BOOK
Joint-Preserving Osteotomies for Malunited Foot & Ankle Fractures, An Issue of Foot and Ankle Clinics of North America, E-Book
(2016)
Additional Information
Book Details
Abstract
This issue will include articles on Supramalleolar osteotomies for posttraumatic malalignment of the distal tibia, Intra-articular osteotomies for malunited tibial pilon fractures , Secondary reconstruction for malunions and nonunions of the talar body, Corrective osteotomies for malunited tongue type calcaneal fractures, Joint-sparing corrections of malunited Chopart joint injuries and many more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Joint-Preserving Osteotomies for Malunited Foot & Ankle Fractures \r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Contents | vii | ||
| Preface: Anatomical Reconstruction for Malunited Foot and Ankle Fractures\r | vii | ||
| Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia\r | vii | ||
| The Use of Tibial Osteotomy (Ankle Plafondplasty) for Joint Preservation of Ankle Deformity and Early Arthritis\r | vii | ||
| Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy: How and Why?\r | vii | ||
| Corrective Osteotomies for Malunited Malleolar Fractures\r | viii | ||
| Treatment of Nonunions After Malleolar Fractures\r | viii | ||
| Intra-articular Osteotomy for Correction of Malunions and Nonunions of the Tibial Pilon\r | viii | ||
| Osteotomies of the Talar Neck for Posttraumatic Malalignment\r | viii | ||
| Secondary Reconstruction for Malunions and Nonunions of the Talar Body\r | ix | ||
| Joint-Preserving Osteotomies for Malaligned Intraarticular Calcaneal Fractures\r | ix | ||
| Corrective Osteotomies for Malunited Tongue-Type Calcaneal Fractures\r | ix | ||
| Corrective Osteotomies for Malunited Extra-Articular Calcaneal Fractures\r | ix | ||
| Joint-Sparing Corrections of Malunited Chopart Joint Injuries\r | x | ||
| Joint-sparing Corrections in Malunited Lisfranc Joint Injuries\r | x | ||
| FOOT AND ANKLE CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| June 2016 | xi | ||
| September 2016 | xi | ||
| December 2016 | xi | ||
| RECENT ISSUES | xi | ||
| December 2015 | xi | ||
| September 2015 | xi | ||
| June 2015 | xi | ||
| Preface:Anatomical \rReconstruction for Malunited Foot and Ankle Fractures | xiii | ||
| Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia | 1 | ||
| Key points | 1 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 1 | ||
| Biomechanics | 2 | ||
| Indications and Contraindication | 2 | ||
| Overcorrection | 2 | ||
| Concomitant Procedures | 3 | ||
| Lateral-Closing Versus Medial-Opening Supramalleolar Osteotomies of the Tibia | 4 | ||
| SURGICAL TECHNIQUE FOR LATERAL-CLOSING SUPRAMALLEOLAR OSTEOTOMIES OF THE TIBIA | 4 | ||
| Preoperative Planning | 4 | ||
| Preparation and Patient Positioning | 6 | ||
| Surgical Approach | 6 | ||
| Surgical Procedure | 7 | ||
| Step one | 7 | ||
| Step two | 7 | ||
| Step three | 7 | ||
| Step four | 7 | ||
| Immediate Postoperative Care | 7 | ||
| Rehabilitation and Recovery | 8 | ||
| SURGICAL TECHNIQUE FOR MEDIAL-OPENING SUPRAMALLEOLAR OSTEOTOMIES OF THE TIBIA | 8 | ||
| Preoperative Planning | 8 | ||
| Preparation and Patient Positioning | 8 | ||
| Surgical Approach | 8 | ||
| Surgical Procedure | 8 | ||
| Step one | 8 | ||
| Step two | 8 | ||
| Step three | 8 | ||
| Step four | 9 | ||
| Step five | 9 | ||
| Immediate Postoperative Care | 9 | ||
| Rehabilitation and Recovery | 9 | ||
| SURGICAL TECHNIQUE FOR MEDIAL-CLOSING SUPRAMALLEOLAR OSTEOTOMIES OF THE TIBIA | 10 | ||
| Alternative Surgical Techniques | 10 | ||
| Complications | 10 | ||
| CLINICAL RESULTS IN THE LITERATURE | 12 | ||
| SUMMARY | 12 | ||
| REFERENCES | 12 | ||
| The Use of Tibial Osteotomy (Ankle Plafondplasty) for Joint Preservation of Ankle Deformity and Early Arthritis | 15 | ||
| Key points | 15 | ||
| INTRODUCTION | 15 | ||
| PATIENT ASSESSMENT | 18 | ||
| OPERATIVE TECHNIQUE | 21 | ||
| SUMMARY | 24 | ||
| REFERENCES | 24 | ||
| Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy | 27 | ||
| Key points | 27 | ||
| INTRODUCTION | 27 | ||
| PREOPERATIVE PLANNING FOR DISTAL TIBIAL OBLIQUE OSTEOTOMY | 29 | ||
| Assessment of Mortise Widening | 29 | ||
| Assessment of the Medial Translation of the Talus | 29 | ||
| SURGICAL TECHNIQUE OF DISTAL TIBIAL OBLIQUE OSTEOTOMY | 30 | ||
| Complications | 31 | ||
| Necessity of Lateral Ligament Reconstruction | 31 | ||
| RESULTS OF DISTAL TIBIAL OBLIQUE OSTEOTOMY | 32 | ||
| Difference of Ankle Geometry After Distal Tibial Oblique Osteotomy Compared with Supramalleolar Osteotomy | 33 | ||
| SUMMARY | 33 | ||
| REFERENCES | 34 | ||
| Corrective Osteotomies for Malunited Malleolar Fractures | 37 | ||
| Key points | 37 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 37 | ||
| OPERATIVE TECHNIQUE | 39 | ||
| PREOPERATIVE PLANNING | 41 | ||
| PREPARATION AND PATIENT POSITIONING | 41 | ||
| SURGICAL APPROACHES | 41 | ||
| Medial Malleolus | 42 | ||
| Lateral Malleolus and Small Posterior Malleolus | 42 | ||
| Larger Posterior Malleolus and Posterior Tibial Fragment (Posteromedial Corner) | 42 | ||
| OPERATIVE PROCEDURE | 42 | ||
| Step 1: Medial Malleolus | 42 | ||
| Step 2: Lateral Malleolus | 43 | ||
| Step 3: Posterior Malleolus and Dorsomedial Corner | 43 | ||
| Immediate Postoperative Care | 44 | ||
| Rehabilitation and Recovery | 44 | ||
| Clinical Results in the Literature | 45 | ||
| SUMMARY | 47 | ||
| REFERENCES | 47 | ||
| Treatment of Nonunions After Malleolar Fractures | 49 | ||
| Key points | 49 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 49 | ||
| PATHOPHYSIOLOGY OF NONUNION | 50 | ||
| SURGICAL TECHNIQUE | 51 | ||
| Evaluation | 51 | ||
| Preoperative Planning | 53 | ||
| Preparation and Patient Positioning | 53 | ||
| Surgical Approach | 54 | ||
| Surgical Procedure: Medial Malleolar Nonunion | 54 | ||
| Surgical Procedure: Lateral Malleolar Nonunion | 55 | ||
| IMMEDIATE POSTOPERATIVE CARE, REHABILITATION, AND RECOVERY | 58 | ||
| SPECIAL CONSIDERATIONS: BONE GRAFTING | 58 | ||
| SPECIAL CONSIDERATIONS: BONE STIMULATION | 59 | ||
| RESULTS AND OUTCOMES | 59 | ||
| SUMMARY | 60 | ||
| SUPPLEMENTARY DATA | 60 | ||
| REFERENCES | 60 | ||
| Intra-articular Osteotomy for Correction of Malunions and Nonunions of the Tibial Pilon | 63 | ||
| Key points | 63 | ||
| INTRODUCTION | 63 | ||
| INDICATIONS/CONTRAINDICATIONS | 64 | ||
| SURGICAL TECHNIQUE | 65 | ||
| Preoperative Planning | 65 | ||
| Surgical Approaches and Patient Positioning | 66 | ||
| SURGICAL PROCEDURES | 66 | ||
| Anterior Approach | 66 | ||
| Medial Malleolar Osteotomy | 69 | ||
| Supramalleolar Deformity | 69 | ||
| Posterior Approach | 70 | ||
| Postoperative Care | 72 | ||
| CLINICAL RESULTS IN THE LITERATURE | 72 | ||
| SUMMARY | 74 | ||
| REFERENCES | 75 | ||
| Osteotomies of the Talar Neck for Posttraumatic Malalignment | 77 | ||
| Key points | 77 | ||
| INTRODUCTION | 77 | ||
| POSTTRAUMATIC TALAR NECK MALALIGNMENT | 79 | ||
| INDICATIONS/CONTRAINDICATIONS | 79 | ||
| PREOPERATIVE PLANNING | 79 | ||
| Clinical Examination | 79 | ||
| Radiographic Evaluation | 82 | ||
| SURGICAL TECHNIQUE | 82 | ||
| Anesthesia and Patient Positioning | 82 | ||
| Surgical Procedure | 82 | ||
| Aftercare | 85 | ||
| SECONDARY SURGERY IN PATIENTS WITH MALUNITED TALAR NECK FRACTURE | 86 | ||
| Salvage Procedures | 86 | ||
| Secondary Anatomic Reconstruction | 87 | ||
| RESULTS | 90 | ||
| SUMMARY | 90 | ||
| REFERENCES | 91 | ||
| Secondary Reconstruction for Malunions and Nonunions of the Talar Body | 95 | ||
| Key points | 95 | ||
| INTRODUCTION | 95 | ||
| INDICATIONS/CONTRAINDICATIONS | 96 | ||
| SURGICAL TECHNIQUE | 96 | ||
| Preoperative Planning | 96 | ||
| Surgical Approaches and Patient Positioning | 98 | ||
| SURGICAL PROCEDURES | 100 | ||
| Anterior and Central Talar Body | 100 | ||
| Lateral Talar Process Malunions | 103 | ||
| Posterior Talar Body and Posterior Talar Process | 103 | ||
| Immediate Postoperative Care | 104 | ||
| Rehabilitation and Recovery | 104 | ||
| Clinical Results in the Literature | 104 | ||
| SUMMARY | 107 | ||
| REFERENCES | 107 | ||
| Joint-Preserving Osteotomies for Malaligned Intraarticular Calcaneal Fractures | 111 | ||
| Key points | 111 | ||
| OSTEOTOMY IN CALCANEAL FRACTURES | 111 | ||
| General Treatment Goals | 118 | ||
| Treatment Details | 118 | ||
| Conservative initial treatment | 118 | ||
| Nonanatomic open reduction with fixation | 119 | ||
| Massive injury with anatomic open reduction | 120 | ||
| SUMMARY | 120 | ||
| REFERENCES | 121 | ||
| Corrective Osteotomies for Malunited Tongue-Type Calcaneal Fractures | 123 | ||
| Key points | 123 | ||
| INTRODUCTION | 123 | ||
| INDICATIONS FOR CORRECTIVE OSTEOTOMY OF TONGUE-TYPE FRACTURES | 124 | ||
| CALCANEAL MALUNION CLASSIFICATIONS | 125 | ||
| PREOPERATIVE PLANNING | 125 | ||
| Clinical Evaluation | 125 | ||
| Radiographic Evaluation | 126 | ||
| Patient Positioning | 128 | ||
| Surgical Approach | 128 | ||
| SURGICAL PROCEDURE | 129 | ||
| Removal of Hardware (Revision Surgery) | 130 | ||
| Excision of the Lateral Wall | 130 | ||
| Osteotomy | 131 | ||
| POSTOPERATIVE CARE | 132 | ||
| RESULTS | 132 | ||
| SUMMARY | 133 | ||
| REFERENCES | 133 | ||
| Corrective Osteotomies for Malunited Extra-Articular Calcaneal Fractures | 135 | ||
| Key points | 135 | ||
| INTRODUCTION | 135 | ||
| PATHOLOGY AND DEFORMITY EVALUATION | 136 | ||
| CLASSIFICATION | 136 | ||
| Indications and Preoperative Evaluation | 137 | ||
| Imaging | 137 | ||
| TREATMENT | 137 | ||
| Conservative Treatment | 137 | ||
| OPERATIVE CARE | 138 | ||
| Lateral Wall Exostectomy | 138 | ||
| Technique | 138 | ||
| Excessive Plantar Bone | 139 | ||
| Posterior Tuberosity Osteotomy | 141 | ||
| Lateral Technique (Smaller Exostoses) | 141 | ||
| Posterior Technique (Larger Exostoses) | 141 | ||
| Postoperative Care | 142 | ||
| Lateral Calcaneal Osteotomy | 143 | ||
| Technique | 143 | ||
| Postoperative Care | 143 | ||
| RESULTS | 144 | ||
| SUMMARY | 144 | ||
| REFERENCES | 144 | ||
| Joint-Sparing Corrections of Malunited Chopart Joint Injuries | 147 | ||
| Key points | 147 | ||
| INTRODUCTION | 147 | ||
| ANATOMY AND PATHOMECHANICS OF ACUTE INJURIES | 148 | ||
| PATHOANATOMY OF POSTTRAUMATIC DEFORMITIES | 148 | ||
| PRINCIPLES OF TREATMENT | 149 | ||
| INDICATIONS AND CONTRAINDICATIONS | 150 | ||
| PATIENT ASSESSMENT AND PREOPERATIVE PLANNING | 151 | ||
| SURGICAL APPROACHES | 153 | ||
| Correction of a Type I Deformity | 156 | ||
| Correction of a Type II Deformity | 157 | ||
| Correction of a Type III Deformity | 157 | ||
| IMMEDIATE POSTOPERATIVE CARE AND REHABILITATION | 157 | ||
| CLINICAL RESULTS FROM THE LITERATURE | 158 | ||
| SUMMARY | 158 | ||
| REFERENCES | 159 | ||
| Joint-sparing Corrections in Malunited Lisfranc Joint Injuries | 161 | ||
| Key points | 161 | ||
| INTRODUCTION | 161 | ||
| PATIENT ASSESSMENT | 162 | ||
| LISFRANC JOINT MALALIGNMENT | 162 | ||
| Tarsometatarsal Bossing and Metatarsalgia | 163 | ||
| PREOPERATIVE IMAGING | 164 | ||
| Decision Making | 164 | ||
| CONSERVATIVE TREATMENT OF LISFRANC MALUNION | 164 | ||
| SURGICAL TREATMENT | 166 | ||
| Patient Warning | 166 | ||
| Patient Position and Incision | 167 | ||
| SURGICAL NEOLIGAMENTPLASTY | 168 | ||
| TECHNIQUE | 168 | ||
| Bone Tunnels | 168 | ||
| GRAFT | 170 | ||
| Joint Stabilization | 170 | ||
| Postoperative Considerations | 171 | ||
| NONRIGID (ENDOBUTTON) STABILIZATION | 171 | ||
| TECHNIQUE | 171 | ||
| Dorsal Plating Without Transarticular Screws | 171 | ||
| TECHNIQUE | 172 | ||
| Reduction | 172 | ||
| Fixation | 173 | ||
| Postoperative Care | 173 | ||
| CLINICAL RESULTS IN THE LITERATURE | 174 | ||
| SUMMARY | 174 | ||
| REFERENCES | 175 | ||
| Index | 177 |