BookHarry J. Visser.
Summary: Comprised exclusively of clinical cases, this concise, practical casebook provides clinicians and surgeons with current reconstructive techniques for complicated manifestations of foot and ankle injuries as a result of trauma, neuromuscular disease and deformity. Presenting unique cases in forefoot, midfoot, rearfoot, and ankle surgery, it is sensibly divided into six sections: forefoot maladies, the varus foot and ankle, the valgus foot and ankle, Charcot neuropathy, tendinopathies, and ankle joint revision. Each section demonstrates the surgical techniques chosen in each case, supported by generous, detailed surgical and radiographic slides and diagrams. A consistent chapter format, outlining the case presentation, diagnosis, management, and pearls and pitfalls, ensures its utility and accessibility. Pragmatic and reader-friendly, Challenges in Foot and Ankle Reconstruction Surgery: A Case-based Approach is an excellent resource for foot and ankle surgeons, podiatrists and all clinical staff treating these common yet challenging conditions.
Contents:
Part I. Forefoot Maladies
Revision of Lapidus, antibiotic spacer 2nd MTPJ
Revision of Lapidus, interposition biofoam wedge, CC arthodiastatic via TN fusion
Revision of Lapidus with interpositional fresh femoral head allograft and akin, gastroc recession
Revision of trauma after Austin bunionectomy, locking plates x2 applied
Revision of bunionectomy with 1st MT head resection, interpositional fresh femoral head allograft/bone marrow aspirate, locking bridge plate
Removal of Laporta implant, allomatrix in canals, interposition 1st MTPJ
Congenital brachymetapody
Part II. Varus Foot and Ankle
Cuboid reconstructed with fibula, reattachment
STJ arthrodesis, arthrodesis of 5th MT shaft to 4th MT base
Talectomy via transfibular approach, locking plate
TA tendon tranfer to lateral cuneiform
AVN of talus secondary to Charcot. Talectomy via transfibular approach, interposition of allograft in reamed tibial and calcaneal sites, application of internal bone stimulator
Talar AVN. Transfibular approach, resection of tibia and calcaneus, back filling with bone chips. Rigid construct to allow for back filling of gap
Intrinsic talar tilt in varus. Evans, PB tenodesis, lateral ankle stabilization, deltoid peel, tibialis posterior intratendinous lengthening
Part III. Valgus Foot and Ankle
Mueller-Weiss disease reconstruction
Revision of flatfoot recon. Removal of subtalar screws, revision of STJ arthrodesis. Repeat gastroc recession, derotation osteotomy of TN malunion, removal non-union allograft medial cuneiform arthrodesis of 1st TMT
Revision of failed triple arthrodesis. Re-alignment of ankle by resection of medial malleolus, femoral head allograft, lateral stabilization plate
Severe fibular-calcaneal impingement secondary to valgus rearfoot position. Performed talectomy, tibiocalcaneal arthrodesis with IM nail, arthrodesis of 1st MTPJ and hammertoe repair
Semi-rigid flatfoot in 15 yo M. Treated with sub-capital talar head wedge, Z-plasty tendo achilles lengthening, Koutsigiannis osteotomy
PT tear. Baumann gastroc recession, double calcaneal osteotomy, Koutsigiannis calc osteotomy, PB to PL transmer inframalleolar, Evans, spring ligament repair, FDL transfer
Subtalar arthrosis with valgus deformity. Repaired by revision of STJ via Achilles tendon split tendon approach to expose posterior facet. Joint backfilled with BMA and DBM and cancellous chips with 2 parallel fully threaded screws
Part IV. Charcot Neuropathy
Biplane transpedal wedge, gastroc recession, posterior calcaneal osteotomy
Beaming screws to medial and lateral columns, locking plate medially
Schon type II/III treated with triple arthrodesis with beams, medial column naviculectomy with grafting using beaming technique, protected with Ex-fix
Bimalleolar fracture. ORIF 5 weeks post injury. Multiple tetrasystesmotic screw fixation, percutaneous screw fixation of medial malleolus
Ankle fx with IM nail, no joint preparation
Part V. Tendinopathies
Hunter rod peroneal reconstruction
Dwyer osteotomy, excision of peroneal tendons, insertion of peroneal tendon allograft
Lateral calcaneal osteotomy, FDL transfer to PB stump
D.P
Infection secondary to graft jacket. Treated by open Z-plasty and FHL tendon transfer
Revision of Achilles tendon repair. Treated by resection of Achilles and transfer FHL an FDL
Repair of insertion of TA tendon
Part VI. Ankle Joint Revisions
Tibial calcaneal arthrodesis with IM nail
Removal of ankle implant, ankle arthrodesis with interpositional bone graft
Revision of INBONE TAR. 50% talar surface replaced with iliac crest bone graft strut.