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Foot and Ankle Arthrodesis, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Foot and Ankle Arthrodesis, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

John J. Stapleton

(2017)

Additional Information

Book Details

Abstract

This issue of Clinics in Podiatric Medicine and Surgery focuses on Foot and Ankle Arthrodesis. Article topics include: Lesser Toe Arthrodesis; First Metatarsophalangeal Arthrodesis; Tarsometatarsal Arthrodesis for Lisfranc's Injuries;Subtalar Joint Arthrodesis for Elective and Post-Traumatic Foot and Ankle Deformity; Midfoot and Hindfoot Arthrodesis for Elective and Post-Traumatic Foot and Ankle Deformity; Internal and/or External Fixation for Ankle Arthrodesis; Tibiotalocalcaneal Arthrodesis; Management of Osteomyelitis, Bone Loss and Arthrodesis in the Diabetic Charcot Foot and Ankle; Free Flap Coverage for Revisional Foot and Ankle Procedures; and
Current Orthobiologics for Elective Arthrodesis and Nonunions of the Foot and Ankle.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Foot and Ankle Arthrodesis\r i
Copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Consulting Editor iii
Editorial Board Members - USA iii
Editorial Board Members - International iii
Contributors v
CONSULTING EDITOR v
EDITOR v
AUTHORS v
Contents vii
Preface: Foot and Ankle Arthrodesis vii
Digital Arthrodesis of the Lesser Toes vii
First Metatarsal-Phalangeal Joint Arthrodesis: Primary, Revision, and Salvage of Complications vii
Tarsometatarsal Arthrodesis for Lisfranc Injuries vii
Subtalar Joint Arthrodesis for Elective and Posttraumatic Foot and Ankle Deformities vii
Hindfoot Arthrodesis for the Elective and Posttraumatic Foot Deformity viii
Operative Fixation Options for Elective and Diabetic Ankle Arthrodesis viii
Tibiotalocalcaneal Arthrodesis for Foot and Ankle Deformities viii
Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle viii
Soft Tissue Coverage After Revisional Foot and Ankle Surgery ix
Current Orthobiologics for Elective Arthrodesis and Nonunions of the Foot and Ankle ix
CLINICS IN PODIATRIC\rMEDICINE AND SURGERY\r x
FORTHCOMING ISSUES x
October 2017 x
January 2018 x
April 2018 x
RECENT ISSUES x
April 2017 x
January 2017 x
October 2016 x
Preface:\rFoot and Ankle Arthrodesis xi
Digital Arthrodesis of the Lesser Toes 289
Key points 289
INTRODUCTION 289
PREOPERATIVE PLANNING 290
SURGICAL TECHNIQUE 291
PIN FIXATION 292
ABSORBABLE INTRAMEDULLARY PINS 294
IMPLANTS 294
SCREW FIXATION 296
POSTOPERATIVE CARE 297
COMPLICATIONS 297
SUMMARY 298
REFERENCES 299
First Metatarsal-Phalangeal Joint Arthrodesis 301
Key points 301
INTRODUCTION 301
PRIMARY FIRST METATARSAL-PHALANGEAL ARTHRODESIS 302
REVISION FIRST METATARSAL-PHALANGEAL ARTHRODESIS 306
SALVAGE OF FAILED FIRST METATARSAL-PHALANGEAL ARTHRODESIS 307
SUMMARY 312
REFERENCES 312
Tarsometatarsal Arthrodesis for Lisfranc Injuries 315
Key points 315
INTRODUCTION 315
ANATOMY 316
MECHANISM OF INJURY 316
INDICATIONS FOR ARTHRODESIS 318
SURGICAL TECHNIQUE 320
OUTCOMES AFTER TARSOMETATARSAL FUSION 323
SUMMARY 324
REFERENCES 324
Subtalar Joint Arthrodesis for Elective and Posttraumatic Foot and Ankle Deformities 327
Key points 327
ANATOMY AND BIOMECHANICS 328
PATHOLOGY 329
Posttraumatic Arthritis 329
Osteoarthritis/Inflammatory Arthritis 329
Coalition 330
Posterior Tibial Tendon Dysfunction 330
Ankle Pathology 331
PHYSICAL EXAMINATION 331
RADIOGRAPHIC EXAMINATION 332
CONSERVATIVE TREATMENT 333
SURGICAL MANAGEMENT 333
FIXATION 335
POSTOPERATIVE PROTOCOL 337
COMPLICATIONS 337
DISCUSSION 337
REFERENCES 337
Hindfoot Arthrodesis for the Elective and Posttraumatic Foot Deformity 339
Key points 339
INDICATIONS 341
PREOPERATIVE PLANNING 342
SURGICAL CONSIDERATIONS 343
COMPLICATIONS 344
SUMMARY 345
REFERENCES 345
Operative Fixation Options for Elective and Diabetic Ankle Arthrodesis 347
Key points 347
ANKLE ARTHRODESIS IN ELECTIVE AND RECONSTRUCTIVE SURGERY 348
ANKLE ARTHRODESIS IN DIABETES MELLITUS AND INFECTION 349
PREOPERATIVE PLANNING 349
SURGICAL CONSIDERATIONS 350
ANKLE ARTHRODESIS FIXATION OPTIONS WITH EXTERNAL FIXATION 352
POSTOPERATIVE CARE 353
SUMMARY 354
REFERENCES 354
Tibiotalocalcaneal Arthrodesis for Foot and Ankle Deformities 357
Key points 357
INTRODUCTION 357
INDICATIONS AND CONTRAINDICATIONS 358
ALIGNMENT 358
SURGICAL PLANNING: INCISION 358
SURGICAL PLANNING: HARDWARE 361
POSTOPERATIVE MANAGEMENT 370
COMPLICATIONS 372
SUMMARY 373
EXAMPLES 373
REFERENCES 379
Management of Osteomyelitis and Bone Loss in the Diabetic Charcot Foot and Ankle 381
Key points 381
INTRODUCTION 381
PREOPERATIVE CONSIDERATIONS 382
SINGLE VERSUS STAGED RECONSTRUCTION 384
BONE-GRAFTING OPTIONS 385
SUMMARY 386
REFERENCES 386
Soft Tissue Coverage After Revisional Foot and Ankle Surgery 389
Key points 389
INTRODUCTION 389
APPROACH 390
Assessment 390
Timing 390
Debridement 390
Nonflap Wound Closure 392
Flap Wound Closure 392
Local flap alternatives 393
Free flap alternatives 393
Discussion 395
SUMMARY 397
ACKNOWLEDGMENTS 397
REFERENCES 397
Current Orthobiologics for Elective Arthrodesis and Nonunions of the Foot and Ankle 399
Key points 399
INTRODUCTION 399
Orthobiologics/Osteobiologics 399
Osteoinduction 399
Osteoconduction 400
Nonunion 400
Osteogenesis 400
SURGICAL PREPARATION 400
Select Patients Wisely 400
Guarantee Compliance 401
Sound Surgical Principles 401
GOLD STANDARD 402
OSTEOINDUCTION MATERIALS 402
OSTEOCONDUCTION MATERIALS 402
ORTHOBIOLOGICS 403
VALUE ANALYSIS 403
CASE 1 404
CASE 2 405
SUMMARY/QUESTIONS 407
REFERENCES 407
Index 409