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  1. Fulltext Revascularization for foot salvage in diabetic critical foot ischaemia
    Yii MK, Liew NC
    Med J Malaysia, 1999 Sep;54(3):325-8.
    PMID: 11045058
    A consecutive series of 32 diabetic patients, 16 male and 16 female, who presented to the authors with critical limb ischaemia was reviewed over a two-year period. Atherosclerotic risk factors and co-morbidities were present in 56% of these patients. Diagnostic angiography was performed in all patients. Revascularization was achieved in 91% of the cases with three perioperative deaths. Ten bypasses were anastomosed distally to one of the crural or ankle arteries at the foot. Major amputations were required in five patients who had had revascularization and in 4 of these gross sepsis was the main factor responsible for limb loss despite patent grafts. The primary graft patency rates at one month and one year were 96% and 90% respectively. Surgical reconstruction was possible in the majority of diabetic patients with critical ischaemia and should be offered to patients preferably before the establishment of gross sepsis to improve limb salvage.
    Matched MeSH terms: Foot/blood supply*
  2. Perineural Injection Therapy in the Management of Complex Regional Pain Syndrome: A Sweet Solution to Pain
    Thor JA, Mohamed Hanapi NH, Halil H, Suhaimi A
    Pain Med, 2017 10 01;18(10):2041-2045.
    PMID: 28460075 DOI: 10.1093/pm/pnx063
    Matched MeSH terms: Foot/blood supply
  3. Deficient dorsalis pedis flow in severe idiopathic clubfeet: Does Ponseti casting affect the outcome?
    Munajat I, Yoysefi M, Nik Mahdi NM
    Foot (Edinb), 2017 Aug;32:30-34.
    PMID: 28672132 DOI: 10.1016/j.foot.2017.05.003
    BACKGROUND: Arterial deficiency in congenital clubfoot or congenital talipes equinovarus (CTEV) was postulated as either the primary cause of deformity or secondary manifestation of other bony and soft tissue abnormalities. The objectives of the study were to find any association between arterial deficiency with severity of CTEV and its treatment.

    METHOD: This prospective study conducted on 24 feet with CTEV (18 babies) with Pirani score ranging between 2 to 6. Eighteen normal babies (36 feet) were selected as control. We used Color Doppler Ultrasound to assess dorsalis pedis and posterior tibial arteries before initiating the treatment. Second ultrasound was performed in study group upon completion of Ponseti treatment.

    RESULTS: The patients were from one week to 15 weeks of life. Dorsalis pedis arterial flows were absent in 7 clubfeet (29.1%) while the remaining 17 clubfeet (70.8%) had normal flow. There was a significant association between Pirani severity score and vascular status in congenital clubfoot. There was a higher proportion of clubfeet having abnormal vascularity when the Pirani severity score was 5 and more. In study group, posterior tibial arteries were detectable and patent in all feet. All normal feet in control group had normal arterial flow. There was a significant difference in vascular flow before and after the Ponseti treatment (p 0.031).

    CONCLUSION: The study concludes that there is an association between Pirani severity score and arterial deficiency in CTEV. Ponseti treatment is safe in CTEV with arterial deficiency and able to reconstitute the arterial flow in majority of cases.

    Matched MeSH terms: Foot/blood supply*
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