S J Wertheimer

St. John's Medical Center, Джексон, Wyoming, United States

Are you S J Wertheimer?

Claim your profile

Publications (25)11.83 Total impact

  • Russell S. Sticha · Daniel Swiriduk · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: The management of operative wounds in most surgical procedures is important in preventing many complications, most notably, infection. Among most surgical subspecialties, postsurgical dressings vary in type of materials utilized as well as duration left in place. The authors propose that the contemporary method of postoperative wound management (i.e., dressings left in place until sutures are removed) is overly conservative when dealing with the uncomplicated patient population. This study involves 100 patients who underwent forefoot, rearfoot, or ankle procedures in which skin incisions were made on nonweightbearing surfaces and percutaneous pins, external fixators, or casts were not utilized. All wounds were considered clean and patients displayed an uncomplicated medical history. Postoperatively, the patients were treated by an early exposure method (i.e., the wounds were left undressed on the 4th postoperative day and patients were allowed to bathe in their usual manner). Patients returned on postoperative day 10-14 at which time sutures were removed. Wounds were inspected up to 12 weeks following surgery. An infected wound was defined by the presence of cellulitis or lymphangitis or by the secretion of purulence from the incision line. The incidence of wound infection was 1.0%. This study also includes analysis via questionnaire of the postoperative care utilized by 495 randomly selected diplomates of the American Board of Podiatric Surgery as well as the surgery department chairs at the seven podiatric medical colleges.
    The Journal of Foot and Ankle Surgery 07/1998; 37(4):286-91. DOI:10.1016/S1067-2516(98)80064-1 · 0.85 Impact Factor
  • Russell S. Sticha · Jeffery S. Deacon · Stuart J. Wertheimer · Robert D. Danforth ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Intravascular fasciitis is a rare benign condition characterized by reactive fibroblastic proliferation arising from the superficial or deep fascia and involving arteries and/or veins. Intravascular fasciitis is a distinct variant of a more common condition called nodular or pseudosarcomatous fasciitis, which possesses clinical and histologic features similar but lacks vascular invasion. The fibroblastic violation of the vascular network suggests a malignant component and often leads to an inappropriate diagnosis for this benign condition. A thorough review of the literature revealed less than 25 reported cases of intravascular fasciitis, with this publication being the only case involving the foot or ankle. A case of intravascular fasciitis affecting the plantar aspect of the foot in a pediatric patient is presented and its clinical and histologic features are discussed.
    The Journal of Foot and Ankle Surgery 03/1997; 36(2):95-9. DOI:10.1016/S1067-2516(97)80052-X · 0.85 Impact Factor
  • Russell S. Sticha · Stephen T. Frascone · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Neuropathic arthropathy is a complex deformity found in a multitude of disease processes. Various forms of conservative and surgical treatment options have been reported throughout the literature; however, a limited number of such treatments address the underlying deformity. This article reviews the indications and surgical criteria necessary to perform successful arthrodesis procedures in patients afflicted with this problem. A case report is presented, using arthrodesis as a salvage procedure for a painful Charcot deformity of the midfoot in a patient with diabetic neuroarthropathy.
    The Journal of Foot and Ankle Surgery 11/1996; 35(6):560-6. DOI:10.1016/S1067-2516(96)80130-X · 0.85 Impact Factor
  • Jeffery S. Deacon · Stuart J. Wertheimer · John A. Washington ·
    [Show abstract] [Hide abstract]
    ABSTRACT: The use of prophylactic antibiosis in podiatric surgery is common, especially in patients undergoing endoprosthetic procedures, major arthrodeses, lengthy procedures, or in immunocompromised patients. The goal of prophylaxis is to prevent infection. For this to occur, there must be an adequate concentration of the antimicrobial agent in the tissue at the time of the incision. Historically, prophylaxis has consisted of intravenous administration of 1 gm. of cefazolin, 30 to 60 minutes prior to surgery. Cefazolin concentrations in the medial eminence of the first metatarsal were measured in patients undergoing bunionectomy procedures where pneumatic ankle tourniquets were used for hemostasis. The goal of this study was to determine if the current standards of prophylactic antibiotic administration provide adequate bone levels of cefazolin to effectively inhibit potential infection-causing pathogens.
    The Journal of Foot and Ankle Surgery 07/1996; 35(4):344-9. DOI:10.1016/S1067-2516(96)80085-8 · 0.85 Impact Factor
  • David R. Calderone · Brian G. Loder · David Denny · Russell S. Sticha · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Closed-ankle fractures presenting to the podiatric service between 1978 and 1991 are reviewed. Patients able to return for follow-up were tested through Cybex isokinetic testing, proprioception, and radiographic studies. All patients reviewed had equal or greater strength and endurance on the involved side when compared to the uninvolved side. Proprioceptive deficits were noted in all patients with lateral malleolar involvement regardless of time of follow-up.
    The Journal of Foot and Ankle Surgery 05/1996; 35(3):230-6. DOI:10.1016/S1067-2516(96)80103-7 · 0.85 Impact Factor
  • Zachary J. Nellas · Brian G. Loder · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Acute ruptures of the Achilles tendon are common. Treatment for such ruptures is well documented. Treatment for chronic ruptures with a significant defect poses a surgical dilemma. The authors present the use of a tendon allograft to replace an Achilles tendon defect with a 2.5-year clinical follow-up inclusive of isokinetic testing.
    The Journal of Foot and Ankle Surgery 03/1996; 35(2):144-8; discussion 190. DOI:10.1016/S1067-2516(96)80031-7 · 0.85 Impact Factor
  • Christina A. Weber · Stuart J. Wertheimer · Anthony Ognjan ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Lacerations or puncture wounds sustained in freshwater environments are susceptible to contamination by Aeromonas hydrophila. Numerous cases have been reported of cellulitis secondary to water-related injuries requiring hospitalization where A. hydrophila was the isolated organism. The typical presentation of an infection of A. hydrophila mimics a streptococcal soft tissue infection, which may result in delay in administration of appropriate antibiotics. A case is presented of a nonimmunocompromised patient who developed an A. hydrophila infection following freshwater-related injuries.
    The Journal of Foot and Ankle Surgery 09/1995; 34(5):442-6. DOI:10.1016/S1067-2516(09)80019-7 · 0.85 Impact Factor
  • Brian G. Loder · David R. Calderone · John Sharp · Alan Stiebel · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Surgical treatment of hematogenous osteomyelitis is uncommon in the literature. Indications for surgical decompression, along with a review of the literature, is presented. A case history of a 7-year-old male with hematogenous osteomyelitis of the first metatarsal treated by surgical decompression and 12-month follow-up is discussed.
    The Journal of Foot and Ankle Surgery 07/1995; 34(4):347-53. DOI:10.1016/S1067-2516(09)80003-3 · 0.85 Impact Factor
  • Brian G. Loder · Stephen T. Frascone · Stuart J. Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Reconstruction of malunited or an incongruous talocrural articulation is relatively unrecognized within the literature and few procedures have been described. This article reviews a case of a 36-year-old male who presented with chronic ankle pain, secondary to a malunion of the ankle joint. The case presentation, including surgical treatment and follow-up care, is presented. A review of the literature is also provided.
    The Journal of Foot and Ankle Surgery 05/1995; 34(3):283-8. DOI:10.1016/S1067-2516(09)80061-6 · 0.85 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Some foot and ankle pathologic conditions can be treated by an endoscopic approach. Its effectiveness has been reported in the treatment of plantar fasciitis. The authors have used an endoscopic approach in the treatment of posterior tibial tenosynovitis resistant to nonsurgical treatment. A review of the pathology, terminology and the diagnosis of tenosynovitis is provided. The case report demonstrates a technique using an endoscope to incise the posterior tibial tendon sheath.
    The Journal of Foot and Ankle Surgery 01/1995; 34(1):15-22. DOI:10.1016/S1067-2516(09)80097-5 · 0.85 Impact Factor
  • B G Loder · S J Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Ankle sprains are among the most commonly treated injuries that present to the emergency room, and often most inadequately diagnosed and treated. When diagnosed properly, the appropriate treatment is easily determined. When indications point to surgical repair of the lateral collateral ligaments of the ankle, the following technique, utilizing the Mini-Statak device, offers a simplified and timesaving alternative.
    The Journal of Foot and Ankle Surgery 01/1994; 33(2):120-3. · 0.85 Impact Factor
  • D R Calderone · S J Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Arthrodesis was initially indicated for severe hallux valgus and hallux rigidus. Today, it is primarily a salvage procedure, which provides a painless first metatarsophalangeal joint. This manuscript reviews the various procedures for arthrodesis of the first metatarsophalangeal joint. A case report is presented utilizing arthrodesis as a salvage procedure for a painful first metatarsophalangeal joint, after previously failed procedures.
    The Journal of Foot and Ankle Surgery 01/1993; 32(5):517-25. · 0.85 Impact Factor
  • S Kinley · S Frascone · D Calderone · S J Wertheimer · M A Squire · F A Wiseman ·
    [Show abstract] [Hide abstract]
    ABSTRACT: A comparative study of endoscopic plantar fasciotomy versus traditional type heel spur surgery has been performed involving 76 patients and 92 procedures. Sixty-six of those procedures consisted of endoscopic fasciotomy, whereas 26 involved traditional type surgery. Those patients in which the endoscopic fasciotomy was performed had significantly less postoperative pain, returned to regular activities 4 weeks earlier, and had fewer complications postoperatively than those patients involving traditional heel spur surgery. An overview of the surgical technique involving endoscopic fasciotomies is presented, as well as factors influencing the postoperative outcome, such as duration of preoperative symptoms, extent of conservative care, and obesity.
    The Journal of Foot and Ankle Surgery 01/1993; 32(6):595-603. · 0.85 Impact Factor
  • E Stanifer · S Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: This article presents a literature review of the evaluation and management of open fractures. A case report of a patient having sustained a type II open fracture of the hallux is presented. Debridement, tetanus prophylaxis, reduction and stabilization, and intravenous antibiosis are the hallmarks for prompt and appropriate treatment.
    The Journal of foot surgery 01/1992; 31(4):350-4.
  • B W Butler · J Lanthier · S J Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Subluxing peroneal tendons is an uncommon entity that can be acute or chronic. Presented is a literature review of etiology, classifications, diagnosis, and treatments of peroneal tendon subluxation. A case report is also presented illustrating a modification of the Jones procedure for treating peroneal tendon subluxation.
    The Journal of Foot and Ankle Surgery 01/1992; 32(2):134-9. · 0.85 Impact Factor
  • S J Wertheimer · J E Balazsy ·
    [Show abstract] [Hide abstract]
    ABSTRACT: A case of infiltrating angiolipoma of the right lower extremity is reported. Angiolipomas are benign neoplasms of adipose tissue with a rich vascular component and are classified as either infiltrating or noninfiltrating. Noninfiltrating angiolipomas are seen in young individuals, present as painful, soft, subcutaneous nodules and are treated by enucleation. Infiltrating angiolipoma is a rare neoplasm with only 23 previously reported cases. These lesions are usually unencapsulated or rarely partially encapsulated and tend to infiltrate bony, neural, muscular, and fibrocollagenous tissue. Treatment of infiltrating angiolipomas is aimed at wide excision with radiotherapy indicated for cases of recurrence.
    The Journal of foot surgery 01/1992; 31(1):17-24.
  • B W Butler · S J Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Presented in a case report of a close range shotgun wound. The nature, description, management, and long-term treatment of these wounds are discussed. Also presented are the reasons for the differences in short- versus long-range shotgun wounds.
    The Journal of foot surgery 01/1992; 31(6):578-83.
  • D S Chen · S J Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Osteochondral lesions of the talus are common sequelae of ankle inversion injuries. Many often remain undiagnosed, which may lead to chronic pain and disability. Although attributed to other causes, most authors agree that trauma is the most common etiology. Because of this, transchondral or osteochondral fracture is a more appropriate term. Numerous cases have been documented in the literature with a preponderance for the anterolateral and posteromedial portions of the talar dome. Centrally located lesions are rare and should be treated with early surgical intervention due to the high level of compression transmitted through this area. The authors review osteochondral lesions of the talus and present a case report of a rare centrally located lesion.
    The Journal of foot surgery 01/1992; 31(2):134-40.
  • S J Wertheimer · J E Balazsy ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Presented is a case report of an osteochondral fracture occurring at the base of the proximal phalanx of the hallux secondary to trauma. Initial radiographic and clinical examination did not reveal the diagnosis. However, prolonged symptoms of pain, swelling, and limitation of first metatarsophalangeal joint range of motion led to further radiographic evaluation, which confirmed a suspected diagnosis of an osteochondral fracture. This is regarded as a most interesting case by the authors, in light of the fact that review of the literature revealed a paucity of descriptions of osteochondral fracture of the first metatarsophalangeal joint. In addition, all of the previously described lesions have been localized to the first metatarsal head. A review of the literature failed to reveal any fractures occurring at the base of the proximal phalanx of the hallux.
    The Journal of foot surgery 01/1992; 31(3):268-71.
  • E Stanifer · D Hodor · S Wertheimer ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Congenital hallux varus is uncommon as an isolated deformity. Many authors cite this deformity in conjunction with metatarsus varus or talipes equino varus deformities. An unusual case of bilateral congenital hallux varus is presented in a 9-month-old. A review of etiologies and treatment methods are given.
    The Journal of foot surgery 01/1991; 30(5):509-12.

Publication Stats

313 Citations
11.83 Total Impact Points


  • 1991-1994
    • St. John's Medical Center
      Джексон, Wyoming, United States
  • 1992
    • St. John's Hospital
      Springfield, Illinois, United States