, 738-740 
Cancellous screw fixation, in rearfoot  structure of, 737-738 
surgery, 441-442  types of, 737
CUMULATIVE INDEX 1991  959 
Collagen disorders, keloid formation in, 364  Dantrolene, in malignant hyperthermia, 432 
wound healing in, 783  Debridement, 822-823, 897 
Collateral ligaments repair, lateral, surgical  dressing role in, 800-801 
approach for, 414-415  electrical stimulation in, 837 
Colonna-Ralston approach, in ankle  in postoperative infection, 244 
arthrodesis, 424—425  of diabetic ulcer, 263 
in malleolar fractures, 423  of pressure sores, 788, 882 
Complement system, in wound healing, 729  surgical, 800 
Complications, of surgery.  See also specific  tissue viability assessment in, 898-902 
procedure.  Decompression, calcaneal, in heel pain, 
anesthesia-induced, 425-434  197-202 
calcaneal osteotomy, 409-423  Decortication, of nonunion, 926 
correction loss, case studies of, 273-285  Dehiscence, wound, 359-362 
from bone fixation devices, 309-320  treatment of, 823-824 
hallux varus, 367-382  Delayed union.  See also Nonunion. 
hypertrophic scars, 362-364  after lesser metatarsal surgery, 389-390 
in geriatric patients, 431-432  in bone healing, 248-249, 251-253 
infection, 341-357  Dermapulse treatment, of ulcers, 830-831 
keloids, 362-363  Dermatitis, from metallic fixation devices, 
laser, 399-408  312-313 
lesser metatarsal, 383-397  Dessication, wound healing retardation 
malignant hyperthermia, 432  from, 779 
nonunion, 321-339  Dexamethasone, collagen synthesis and, 744 
reflex sympathetic dystrophy, 287-307  in postoperative joint disorders, 255 
tourniquet-related, 430-431  Diabetes mellitus, anesthesia complications 
wound dehiscence, 359-362  in, 429 
Compressed bridging graft, in nonunion,  autonomic neuropathy in, 845 
bone healing in, 247 
331 
heel pain in, 162 
Compression bandage, for bone healing 
in elderly persons, 820 
promotion, 253 
peripheral neuropathy in, 843 
Compression fixation, 435 
peripheral vascular disease in, 845-847 
Computed tomography, in infection 
sensory motor neuropathy in, 843-845 
diagnosis, 242  ulcers in. See Diabetic foot, ulcers in. 
in nonunion, 327  wound healing in, 780-781 
in osteomyelitis, 266-267 
growth factors and, 948-949 
Condydligeictst,o m2y9,7 -2in9 8h eloma molle, of lesser  Diabetic foot, 249-272 
biomechanics of, 847 
Constant direct current method, of electric  corrective shoes for, 255-256 
stimulation, 929-930 
morbidity from, 249 
Corn (heloma molle), preoperative criteria  self-care in, 250 
in, 227-228  team approach to, 249-250, 265 
Coronary disease, in elderly persons, 818— 
ulcers in, 843-855 
819  amputation in, 847-849 
Corticosteroids, bone healing and, 247  classification of, 250, 849-851 
in postoperative joint disorders, 255 
grade 0 (no open lesion), 250-257 
in reflex sympathetic dystrophy, 297-298  grade 1 (superficial ulcer), 250, 257- 
Cortisone, wound healing and, 776  262 
Creams, for wound care, 791-792  grade 2 (deep ulcer), 250, 262-266 
Crescentic calcaneal osteotomy, 649-651  grade 3 (osteomyelitis), 250, 266-268 
Cuboid joint, metatarsal, fusion of, bone  grade 4 (forefoot gangrene), 250, 
grafting in, 461  268-269 
Culture, in postoperative infection, 240-  grade 5 (total gangrene), 250, 269- 
241, 349-350, 352  270 
Cuneiform, osteotomy of, in Cole  infection in, 851 
osteotomy, 637-645  ischemic, 849 
Current of injury, healing and, 833  locations of, 849 
Cyclosporine, wound healing and, 777  neurotrophic, 849 
Cyst, bone, heel pain in, 162  pathophysiology of, 843-847 
calcaneal, bone grafting in, 456, 461  patient education in, 852-853
960  CUMULATIVE  INDEX 1991 
Diabetic foot (Continued)  Edema, in burns, 762-763 
treatment of, 824, 849-853  in closed tear injury, 765 
Diaphysectomy, in heloma durum, 225  management of, electrical stimulation in, 
Diazepam, in reflex sympathetic dystrophy,  837 
297, 300-301  mechanisms of, in wounded tissue, 731 
Diffuse idiopathic skeletal hyperostosis, heel  prevention of, joint disorders and, 256 
pain in, 158  wound healing and, 779, 822 
Digits. See Toe(s).  Ehlers-Danlos syndrome, wound healing in, 
DISH (diffuse idiopathic skeletal  783 
hyperostosis), heel pain in, 158  Elderly persons, anesthesia complications 
Dislocations,  management of, 767-768  in, 431-432 
Doppler velocitometer,  in vascular  wound healing in, 782-783, 817-826 
assessment, 916  factors affecting, 817-822 
Doppler wave analysis, in diabetic foot  foot problem epidemiology and, 817 
evaluation, 258  in deep infection, 824 
Dorsiflexion deformity, of hallux, tenotomy-  in dehiscence, 823-824 
capsulotomy in, 9-12  in diabetic ulcers, 824 
Drainage, of postoperative infection, 347—  in pressure sores, 824 
348, 351-352 
in venous ulcers, 824 
Dressings, 799-816, 823  management principles for, 822-823 
absorptive, 790, 801, 810-811 
Electrical stimulation, in bone healing, 328- 
alginate, 791, 801, 811-812  330, 923-935 
biologic, 862 
contraindications for, 933 
cleansing procedures and, 800-801 
criteria for, 803  devices for, 932 
debridement function of, 800-801  dose-response curve in, 931-932 
films, 801, 807  historical aspects of, 928-929 
for bone healing promotion, 253  immobilization with, 933 
for pressure ulcers, 859-864, 885-886  indications for, 932 
future trends in, 812-814  methods for, 929-932 
gels, 804, 807  progress monitoring in, 933 
historical aspects of, 799, 802-804  in wound healing, 827-841 
hydrocolloid, 789-790, 810, 859, 862  animal studies of, 832-833 
irrigation procedures and, 800-801  antibacterial effects in, 836-837 
lubricating sprays as, 804, 807  biologic effects of, 833-838 
occlusive, 789-791  blood flow increase in, 836 
debridement function of, 801 
cell stimulation in, 835-836 
for pressure ulcers, 885-886  current of injury in, 833 
occlusive wafer, 807-809 
debridement function of, 837 
polyurethane film, 789, 862 
polyurethane foam, 812  edema reduction in, 837 
precautions with, 862-864  efficacy of, 828-833 
purpose of, 789  galvanotaxic effects in, 835 
selection of, 812  hemostatic effects in, 837 
algorithm for, 803  historical perspective of, 827-828 
semi-rigid, 791  negative polarity effects in, 837-838 
wet, 791  positive polarity effects in, 837-838 
wet-to-damp, 804  pressure ulcers, 864-865 
wet-to-dry, debridement function of, 801 
of nerves,  in reflex sympathetic dystro- 
wound cleansing beads, debridement  phy, 296 
function of, 801 
Electrodiagnosis, in tarsal tunnel syndrome, 
Drugs, wound healing and, 775-777 
504--505 
Dwyer calcaneal osteotomy,  reverse, 652 
Dwyer medial approach, 412-413  Electromagnetic bone healing, 251-252 
Elephant foot pseudarthrosis, 249 
Dwyer procedure, 413-414, 419 
Dystrophic changes, in reflex sympathetic  Elmslie procedure, in lateral ankle 
dystrophy, 290  stabilization, 594, 596 
Energy mezabolism, collagen synthesis and, 
743-745 
Enthesopathy, heel pain and, 155-156 
Eczema, from metallic fixation devices, 312-  Epidermal growth factor, in wound healing, 
313  745-747, 944-947
CUMULATIVE INDEX 1991  961 
Epidural anesthesia, complications of, 428—  Fibular sesamoidectomy, iatrogenic hallux 
429  varus in, 370 
Epinephrine, in anesthesia reaction, 426-  Film dressings, 807, 859, 862 
427  debridement function of, 801 
Equinus deformity, ankle. See under Ankle.  Fixation devices, 309-320 
Erythrocyte sedimentation rate, in  allergy to, 312-313 
postoperative infection, 346  bone healing and, 309-310 
Essex-Lopresti classification, of calcaneal  bone remodeling and, 311-312 
fractures, 769  corrosion of, 312 
Estrogens, wound healing and, 777  displacement of, 391-392 
Evans procedure, 418, 421  in medial column stabilization, 685, 688 
in lateral ankle stabilization, 584-585  in nonunion, 330-331, 335 
Exostectomy,  Haglund’s, minimal incision  in rearfoot surgery, 433-447 
approach to, 203-220  external, 442-443 
of rearfoot, in os trigonum syndrome, 617,  factors affecting, 433-434 
619-620  for bone graft, 453-454 
Exostosis, of rearfoot, 601-623  goals of, 434-435 
accessory navicular bone, 605-611  Kirschner wires in, 435-436 
causes of, 601-602  osteotomy, 443 
postoperative control of, 446 
conservative treatment of, 604, 609, 
615, 620  screws in, 440-442 
stainless steel wire in, 440 
diagnosis of, 602-604, 609, 614, 619- 
620  staples in, 436-440 
Haglund’s deformity, 611-617  Steinmann pins in, 435-436 
tarsal arthrodesis, 443, 445-446 
surgical treatment of, 604—605, 609, 
in triple arthrodesis, 694-695 
611, 615, 617, 620 
infection from, 316 
Extensor hallucis longus tendon, tenotomy- 
capsulotomy of, 9-12  malignancy induced by, 314-316 
tenotomy of, in spoon-toe deformity, 1-8  migration of, 314 
osteoporosis from, 310-311 
External fixation, in rearfoot surgery, 442— 
removal of, 316 
443  stress produced by, 311 
vs. nonfixation, 253-254 
Flatfoot deformity (pes planus), 411-412, 
415-418 
correction of. See also Medial column sta- 
bilization. 
Factitious wounds, diagnosis of, 780 
posterior calcaneal osteotomy in, 647- 
Fasciotomy, in heel spur syndrome,  165 
657 
Felted-Foam, for diabetic ulcer, 258-259  flexible, radiography of, 675 
Femoral-popliteal-tibial reconstruction, for 
symptoms of, 675 
diabetic foot, 261-262  Flexor digitorum longus tendon transfer, in 
Fever, in postoperative infection, 344-345  tibial tendon dysfunction, 548-551 
Fibrin, in wound healing, 728  Flexor hallucis brevis tendon release, 
Fibrinolysis, in wound healing, 729  iatrogenic hallux varus in, 367, 369-370 
Fibroblast(s), in wound healing, 733-736,  Floating toe, in lesser metatarsal surgery, 
742  393 
electric stimulation of, 835-836  Fluid support system, as pressure-relieving 
Fibroblast growth factors, in wound healing,  device, 858, 879 
939-943  Fluoroscan, in minimal incision surgery, 219 
Fibrogenesis, regulation of, lactate in, 745-  Fluoroscopy, in bone healing diagnosis, 250 
757  in closing base wedge osteotomy,  minimal 
Fibronectin, in wound healing, 735-736  incision approach and, 137-151 
Fibrogenesis, regulation of, lactate in, 745-  in nonunion, 325 
757  Footballer’s ankle, anterior ankle 
Fibronectin, in wound healing, 735-736  arthroplasty in, 625-635 
Fibula, impingement with calcaneus,  Foreign body, fixation device as, malignancy 
subtalar joint synovectomy-arthroplasty  and, 314-316 
in, 495  in diabetic ulcer, 263 
malleolar fracture of, surgical approach  removal of, 760-761, 794 
for, 419-421  wound healing retardation from, 779
962  CUMULATIVE  INDEX 1991 
Forestier’s disease, heel pain in, 158  transforming growth factors, 735, 742, 
Fractures, bone healing in. See Bone,  943-944 
healing of.  types of, 939 
calcaneal, surgical approach for, 410-412  Guanethidine, in reflex sympathetic 
fixation devices for. See Fixation devices.  dystrophy, 297-298 
heel pain in, 162  Gunshot injury, treatment of, 904-905 
malleolar, surgical approaches for, 419- 
424, 427 
nonunion of. See Nonunion. 
open, treatment of, 902  Haglund’s deformity, anatomic 
treatment of, 768-770.  See also Electrical  considerations in, 662 
stimulation, in bone healing.  conservative treatment of, 615, 662-663 
Fulp-McGlamry technique, in ankle equinus  diagnosis of, 614 
deformity correction, 538-541  etiology of, 659-660 
Fungal infections,  in pressure ulcers, 885  radiography of, 660-661 
postoperative, 348  surgical treatment of, exostectomy, 611- 
Fusion, of metatarsal cuboid joint, bone  617 
grafting in, 461  historical aspects of, 661-662 
incisions for, 406—408 
postoperative management of, 664 
technique for, 663-664 
Gaenslen approach, in calcaneal fracture,  Haglund’s exostectomy, minimal incision 
411-412  approach to, 203-220 
Gallium 67 scan,  in infection diagnosis, 241-  Hallux, callous on, sesamoid surgery in, 56— 
242  58 
Galvanotaxic effect, in healing, 835  dorsiflexion deformity of, tenotomy-capsu- 
Gangrene, in diabetic foot, 268-270, 851  lotomy in, 9-12 
Gastrocnemius aponeurosis, distal recession  heloma durum of, preoperative criteria in, 
of, in ankle equinus deformity, 534-535  227 
lengthening of, in ankle equinus defor-  heloma molle of, preoperative criteria in, 
mity, 533, 535-536, 538-54]  228 
Gastrocnemius muscle, anatomy of, 513, 515  osteotomy of, minimal incision approach 
function of, 520-522  to, 13-23 
Gatellier-Chastang approach, in ankle  Hallux abducto valgus deformity, angular 
stabilization,  415-416  relationships in, 64, 82-83, 231-232 
Gels, in wound care, 804, 807  bunionectomy in. See Bunionectomy. 
General anesthesia, complications of, 429-  classification of, 82-84 
430  combined, 231 
Genetic disorders, wound healing in, 783  definition of, 81 
Geriatric patients.  See Elderly persons.  etiology of, 82 
Gleich procedure, 414-415, 418-419, 421  osteotomy in, minimal incision approach 
Glucocorticoids, wound healing and, 776  to, 13-23 
Glycolysis, collagen synthesis and, 743-744  positional, 231 
Gout, heel pain in, 162  preoperative criteria in, 230-236 
Granulocytes, in inflammatory response,  structural, 231] 
731-732  Hallux abductus interphalangeus, 
Grice approach, in sinus tarsi exposure, 416  overcorrection of, iatrogenic hallux 
Growth factors, in fibrogenesis, 745-757  varus in, 371-372 
in wound healing, 937-953  Hallux adductus.  See Hallux varus. 
angiogenesis and, 939  Hallux interphalangeal joint extensus, 
epidermal growth factor, 745-747, 944—  tenotomy for, 1-8 
947  case studies in, 3-5 
fibroblast growth factors, 939-943  procedure for, 1-3 
mechanism of action of, 938-939  Hallux rigidus, preoperative criteria in, 232 
normal, 937-939  Hallux valgus, surgery for, implant failure 
platelet-derived growth factor, 947-949  after, 273-276 
platelet-derived wound healing formula  operative correction loss after, 276-279, 
in, 949-951  281-284 
pressure ulcers, 865  Hallux varus, iatrogenic, 367-382 
production of, 938  causes of, 370-372
CUMULATIVE INDEX 1991  963 
clinical findings in, 372, 374  Hemoglobin, in oxygen transport, in wound 
dynamic, 367, 369  environment, 724-725 
incidence of, 367  Hemophilia, wound healing in, 783 
radiography of, 374, 376  Hemorrhage, in laser surgery, 401 
static (nondynamic), 367  Hemostasis, electrical stimulation in, 837 
surgical repair of, 376-381  in acute trauma, 757-758 
types of, 367, 369-370  in. wound healing, 730 
Halothane hepatitis, 430  Heparin, wound healing and, 776-777 
Hammertoe,  heloma durum in, 225—226  Hepatitis, halothane, 430 
in diabetes mellitus, 251  Herbert screws, 314 
Hardware.  See Fixation devices.  Histamine, in wound healing, 729 
Headache, after spinal anesthesia, 428  Hohmann bunionectomy, preoperative 
Healing, of bone. See under Bone.  criteria in, 235-236 
of bone graft, in rearfoot surgery, 449—  Hoke procedure, in medial column 
452, 456  stabilization, 671, 674 
of tendons, 531-533  Horse foot pseudarthrosis, 249 
of wound. See Wound healing.  Hyaluronic acid, in wound healing, 734-735 
Heart disease, in elderly persons, 818-819  Hyaluronidase, in wound healing, 735 
Heat therapy, in reflex sympathetic  Hydrocolloid dressings, 789-790, 810, 859, 
dystrophy, 296  862 
Heel pain, 167-185  Hydrogen peroxide, wound healing and, 776 
anatomic considerations in, 187-188  Hydrotherapy, in wound cleansing, 801 
biomechanical factors in, 163  postoperative, in infection, 244 
causes of, 161-163  in joint disorders, 255 
clinical findings in, 168-169,  190  Hyperbaric oxygen therapy, 792 
differential diagnosis of, 153-166,  167  in diabetic ulcer, 852 
in ankylosing spondylitis,  156-157  Hyperglycemia, angiopathy and, 260 
in osteoarthritis,  161  neuropathy and, 253-254 
in psoriatic arthritis,  158  wound healing in, 781 
in Reiter's syndrome, 157  Hyperkeratosis, after lesser metatarsal 
in rheumatoid arthritis,  159-161  surgery, 386, 389 
pathomechanics of, 188-190  Hyperpyrexia, 432 
radiographic findings in, 169  Hypersensitivity reaction, from metallic 
recalcitrant, surgical management of, 187-  fixation devices, 312-313 
195  Hypertension, in general anesthesia, 429- 
systemic problems and, 154-156  430 
treatment of, 163-165  Hyperthermia, malignant, 432 
calcaneal decompression in, 197-202  Hypertrophic scars, postoperative, 362-364 
conservative,  169-170,  190  Hypoproteinemia, wound healing and, 781— 
surgical, in recalcitrant disease, 187-  782 
195  Hypotension, in anesthesia, general, 429 
minimal incision approach to, 170-  spinal, 428 
183, 190-193  Hypothermia, in general anesthesia, 430 
Heel spur, anatomic considerations in, 187—  Hypovolemia, wound healing in, 783-784 
188 
location of, 172 
Heel spur syndrome,  153-154 
causes of, 162-163  Ilizarov technique, in nonunion, 331, 335 
treatment of, 163-165  Imaging studies, in bone healing diagnosis, 
Heloma durum, preoperative criteria in,  250 
double, 226  Immobilization, in bone healing disorders, 
of fifth digit, 224-225  251, 926 
of hallux, 227  Immunodeficiency, wound healing in, 780 
of lesser digits, 225-226  Immunosuppressive agents, wound healing 
Heloma molle, preoperative criteria in, 227—  and, 777 
228  Implant(s). See also Fixation devices. 
Hematoma, in laceration, 763  in subtalar joint, synovectomy-arthroplasty 
in postoperative infection, 346-347  in, 495 
prevention of, joint disorders and, 256  Implant arthroplasty, operative correction 
wound healing retardation in, 778—779  loss in, 273-276
964  CUMULATIVE  INDEX 1991 
Incisions,  in Achilles ossification, 402—403  in nonunion, 335-337 
in Achilles tendon avulsion, 402-403  laboratory assessment in, 345-346, 349- 
in Achilles tendon lengthening, 405-406  350, 352-353 
in Achilles tendon rupture, 403-405  pain in, 342-343 
in  ankle arthrodesis, 424—426  persistence of, 353-354 
ankle arthrotomy, 429  seroma in, 346-347 
arch reconstruction, 428-429  vs.  inflammation, 343-344 
calcaneal fracture, 410-412  wound closure in, 352 
calcaneal osteotomy, 428  wound inspection in, 342 
clubfoot correction, 426-427  wound healing and, 778, 822 
Haglund’s deformity resection, 406-408  Inflammation,  in healing, 360 
heel spur surgery, 409-410  acute phase of, 730-733 
lateral ankle stabilization, 415-416  mediators of, 728-730 
lateral collateral ligament repair, 414—  vs.  infection, 343-344 
415  Inflammatory bowel syndrome, heel pain in, 
malleolar fractures, fibular, 419-421  158 
medial, 421-424  Injection wound, treatment of, 761-762 
posterior, 427  Instruments,  use of, complications and, 256 
os trigonum access, 408-409  Insulin, in wound healing, 948-949 
peroneal subluxation repair, 414  Insulinlike growth factor—1, in wound 
sinus tarsi exposure, 416-417  healing, 948-949 
subtalar joint fusion, 416-417  Intermetatarsal angle, negative, iatrogenic 
sural neurolysis, 412  hallux varus in, 371 
tarsal coalition resection, 419  Internal fixation, devices for. See Fixation 
in tarsal tunnel release, 412-413  devices. 
in tibial tendon exposure, 413-414  in bone healing disorders, 252 
in triple arthrodesis, 418  in bunionectomy, 234-235 
principles of, 401-402  vs. nonfixation, 253-254 
Incontinence,  urinary, pressure ulcer  Interphalangeal joint, first, subluxation of, 
management and, 881  heloma durum in, 227 
Indium 111 scan, in infection diagnosis, 242  tenotomy of, in spoon-toe deformity,  1- 
Inductive coupling electromagnetic  8 
stimulation,  in fracture, 930  Intravenous sedation, complications of, 427- 
Infection, deep, treatment of, 824  428 
heel pain in, 162  lodophors, wound healing and, 776 
in elderly persons, 820  Iontophoresis, in postoperative joint 
in minimal incision surgery, 239-246  disorders, 255 
antibiotics in, 243-245  Irrigation, in postoperative infection, 244— 
clinical recognition of, 239-240  245 
laboratory findings in, 240-241  in wound cleansing, 801-802, 897 
management of, 242-244  Isotope clearance studies, in vascular 
nuclear medicine scans in, 241-242  assessment, 917-918 
prevention of, 245-246 
radiography of, 240 
of diabetic ulcer, 262-268, 851-852 
of pressure ulcer, 876-877  Jack procedure, in medial column 
postoperative, 341-357  stabilization, 674 
biopsy in, 353  Jacobs-Oloff procedure, in medial column 
consultation in, 350-351  stabilization, 674 
culture in, 349-350, 352  Jacoby heel compression splint, 177 
drainage of, 347-348, 351-352  Jergesen approach, in malleolar fractures, 
fever in, 344-345  419-423 
from fixation devices, 316  Joint problems, postoperative, 254-257 
healing after, 353  Jones fracture, 768-769 
hematoma in, 346-347 
hospitalization in, 348-349 
in calcaneal osteotomy, 419, 421 
in dehiscence, 361  Kantrex, in wound irrigation, 245 
in elective surgery, 354  Keck-Kelly procedure, 414 
in laser surgery, 402-403  in Haglund’s deformity, 661-662