BOOK
The Flatfoot: Pearls and Pitfalls, An Issue of Foot and Ankle Clinics of North America, E-Book
(2017)
Additional Information
Book Details
Abstract
This issue of Foot and Ankle Clinics, guest edited by Dr. Kent Ellington, focuses on The Flatfoot and will include articles on the following topic areas: Recurrent deformity due to Deltoid/Spring Failure; Severe stage 2 - fuse or reconstruct?; Undercorrected reconstruction; Overcorrected reconstruction; What to do with the spring ligament; Calcaneal osteotomies: Pearls and Pitfalls; Evans osteotomy complications; NC sag in the flatfoot, and more!
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| The Flatfoot: Pearls andPitfalls\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| CONSULTING EDITOR | iii | ||
| EDITOR | iii | ||
| AUTHORS | iii | ||
| Editorial Advisory Board | v | ||
| Contents | vii | ||
| Preface: The Flatfoot: Even After Decades of Work, We Still Need Help Understanding It | vii | ||
| Deltoid Ligament Repair in Flatfoot Deformity | vii | ||
| What to Do with the Spring Ligament | vii | ||
| Naviculocuneiform Sag in the Acquired Flatfoot: What to Do | vii | ||
| Did Failure Occur Because of Medial Column Instability That Was Not Recognized, or Did It Develop After Surgery? | vii | ||
| Calcaneal Osteotomies: Pearls and Pitfalls | viii | ||
| Evans Osteotomy Complications | viii | ||
| Is This My Ankle or My Foot? | viii | ||
| Overcorrected Flatfoot Reconstruction | viii | ||
| The Undercorrected Flatfoot Reconstruction | ix | ||
| Management of the Malunited Triple Arthrodesis | ix | ||
| Severe Stage 2: Fuse or Reconstruct | ix | ||
| Pediatric Flatfoot: Pearls and Pitfalls\r | ix | ||
| FOOT AND ANKLE CLINICS\r | xi | ||
| FORTHCOMING ISSUES | xi | ||
| December 2017 | xi | ||
| March 2018 | xi | ||
| June 2018 | xi | ||
| RECENT ISSUES | xi | ||
| June 2017 | xi | ||
| March 2017 | xi | ||
| December 2016 | xi | ||
| Preface:\rThe Flatfoot: Even After Decades of Work, We Still Need Help Understanding It | xiii | ||
| Deltoid Ligament Repair in Flatfoot Deformity | 503 | ||
| Key points | 503 | ||
| INTRODUCTION | 503 | ||
| ANATOMY | 504 | ||
| Clinical Presentation | 506 | ||
| Imaging | 506 | ||
| SURGICAL MANAGEMENT | 507 | ||
| Techniques for Deltoid Ligament Reconstruction | 507 | ||
| Myerson method | 507 | ||
| Postoperative Care | 512 | ||
| PEARLS AND PITFALLS | 512 | ||
| SUMMARY | 513 | ||
| REFERENCES | 513 | ||
| What to Do with the Spring Ligament | 515 | ||
| Key points | 515 | ||
| INTRODUCTION | 515 | ||
| ANATOMY OF THE SPRING LIGAMENT COMPLEX | 516 | ||
| PATHOANATOMY | 517 | ||
| THE ROLE OF SPRING LIGAMENT RECONSTRUCTION | 518 | ||
| DIAGNOSIS | 520 | ||
| REPAIR OR RECONSTRUCTION? | 520 | ||
| CADAVERIC STUDIES | 520 | ||
| CLINICAL OUTCOMES | 522 | ||
| SUMMARY | 525 | ||
| REFERENCES | 525 | ||
| Naviculocuneiform Sag in the Acquired Flatfoot | 529 | ||
| Key points | 529 | ||
| INTRODUCTION | 529 | ||
| REASONING BEHIND SURGICAL PROCEDURES THAT ADDRESS THE MEDIAL COLUMN | 531 | ||
| COTTON OSTEOTOMY | 531 | ||
| INDICATIONS | 531 | ||
| TECHNIQUE | 534 | ||
| NAVICULOCUNEIFORM FUSION | 538 | ||
| Technique of Naviculocuneiform Fusion | 540 | ||
| SUMMARY | 544 | ||
| REFERENCES | 544 | ||
| Did Failure Occur Because of Medial Column Instability That Was Not Recognized, or Did It Develop After Surgery? | 545 | ||
| Key points | 545 | ||
| INTRODUCTION | 545 | ||
| MEDIAL COLUMN ARTHRODESIS FOR CORRECTION OF PES PLANOVALGUS | 549 | ||
| FAILURE TO ADDRESS MEDIAL COLUMN INSTABILITY | 556 | ||
| POSTRECONSTRUCTION MEDIAL COLUMN INSTABILITY | 560 | ||
| SUMMARY | 561 | ||
| REFERENCES | 561 | ||
| Calcaneal Osteotomies | 563 | ||
| Key points | 563 | ||
| INTRODUCTION: NATURE OF THE PROBLEM | 563 | ||
| INDICATIONS OR CONTRAINDICATIONS | 563 | ||
| Indications | 563 | ||
| Contraindications | 564 | ||
| SURGICAL TECHNIQUE OR PROCEDURE | 564 | ||
| Preoperative Planning | 564 | ||
| Preparation and patient positioning | 564 | ||
| Surgical approach | 564 | ||
| Osteotomy Technique | 565 | ||
| Alternative Osteotomy Technique | 565 | ||
| COMPLICATIONS AND MANAGEMENT | 567 | ||
| POSTOPERATIVE CARE | 569 | ||
| OUTCOMES | 569 | ||
| Radiographic Correction | 569 | ||
| Plantar pressure | 569 | ||
| Pain and function | 570 | ||
| SUMMARY | 570 | ||
| REFERENCES | 570 | ||
| Evans Osteotomy Complications | 573 | ||
| Key points | 573 | ||
| INTRODUCTION | 573 | ||
| PATIENT SELECTION | 574 | ||
| COMPLICATIONS | 575 | ||
| Nonunion of the Osteotomy | 577 | ||
| Dorsal Displacement of the Anterior Calcaneal Tuberosity | 577 | ||
| Lateral Pain, Stress Fractures, and Increase Pressure of the Lateral Column | 579 | ||
| Loss of Calcaneal Lengthening | 580 | ||
| Overcorrection and Recurrence of Deformity | 580 | ||
| Undercorrection | 580 | ||
| Injury of Anatomic Structures at Risk | 581 | ||
| Sural nerve and peroneal tendons | 581 | ||
| Subtalar joint complex | 582 | ||
| FINAL CONSIDERATIONS | 582 | ||
| REFERENCES | 582 | ||
| Is This My Ankle or My Foot? | 587 | ||
| Key points | 587 | ||
| INTRODUCTION | 587 | ||
| DELTOID ANATOMY | 588 | ||
| LITERATURE OBSERVATIONS | 588 | ||
| CLINICAL OBSERVATIONS | 591 | ||
| Valgus Ankle with Multidirectional Instability and a Normal Foot | 591 | ||
| Valgus Ankle with Unstable Progressive Flatfoot | 593 | ||
| Valgus Ankle with a True Degenerative or a Fused Hindfoot Flatfoot | 593 | ||
| SUMMARY | 595 | ||
| REFERENCES | 595 | ||
| Overcorrected Flatfoot Reconstruction | 597 | ||
| Key points | 597 | ||
| INTRODUCTION | 597 | ||
| PATIENT EVALUATION OVERVIEW | 598 | ||
| NONOPERATIVE TREATMENT OPTIONS | 599 | ||
| OPERATIVE TREATMENT OPTIONS | 599 | ||
| GASTROCNEMIUS RECESSION/TENDO-ACHILLES LENGTHENING | 600 | ||
| FLEXOR DIGITORUM LONGUS TENDON TRANSFER | 600 | ||
| MEDIAL DISPLACEMENT CALCANEAL OSTEOTOMY | 600 | ||
| LATERAL COLUMN LENGTHENING VERSUS CALCANEOCUBOID DISTRACTION ARTHRODESIS | 603 | ||
| MEDIAL COLUMN PROCEDURES | 606 | ||
| ISOLATED HINDFOOT ARTHRODESIS VERSUS TRIPLE ARTHRODESIS | 606 | ||
| COMPLICATIONS | 607 | ||
| SUMMARY | 607 | ||
| REFERENCES | 608 | ||
| The Undercorrected Flatfoot Reconstruction | 613 | ||
| Key points | 613 | ||
| INTRODUCTION | 613 | ||
| THE UNDERCORRECTED FLATFOOT | 614 | ||
| CONSERVATIVE TREATMENTS | 614 | ||
| Correction of Hindfoot Valgus | 615 | ||
| Correction of Midfoot Abduction | 617 | ||
| Correction of Forefoot Position | 619 | ||
| PERIOPERATIVE CONSIDERATIONS | 621 | ||
| COMPLICATIONS AND MANAGEMENT | 621 | ||
| POSTOPERATIVE CARE | 622 | ||
| SUMMARY | 623 | ||
| REFERENCES | 623 | ||
| Management of the Malunited Triple Arthrodesis | 625 | ||
| Key points | 625 | ||
| INTRODUCTION | 625 | ||
| PATIENT EVALUATION | 626 | ||
| OPERATIVE TECHNIQUES | 627 | ||
| Hindfoot Valgus | 627 | ||
| Hindfoot Varus | 627 | ||
| Forefoot Supination or Pronation | 629 | ||
| Forefoot Abduction or Adduction | 629 | ||
| Rocker Bottom Deformity | 632 | ||
| Combination Deformities | 632 | ||
| RESULTS | 633 | ||
| SUMMARY | 635 | ||
| ACKNOWLEDGMENTS | 635 | ||
| REFERENCES | 635 | ||
| Severe Stage 2: Fuse or Reconstruct | 637 | ||
| Key points | 637 | ||
| INTRODUCTION | 637 | ||
| CLASSIFICATION | 637 | ||
| PATIENT EVALUATION | 638 | ||
| RECONSTRUCTION | 638 | ||
| Pediatric Flatfoot | 643 | ||
| Key points | 643 | ||
| INTRODUCTION | 643 | ||
| PATIENT EVALUATION OVERVIEW | 644 | ||
| History | 644 | ||
| Physical Examination | 645 | ||
| Imaging | 646 | ||
| PHARMACOLOGIC TREATMENT OPTIONS | 646 | ||
| NONPHARMACOLOGIC TREATMENT OPTIONS | 646 | ||
| SURGICAL TREATMENT OPTIONS | 648 | ||
| Osteotomies | 649 | ||
| Calcaneal (lateral column) lengthening osteotomy | 649 | ||
| Modified Evans procedure pearls and pitfalls | 649 | ||
| Calcaneal-cuboid-cuneiform osteotomy | 650 | ||
| Calcaneal-cuboid-cuneiform osteotomy pearls and pitfalls | 651 | ||
| Soft Tissue Procedures | 651 | ||
| Arthroereisis | 651 | ||
| Arthroereisis pearls and pitfalls | 651 | ||
| Arthrodesis | 652 | ||
| Surgical Treatment of Rigid Flatfeet | 652 | ||
| TREATMENT COMPLICATIONS | 653 | ||
| EVALUATION OF OUTCOMES | 654 | ||
| Outcome by Procedure | 654 | ||
| Outcome Comparison Between Calcaneal Lengthening and Calcaneo-Cuboid-Cuneiform Osteotomy | 654 | ||
| SUMMARY | 654 | ||
| REFERENCES | 654 |