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Minimally Invasive Surgery in Foot and Ankle, An Issue of Foot and Ankle Clinics of North America, E-Book

Minimally Invasive Surgery in Foot and Ankle, An Issue of Foot and Ankle Clinics of North America, E-Book

Anthony Perera

(2016)

Additional Information

Book Details

Abstract

This issue will include: Percuataneous Surgery for mild to moderate hallux valgus, percuataneous surgery for severe hallux valgus, technique and outcomes of chevron and basal osteotomies, percutaneous metatarsalgia and lesser toe surgery, distal minimally invasive metatarsal ostetomies and lesser toe correction, and many more exciting articles.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Minimally InvasiveSurgery in the Footand Ankle i
Copyright ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface: Advances in Minimally Invasive Surgery of the Foot and Ankle—Percutaneous, Arthroscopic, and Endoscopic Operative ... vii
Cheilectomy for Hallux Rigidus\r vii
Percutaneous Surgery for Mild to Moderate Hallux Valgus\r vii
Percutaneous Surgery for Severe Hallux Valgus\r vii
Managing Complications of Percutaneous Surgery of the First Metatarsal\r vii
Percutaneous Surgery for Metatarsalgia and the Lesser Toes\r viii
Minimally Invasive Osteotomies of the Calcaneus\r viii
Minimally Invasive Arthrodesis of 1st Metatarsophalangeal Joint for Hallux Rigidus\r viii
Percutaneous Pediatric Foot and Ankle Surgery\r viii
Neuropathic Minimally Invasive Surgeries (NEMESIS): Percutaneous Diabetic Foot Surgery and Reconstruction\r ix
Percutaneous Hindfoot and Midfoot Fusion\r ix
A Proposed Staging Classification for Minimally Invasive Management of Haglund’s Syndrome with Percutaneous and Endoscopic\r ix
Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction\r ix
Arthroscopic Subtalar, Double, and Triple Fusion\r x
FOOT AND ANKLE CLINICS\r xi
FORTHCOMING ISSUES xi
December 2016 xi
March 2017 xi
June 2017 xi
September 2017 xi
RECENT ISSUES xi
June 2016 xi
March 2016 xi
December 2015 xi
September 2015 xi
Preface:\rAdvances in Minimally Invasive Surgery of the Foot and Ankle—Percutaneous, Arthroscopic, and Endoscopic Operative Techniques xiii
Cheilectomy for Hallux Rigidus 451
Key points 451
INTRODUCTION: NATURE OF THE PROBLEM 451
INDICATIONS AND CONTRAINDICATIONS 452
SURGICAL TECHNIQUE AND PROCEDURE 452
Preoperative Planning 452
PREPARATION AND PATIENT POSITIONING 452
SURGICAL APPROACH 453
SURGICAL PROCEDURE 453
Step One 453
Step Two 454
Step Three 455
Step Four 455
COMPLICATIONS AND MANAGEMENT 455
POSTOPERATIVE CARE 455
OUTCOMES 456
SUMMARY 457
REFERENCES 457
Percutaneous Surgery for Mild to Moderate Hallux Valgus 459
Key points 459
INTRODUCTION 459
INDICATIONS OR CONTRAINDICATIONS 460
SURGICAL TECHNIQUE 460
METHOD 465
RESULTS 469
DISCUSSION 472
SUMMARY 476
REFERENCES 476
Percutaneous Surgery for Severe Hallux Valgus 479
Key points 479
INTRODUCTION 479
INDICATIONS OR CONTRAINDICATIONS 480
SURGICAL TECHNIQUE 480
The Surgical Procedure 481
Complications and Management 486
Postoperative Care 486
Outcomes 487
Summary 488
SUMMARY 493
REFERENCES 493
Managing Complications of Percutaneous Surgery of the First Metatarsal 495
Key points 495
INTRODUCTION 495
TYPICAL CASES 497
Case 1 497
Case 2 498
Case 3 500
Case 4 502
Case 5 504
Case 6 506
Case 7 508
Case 8 512
DISCUSSION 513
Percutaneous Osteotomy of the First Metatarsal 513
Reported Outcomes and Some Drawbacks of Percutaneous of the First Metatarsal 515
Complications of Percutaneous Osteotomy on First Metatarsal that the Authors Met in China and Treatment Option 517
Shortening/elevation of first metatarsal, transfer metatarsalgia 518
Stiff first metatarsophalangeal joint 519
Painful degenerative first metatarsophalangeal joint 520
Insufficient correction 520
Delayed union or nonunion of the osteotomy 521
Hallux varus 523
SUMMARY 523
SUPPLEMENTARY DATA 523
REFERENCES 523
Percutaneous Surgery for Metatarsalgia and the Lesser Toes 527
Key points 527
METATARSALGIA 527
Distal Lesser Metatarsal Osteotomies 528
Distal Metatarsal Metaphyseal Osteotomies 529
Surgical Technique 529
Equipment 529
Burr 529
Tourniquet 530
Image intensifier 530
Anesthesia 530
Positioning 530
Postoperative Care 531
Indications/Contraindications 533
Complications 533
Results 534
Taylor Bunion/Bunionette 534
Complications 535
LESSER TOE DEFORMITIES 535
Surgical Technique 536
Equipment 536
Burr 536
Tourniquet 536
Anesthesia 536
Positioning 536
Techniques 536
Postoperative Management 536
Example A 542
Hammer Toe Deformity 544
Example B 547
Complications 549
Results 549
SUMMARY 549
REFERENCES 549
Minimally Invasive Osteotomies of the Calcaneus 551
Key points 551
INTRODUCTION 551
The Medializing Calcaneal Osteotomy for Pes Planus 551
The Lateralizing Calcaneal Osteotomy for Pes Cavus 552
Adjacent Incisions and Concomitant Procedures 552
Risk to the Neurovascular Structures 553
The sural nerve 553
The medial and lateral plantar nerves 554
Medial and lateral calcaneal branches 554
INDICATIONS AND CONTRAINDICATIONS FOR THE MINIMALLY INVASIVE TECHNIQUE 554
SURGICAL TECHNIQUE 554
Preoperative Planning 554
Patient Positioning 555
Surgical Approach 555
SURGICAL PROCEDURE (JIG-ASSISTED TECHNIQUE) 556
Burr and Jig Placement 556
Cutting the Osteotomy 557
Shifting the Osteotomy 558
Fixation 558
COMPLICATIONS AND MANAGEMENT 560
POSTOPERATIVE CARE 560
OUTCOMES 563
SUMMARY 565
REFERENCES 566
Minimally Invasive Arthrodesis of 1st Metatarsophalangeal Joint for Hallux Rigidus 567
Key points 567
INTRODUCTION 567
SURGICAL TECHNIQUE 568
Preoperative Planning 568
Patient Anesthesia and Positioning 569
Approach 569
Procedure 569
Summary of Surgical Technique 571
Pitfalls 573
POSTOPERATIVE CARE 573
OUTCOMES 574
SUMMARY 574
REFERENCES 575
Percutaneous Pediatric Foot and Ankle Surgery 577
Key points 577
INTRODUCTION 577
CLINICAL ASSESSMENT 578
DEFORMITIES THAT ARE CORRECTED USING PERCUTANEOUS METHODS 579
Rotational Malalignment of the Tibia: Rotation Osteotomy of the Tibia 579
Indications/contraindications 579
Surgical technique 580
Surgical procedure 580
Postoperative care 582
Complications and management 582
Outcomes 583
Discussion points 583
Malalignment of the Heel: Translation Osteotomy of the Os Calcis 583
Indications 584
Surgical technique 585
Surgical approach 585
Postoperative care 586
Complications and management 587
Discussion points 587
Midfoot Deformities 587
Indications 587
Surgical technique 588
Postoperative care 590
Considerations in the midfoot 591
COMPLEX FOOT DEFORMITIES AND GRADUAL CORRECTION WITH CIRCULAR FRAMES 592
SUMMARY 593
REFERENCES 593
Neuropathic Minimally Invasive Surgeries (NEMESIS): 595
Key points 595
INTRODUCTION: NATURE OF THE PROBLEM 595
Global Impact of Diabetes 595
Cost 597
Quality of Life 597
Mortality 597
Amputation 598
PATHOGENESIS 599
Development of Ulcer 599
Impaired Healing 600
DIAGNOSIS 600
Diabetic Foot Ulcer 600
Charcot Neuroarthropathy 600
INVESTIGATIONS 600
Osteomyelitis Versus Charcot Neuroarthropathy 601
Radiographic Classification of Charcot Neuroarthropathy 602
MANAGEMENT 602
Conservative Treatment 602
Microbiological Tests and Antimicrobial Agents 602
Off-Loading the Neuropathic Ulcer 602
Risk of Recurrence 603
Avoid Smoking and Tobacco 603
SURGERY 604
Timing of Surgery 606
SURGICAL OPTIONS 607
Correction of Equinus 607
Exostectomy 607
Arthrodesis 607
Fixation 608
Beaming 608
One-Stage Approach 608
Complications 608
Neuropathic Minimally Invasive Surgeries 609
FOREFOOT SURGERY 609
Percutaneous Hindfoot and Midfoot Fusion 629
Key points 629
INTRODUCTION 629
INDICATIONS/CONTRAINDICATIONS 629
TIBIOTALAR FUSION 630
Preoperative Planning 630
Patient Positioning 631
Surgical Approach 631
Surgical Procedure 631
SUBTALAR FUSION 634
Preoperative Planning 634
Patient Positioning 635
Surgical Approach 635
Surgical Procedure 635
TRIPLE FUSION 636
Preoperative Planning 636
Patient Positioning 636
Surgical Approach 636
Surgical Procedure 636
POSTOPERATIVE CARE 638
COMPLICATIONS AND MANAGEMENT 638
OUTCOMES 639
SUMMARY 639
REFERENCES 639
A Proposed Staging Classification for Minimally Invasive Management of Haglund's Syndrome with Percutaneous and Endoscopic ... 641
Key points 641
HAGLUND’S DEFORMITY HISTORICAL PERSPECTIVE 641
Clinical Features 642
ETIOLOGY 642
Anatomy and Biomechanics 643
Anatomy of the achilles enthesis and retrocalcaneal bursa 643
Biomechanics of achilles enthesis 644
ASSESSMENT AND INVESTIGATION 645
CONSERVATIVE MANAGEMENT OF HAGLUND’S SYNDROME 645
Open Surgical Management 646
Open haglund deformity debridement 646
Open achilles detachment, debridement, and reattachment 647
Open flexor hallucis longus tendon transfer 647
Minimal Access Surgery 647
Endoscopic calcaneoplasty 647
Zadek’s calcaneal osteotomy 648
OPERATIVE TECHNIQUES 653
Surgical Decision Making 653
Endoscopic calcaneoplasty technique 655
Minimally invasive Zadek’s osteotomy 656
Patient positioning and setup 656
Surgical approach 657
Surgical procedure 657
Postoperative management 659
Complications 659
SUMMARY 659
REFERENCES 659
Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction 665
Key points 665
INTRODUCTION 665
SURGICAL TECHNIQUE 666
Preoperative Planning 666
Patient Preparation and Positioning 667
Surgical Approach 667
Preparation of the Gracilis Graft 667
Step 1: Anterior Ankle Arthroscopy 668
Step 2: Lateral Hindfoot Endoscopy 669
Step 3: Talar Tunnel 670
Step 4: Graft Fixation 672
Optional Step: Tendoscopy 673
Complications and Management 674
Technical errors 674
Neurologic Lesions 675
Postoperative Care 675
Outcomes 675
SUMMARY 678
ACKNOWLEDGMENTS 678
REFERENCES 678
Arthroscopic Subtalar, Double, and Triple Fusion 681
Key points 681
INTRODUCTION: NATURE OF THE PROBLEM 681
INDICATIONS/CONTRAINDICATIONS 682
SURGICAL TECHNIQUE/PROCEDURE 682
Preoperative Planning 682
Choice of Arthroscopic Approach 683
Preparation and Patient Positioning 683
Surgical Approach 683
Surgical Procedure 684
Subtalar joint 684
Talonavicular joint 685
Calcaneocuboid joint 686
Stabilization 687
Closure 687
Postoperative Care 688
COMPLICATIONS AND MANAGEMENT 689
OUTCOMES 689
SUMMARY 691
REFERENCES 691
Index 695