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Varus Foot, Ankle, and Tibia,  An Issue of Foot and Ankle Clinics - E-Book

Varus Foot, Ankle, and Tibia, An Issue of Foot and Ankle Clinics - E-Book

Alastair S. E. Younger

(2012)

Additional Information

Book Details

Abstract

This issue will cover the following: Examination of the Varus Ankle, Foot and Tibia, Anatomy of the Varus Ankle and Foot, Imaging of the Varus Ankle and Foot, Pathology of the Varus Ankle and Foot, Varus Ankle After Tibia Fracture Varus Ankle and Hindfoot Deformity After Talar Fracture, Varus Ankle and Ankle Instability, Varus Ankle and Osteochondral Lesions of the Talus, Planning the Correction of the Varus Ankle in Conjunction with Ankle Replacement. Single or Staged Approach, Varus Ankle – Management with a Frame, Varus Hindfoot and Neurological Disorders, Varus Deformity After Calcaneus Fracture, Varus Ankle – Adopting Your Ankle Fusion Technique”

Table of Contents

Section Title Page Action Price
Front Cover Cover
Foot and Ankle Clinics i
Copyright Page ii
Table of Contents v
Contributors iii
Forthcoming Issues viii
Preface ix
Chapter 1. Anatomy of the Varus Foot and Ankle 1
FOREFOOT-DRIVEN HINDFOOT VARUS 2
ANATOMIC ABNORMALITIES IN THE NEUROMUSCULAR CAVOVARUS FOOT 6
INTRINSIC VARUS 7
BIOMECHANICAL IMPLICATIONS 10
SUMMARY 10
REFERENCES 11
Chapter 2. Examination of the Varus Ankle, Foot, and Tibia 13
CLINICAL ANATOMY 14
CLINICAL EXAMINATION 14
SUMMARY 19
REFERENCES 20
Chapter 3. Varus Ankle and Osteochondral Lesions of the Talus 21
COMPARISON WITH SIMILAR CONDITIONS IN THE KNEE 22
EVALUATION OF OLT 22
MANAGEMENT OF OLT 22
EVALUATION OF LIMB ALIGNMENT AND ANKLE STABILITY 23
MANAGEMENT OF LIMB ALIGNMENT AND ANKLE STABILITY 24
ADDITIONAL PROCEDURES TO SUPRAMALLEOLAR OSTEOTOMY 28
BIOMECHANICAL STUDIES 34
CASE EXAMPLES 36
SUMMARY 36
REFERENCES 36
Chapter 4. Hindfoot Varus and Neurologic Disorders 39
ETIOLOGY 39
BIOMECHANICS OF HINDFOOT VARUS 40
TREATMENT 44
OPERATIVE TREATMENT OF HINDFOOT VARUS ORIGINATING FROM CMT 45
TREATMENT OF HINDFOOT VARUS ORIGINATING FROM NEUROLOGIC DISEASE OTHER THAN CMT 52
SUMMARY 54
REFERENCES 54
Chapter 5. The Varus Ankle and Instability 57
BIOMECHANICS IN THE VARUS ANKLE 57
ANATOMIC CHARACTERISTICS OF SIMPLE AND COMPLEX VARUS HINDFOOT DEFORMITY 58
CLINICAL ASSESSMENT 59
RADIOGRAPHIC ASSESSMENT 62
CONSERVATIVE TREATMENT 65
APPROACHING THE PATIENT WITH VARUS ANKLE AND INSTABILITY 66
OSTEOTOMIES 67
ADVANCED OSTEOARTHRITIS AT THE HINDFOOT AND STRATEGIES 71
DYNAMIC BALANCING—TRANSFERS AND LENGTHENING 71
LATERAL LIGAMENT REPAIR OR RECONSTRUCTION 73
TOTAL ANKLE REPLACEMENT IN THE UNSTABLE VARUS ANKLE 75
SUMMARY 76
REFERENCES 76
Chapter 6. Distal Tibial Varus 83
NATURAL HISTORY 84
PUBLISHED RESULTS OF DEFORMITY CORRECTION 85
SURGICAL PLANNING 86
COMPENSATORY DEFORMITIES 87
SUMMARY 92
REFERENCES 92
Chapter 7. Treatment of Posttraumatic Varus Ankle Deformity with Supramalleolar Osteotomy 95
ANATOMY AND BIOMECHANICS 95
INDICATIONS FOR SUPRAMALLEOLAR OSTEOTOMIES 96
PREOPERATIVE PLANNING 96
SURGICAL TECHNIQUE 97
POSTOPERATIVE TREATMENT 99
RESULTS 99
SUMMARY 101
REFERENCES 101
Chapter 8. Planning Correction of the Varus Ankle Deformity with Ankle Replacement 103
ASSESSMENT 104
EXTRA-ARTICULAR DEFORMITY ABOVE THE ANKLE JOINT 105
DEFORMITY AT THE LEVEL OF THE ANKLE JOINT 107
DEFORMITY DISTAL TO THE ANKLE JOINT 111
COMBINED DEFORMITIES 112
LIMITS TO CORRECTION OF VARUS DEFORMITY 112
SUMMARY 114
REFERENCES 114
Chapter 9. Varus Hindfoot Deformity After Talar Fracture 117
VARUS MALALIGNMENT OF THE TALAR NECK—EFFECT ON THE FOOT 118
PATIENT ASSESSMENT 118
PRIMARY ANATOMIC REDUCTION AND INTERNAL FIXATION 120
SECONDARY ANATOMIC RECONSTRUCTION 121
REORIENTATING ARTHRODESIS 123
SUMMARY 124
REFERENCES 124
Chapter 10. Total Ankle Replacement in Ankle Arthritis with Varus Talar Deformity: Pathophysiology, Evaluation, and Management Principles 127
PATHOANATOMY AND CLASSIFICATION 127
OPERATIVE MANAGEMENT 130
SUMMARY 138
REFERENCES 138
Index 141