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Reconstructive Foot and Ankle Surgery: Management of Complications E-Book

Reconstructive Foot and Ankle Surgery: Management of Complications E-Book

Mark S. Myerson | Anish R. Kadakia

(2018)

Additional Information

Book Details

Abstract

Packed with superb illustrations, pearls, and pitfalls, Reconstructive Foot and Ankle Surgery: Management of Complications, 3rd Edition, delivers step-by-step guidance on essential elements of complex foot and ankle surgery. World-renowned surgeon Dr. Mark S. Myerson, along with expert co-author Dr. Anish R. Kadakia, provides detailed instruction on how to select the correct treatment for challenging disorders and manage complications after surgery. A highly templated, consistent format, abundant illustrations, and decades of real-life experience make this an easy-to-use resource for everyday practice as well as an authoritative reference for in-depth study.

  • Covers the most up-to-date techniques, new procedures, innovative approaches, and technological advances.

Table of Contents

Section Title Page Action Price
Front Cover cover
Endsheet 2_IFC IFC1
Reconstructive Foot and Ankle Surgery: Management of Complications i
Copyright Page iv
Dedication v
Preface vi
Table Of Contents vii
Video Contents xi
I The Hallux and Sesamoids 1
1 Chevron Osteotomy 1
Indications 1
Approach to a Standard Chevron Osteotomy 1
Approach to a Large Displacement Chevron Osteotomy 5
Postoperative Protocol 5
Suggested Reading 12
2 The Lapidus Procedure 13
Overview 13
Incision and Joint Preparation 13
Correction of Deformity 14
Fixation 19
Exostectomy and Capsular Repair 21
Management of Complications 21
Suggested Reading 26
3 Proximal Phalangeal Osteotomy (Akin) 27
Suggested Reading 33
4 Management of Complications After Correction of Hallux Valgus 34
General Principles of Managing Complications 34
Nonunion 35
Avascular Necrosis 39
Infection 39
Dorsal Malunion and Recurrent Deformity 43
Suggested Reading 51
5 Hallux Varus 52
Decision Making for Correction 52
Soft Tissue Correction 52
Tendon Transfers 52
Suture Button Correction 59
Revision Metatarsal Osteotomy 59
Arthrodesis and Interposition Arthroplasty 61
Suggested Reading 64
6 Hallux Rigidus—Joint-Sparing Techniques 65
Overview of Surgery and Decision Making 65
Cheilectomy 65
Osteotomy of the Proximal Phalanx (Moberg Osteotomy) 67
Interposition Arthroplasty 68
Indications 68
Technique 68
Autograft 68
Allograft 70
Metatarsal Osteotomy and Alternative Procedures 71
Hallux Rigidus of Biomechanical Origin. The Use of Metatarsal Osteotomy 71
Modified Oblique Osteotomy 73
The Youngswick Osteotomy 73
Arthrodesis of the First Tarsometatarsal Joint 73
Takedown of Arthrodesis 74
Osteochondral Grafts 76
Suggested Reading 78
II Lesser Toe Correction 79
7 Correction of Lesser Toe Deformity 79
Claw Toe and Hammertoe Correction 79
Correction of the Metatarsophalangeal Joint Deformity 81
Proximal Interphalangeal Resection Arthroplasty and Arthrodesis 82
Complications of Lesser Toe Surgery 87
Suggested Reading 95
8 Correction of Crossover Toe Deformity 96
Surgical Approach 96
Components of Surgical Correction 96
Incision and Dissection 96
Oblique Metatarsal Head Osteotomy (Maceira Osteotomy) 96
Plantar Plate Repair 100
Extensor Digitorum Brevis Tendon Transfer 101
The Flexor-to-Extensor Tendon Transfer 103
Suggested Reading 107
9 Management of Metatarsalgia 108
Osteotomies for Metatarsalgia 108
Gastrocnemius Recession 108
Dorsal Wedge Osteotomy 109
Classic Triangular and Weil/Maceira Osteotomies 113
Osteotomy in Management of Arthritis 114
Suggested Reading 120
III Surgery for the Neuropathic Foot and Ankle 121
10 Surgery for the Neuropathic Foot and Ankle 121
Correction of Neuropathic Deformity of the Midfoot 121
Ostectomy 125
Fixation Options for the Midfoot 126
Percutaneous Management of Charcot Midfoot Deformities 128
Correction of Neuropathic Deformity of the Hindfoot and Ankle 131
Suggested Reading 140
IV Correction of the Cavus Foot 141
11 Cavus Foot Correction 141
Overview 141
Decision Making 141
Plantar Fascia Release 143
Calcaneus Osteotomy 145
Peroneus Longus-to-Brevis Tendon Transfer 146
First Metatarsal Osteotomy 146
Midfoot Osteotomy/Arthrodesis 148
Correction of Fifth Metatarsal Deformity 151
Correction of Claw Hallux 151
Posterior Tibial Tendon Transfer 154
Correction of Rigid Multiplanar Recurrent Deformity 154
Suggested Reading 160
V Correction of Paralytic Deformity 161
12 Tendon Transfers for Management of Paralytic Deformity 161
Overview of Tendon Transfers 161
Anatomy and Related Considerations 161
Timing of Procedure and Preoperative Evaluation 164
Tendon Transfer Procedures 165
Posterior Tibial Tendon Transfer 165
Transfers of the Extensor Hallucis Longus and Extensor Digitorum Longus Tendons 167
Tenodesis of Extensors to Tibia (Stirrup Procedure) 167
Correction of Equinovarus and Cavo-Equinovarus Deformity 170
Correction of Equinovalgus Deformity and Alternative Tendon Transfers 174
Suggested Reading 179
VI Flatfoot Deformity Correction 180
13 Correction of Flatfoot Deformity in the Child 180
Arthroereisis 180
Indications and Rationale 180
Surgical Technique 181
Correction of the Accessory Navicular Syndrome 183
Lateral Column Lengthening of the Calcaneus 185
Opening Wedge Osteotomy of the Medial Cuneiform 189
The Use of Arthrodesis in the Child’s Foot 190
Suggested Reading 193
14 Correction of Flatfoot Deformity in the Adult 194
Classification of the Flatfoot Deformity 194
Stage I: Tenosynovitis Without Deformity 194
Stage II: Ruptured Posterior Tibial Tendon and Flexible Flatfoot 195
Stage III: Rigid Hindfoot Valgus 198
Stage IV: Ankle Valgus 198
Surgical Procedures for Correction of Flatfoot 199
Tenosynovectomy 199
Medial Translational Osteotomy of the Calcaneus 200
Peroneus Brevis to Longus Tendon Transfer 202
Flexor Digitorum Longus Tendon Transfer 202
Posterior Tibial Tendon Allograft Reconstruction 206
Spring Ligament and Capsuloligamentous Repair 207
Insertional Posterior Tibial Tendinopathy and Excision of the Accessory Navicular in the Adult 211
Lateral Column Lengthening 212
Medial Cuneiform Osteotomy 213
Arthrodesis Procedures 214
Management of the Deltoid Ligament Tear (Stage IV Posterior Tibial Tendon Rupture) 215
Suggested Reading 219
15 Complications of Treatment of Flatfoot 220
Tenosynovitis 221
How to Manage the Failed Tendon Transfer 221
How to Manage the Failed Bony Correction 223
How to Manage Ankle Valgus 233
Suggested Reading 236
VII Management of Ankle Arthritis 237
16 The Use of Bulk Fresh Osteoarticular Allografts in Ankle Reconstruction 237
Osteoarticular Fresh Allograft Ankle Replacement 237
Allograft Reconstruction of Large Talar and Tibial Osteochondral Defects 239
Suggested Reading 247
17 Reconstruction of Malunited Ankle Fractures 248
Decision Making and Reconstruction 248
Debridement: Arthroscopy or Arthrotomy? 248
Fibular and Medial Malleolus Deformity and Osteotomy 248
Suggested Reading 266
18 Total Ankle Replacement 267
Overview 267
Replacement Versus Arthrodesis 267
Alignment 269
The Salto Talaris Prosthesis Technique 273
Correction of Deformity 275
Correction of Varus Deformity 275
Correction of Valgus Deformity 278
Additional Procedures 280
Management of Avascular Necrosis of the Talus 282
Suggested Reading 285
19 Revision Total Ankle Replacement 286
Overview 286
Management of Fractures 286
Management of Wound Healing Problems 287
Cyst Formation 288
Component Subsidence and Revision 288
Pattern of Talar Subsidence 289
Subtalar Arthrodesis 289
Sequential Steps of Revision 289
Incision 289
Gutter Debridement 290
Prosthesis Removal 290
Bone Loss 290
Tibial Component Subsidence 290
Talar Component Subsidence 292
The Use of Cement in Revision Ankle Replacement 294
Conversion of an Arthrodesis to a Joint Replacement 296
Conversion of Agility to Salto XT Prosthesis (Video 19.4) 297
Arthrodesis After Prosthesis Failure 298
Suggested Reading 304
20 Osteotomy of the Tibia and Fibula 305
Indications 305
Preoperative Planning 305
Surgical Technique 307
Correction of Varus Deformity 307
Correction of Intraarticular Varus Ankle Deformity as a Result of Chronic Lateral Instability 310
Correction of a Valgus Deformity 311
Correction of Anterior Ankle Impingement 316
Correction of Multiplanar Deformity 317
Suggested Reading 322
VIII Tendon Repair and Reconstruction 323
21 Disorders of the Achilles Tendon 323
Insertional Achilles Tendinopathy 323
Management of Paratendinitis 326
Management of Noninsertional Tendinopathy 327
Acute Rupture of the Achilles Tendon 331
Reconstruction for Chronic Achilles Tendon Rupture 333
Suggested Reading 340
22 Rupture of the Anterior Tibial Tendon 341
Indications 341
Approach to an Insertional Rupture 341
Approach to a Noninsertional Rupture 342
Postoperative Protocol 345
Suggested Reading 349
23 Peroneal Tendon Injury and Repair 350
Introduction 350
Management of Tendinitis 350
Repair of Isolated Tears of the Peroneus Longus and Peroneus Brevis Tendons 352
Repair of Both the Peroneus Longus and Peroneus Brevis Tendons 356
Repair of Dislocation of the Peroneal Tendon(s) 361
Suggested Reading 365
IX Tarsal Coalition 366
24 Tarsal Coalition 366
Overview 366
Examination and Decision Making 366
Resection of a Middle Facet Coalition 366
Excision of the Calcaneonavicular Coalition 370
Correction of Deformity Following Resection of the Coalition 371
Treatment of More Extensive Coalitions 372
The Use of Arthrodesis in the Management of the Hindfoot With a Coalition 374
The Ball-and-Socket Ankle 376
Suggested Reading 379
X Ankle Instability and Arthrodesis 380
25 Ankle Instability and Impingement Syndromes 380
Lateral Ankle Ligament Reconstruction 380
Operation Selection 381
The Broström Procedure 382
Evans and Modification of the Chrisman-Snook Procedure 383
Percutaneous Hamstring Reconstruction 386
Deltoid Ligament Injury and Repair 386
Ankle Impingement Syndromes 389
Suggested Readings 395
26 Management of Osteochondral Lesions of the Talus 396
Surgical Approaches to Osteochondral Lesions of the Talus 396
Use of Cartilage Allograft Without Osteotomy 396
Approach to Lateral Talar Dome Lesions 399
Approach to Medial Talar Dome Lesions 401
Suggested Reading 410
27 Arthrodesis of the Hallux Metatarsophalangeal and Interphalangeal Joints 411
Arthrodesis of the Hallux Metatarsophalangeal Joint 411
Approach to Arthrodesis 411
Alignment of Arthrodesis 411
Sesamoid Issues 417
Bone Grafting 417
Approach and Joint Preparation 417
Fixation 421
Correction of Deformity Associated With Bone Loss 423
Joint Exposure and Preparation for Distraction Bone Block Arthrodesis 423
Arthrodesis of the Hallux Interphalangeal Joint 425
Suggested Reading 438
28 Arthrodesis of the Tarsometatarsal Joint 439
Overview 439
Deformity Correction Principles 439
Incision and Exposure 439
Fixation and Joint Stabilization 447
Management of Bone Loss and Nonunion 450
Management of Arthritis of the Lateral Column 454
Suggested Reading 461
29 Subtalar Arthrodesis 462
Overview: Approach and Incisions 462
Fixation 465
Management of Subtalar Fusion Nonunion 466
Distraction Bone Block Arthrodesis 471
Postoperative Course and Treatment 473
Correction of Complex Hindfoot Deformity After Calcaneus Fracture 473
Suggested Reading 479
30 Triple Arthrodesis 480
Overview and Approach 480
Surgical Approaches 480
The Lateral Incision 480
Reduction of Deformity and Fixation 485
The Medial Approach 493
Triple Arthrodesis and Medial Ankle Instability 494
Revision Triple Arthrodesis (Video 30.3) 495
Correction of the Overcorrected Clubfoot Deformity in the Adult Patient 503
Suggested Reading 509
31 Ankle Arthrodesis 510
Incision and Joint Exposure, Ankle Arthroscopy/Mini-Arthrotomy Technique (Video 31.1) 510
Screw Fixation 512
Correction of Deformity 515
Correction of Nonunion and Severe Deformity 519
Suggested Reading 525
32 Tibiotalocalcaneal and Pantalar Arthrodesis 526
Overview 526
Tibiocalcaneal and Tibiotalocalcaneal Arthrodesis 526
Fixation Alternatives 526
Surgical Approaches 528
Fixation Technique 531
Blade Plate Fixation 531
Locked Plate Fixation 531
Intramedullary Rod Fixation 531
Deformity Correction 538
Pantalar Arthrodesis 541
Suggested Reading 544
Index 545
A 545
B 547
C 548
D 549
E 549
F 550
G 551
H 551
I 552
J 552
K 552
L 553
M 553
N 554
O 555
P 556
Q 557
R 557
S 557
T 558
U 560
V 560
W 560
Y 560
Endsheet 7_IBC IBC1