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.
Author(s): Harry J. Visser
Publisher: Springer
Year: 2022
Language: English
Pages: 298
City: Cham
Acknowledgments
Contents
Part I: Forefoot Maladies
1: Case #1: Revision of a Scarf Osteotomy and Lapidus Procedure with Antibiotic Polymethylmethacrolate Spacer for an Infected Second Metatarsophalangeal Joint Implant
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
2: Case #2: Utilization of a Cancellous Titanium Wedge for a Revisional Reconstruction of a Lapidus Procedure
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
3: Case #3: Revision of Displaced Capital First Metatarsal Head Osteotomy with Intramedullary K-wire & Dual Locking Plates
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
Case #3A: Revision of Displaced Capital First Metatarsal Head Osteotomy with a Mini External Fixator
Additional Adjunctive Case
References
4: Case #4: Management of First Metatarsal Head Capital Osteotomy with Secondary Avascular Necrosis Utilizing a Fresh Frozen Femoral Head Allograft for Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
5: Case #5: Revision of a Silastic Flexible Hinged Implant Involving the First Metatarsophalangeal Joint with Arthrodesis Utilizing a Fresh Frozen Femoral Head Allograft
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
6: Case #6: Management of Stage 3 Hallux Limitus Deformity with Acellular Dermal Allomatrix for Resurfacing of the First Metatarsal Head
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
Case #6A: Interpositional Capsular Autograft for a Failed Silastic Flexible Hinged Implant Involving the First Metatarsophalangeal Joint
References
7: Case #7: Management of Brachymetapody with Multiple Metatarsal Osteotomies and Autograft
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
8: Case #8: Management of Severe Congenital Hallux Varus and Digital Adductus Deformity with 1st Metatarsophalangeal Arthrodesis, Metatarsal Head Resection, and Closed Digital Osteoclasis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
9: Case #9: Rheumatoid and Psoriatic Forefoot Deformity: First MPJ Arthrodesis, Metatarsal Head Reduction with Hoffman Incision and Closed Digital Osteoclasis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
10: Case #10: Fat Pad Augmentation with Acellular Dermal Allomatrix Involving Submetatarsal Heads 2 and 3
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
Part II: The Varus Foot and Ankle
11: Case #11: Reconstruction of the Lateral Foot Column due to Loss of the Cuboid and Anterior Calcaneus Secondary to Gunshot Trauma with Hemi-Fibular Strut Graft and Reattachment of the Peroneus Brevis Tendon
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
12: Case #12: Loss of Peroneus Brevis Tendon Insertion Secondary to Failed Surgery of the Epimetaphyseal Styloid Process with Subsequent Development of Adductovarus Deformity
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
13: Case #13: Two-Staged Allograft Reconstruction of the Peroneal Tendon with Subsequent Adductovarus Foot Deformity Utilizing a Hunter Rod for Loss of Gliding Function of the Peroneal Groove
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
14: Case #14: One Stage Allograft for Dual Peroneal Tendon Ruptures and Subsequent Adductovarus foot Deformity
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
15: Case #15: Flexor Digitorum Longus Transfer to the Fifth Metatarsal for Dual Loss of Peroneal Tendon and Muscle Function and Subsequent Adductovarus Foot Deformity
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
Case #15A: Tibialis Anterior Tendon Transfer Post Triple Arthrodesis for Residual Forefoot Varus with Associated Dual Loss of Peroneal Tendon and Muscle Function
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
16: Case #16: Supramalleolar Osteotomy for Ankle Varus Malunion Post Ankle and Subtalar Joint Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfall
References
17: Case #17: Tendon Transfer and Balancing for Combined Upper Motor Neuron and Lower Motor Neuron Equinoadductovarus Foot and Ankle Deformity
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
18: Case #18: Tendon Lengthening Management of Rigid Equinoadductovarus Foot Deformity Post CVA
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
19: Case #19: Management of Avascular Necrosis of the Navicular Secondary to Mueller-Weiss Disease by Midtarsal Joint Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
20: Case #20: Management of Adductocavovarus Foot Deformity Secondary to Post Talar Neck Fracture Malunion
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
21: Case #21: Revision of the STAR Total Ankle Replacement with Iliac Autograft
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
Part III: The Valgus Foot and Ankle
22: Case #22: Reconstruction of Adult-Acquired Flatfoot Deformity with Ruptured Tibialis Posterior Tendon and Spring Ligament
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
23: Case #23: Reconstruction of Long-Standing Adult Flatfoot Deformity and Associated Peroneal Muscle Tendon Contractures
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
24: Case #24: Management of a Spontaneous Peritalar Dislocation with Talocalcaneal Arthrodesis Utilizing an Intramedullary Nail
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
Case #24A: Management of a Spontaneous Peritalar Dislocation with a Talonavicular Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
25: Case #25: Management of Oblique Talus Deformity with Talar Neck Wedge Osteotomy
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
26: Case #26: Management of Severe Peritalar Dislocation Secondary to Rheumatoid Arthritis by Double Arthrodesis Utilizing a Medial Incision
Diagnosis
Management
Clinical Pearls and Pitfalls
References
27: Case #27: Management of a Calcaneal and Subtalar Joint Malunion with Osteotomy and Bone Block Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
28: Case #28: Revision of Triple Arthrodesis Malunion with Severe Osteopenia
Diagnosis and Assessment
Management/Outcome
Pearls and Pitfalls
References
Part IV: The Charcot Foot and Ankle
29: Case #29: Revision of Neuropathic Lis Franc Joint Dislocation with Trans-Pedal Wedge Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
30: Case #30: Management of Charcot Midfoot Deformity with Trans-cuneonaviculocuboid Wedge
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
31: Case #31: Management of Severe Charcot Foot and Ankle Deformity with Posterior Tendon Group Lengthening and Capsulotomies with Arthrodesis and Tarsometatarsal Joint 4 and 5
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
32: Case #32: ORIF of Neuropathic Ankle Fracture Utilizing Multiple Tetracortical Syndesmotic Screw Fixation
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
33: Case #33: Management of a Neuropathic Ankle Fracture with Ankle Arthrodesis Utilizing an Intramedullary Nail
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
34: Case #34: Management of End-Stage Rigid Equinoadductovarus Foot and Ankle Deformity Secondary to Charcot-Marie-Tooth Disease with Talectomy and Tibiocalcaneal Arthrodesis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
35: Case #35: Management of Neuropathic Avascular Necrosis of the Talus and Severe Ankle Varus Dislocation with Femoral Head Allograft and Lateral Anatomic Locking Plate
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
36: Case #36: Management of Neuropathic Talar Avascular Necrosis with Talectomy and Arthrodesis Utilizing a Femoral Locking Plate
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
37: Case #37: Talocalcaneal Arthrodesis with Severe Neuropathic Equinoadductovarus Foot and Ankle Deformity Secondary to L5-S1 Radiculopathy
Diagnosis and Management
Outcome
Clinical Pearls and Pitfalls
References
Part V: Tendinopathies
38: Case #38: Management of an Infected Achilles Tendon Rupture with Local Excision, V-Y Gastrocnemius Aponeurotic Lengthening and Flexor Hallucis Transfer
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
39: Case #39: Management of an Infected Achilles Tendon Rupture with Secondary Allograft Associated with a Severe Allergic Dermatitis by Excision of Allograft and Transfer of the Flexor Hallucis Longus Tendon and Peroneus Brevis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
40: Case #40: Repair of an Attritional Rupture of the Tibialis Anterior Tendon
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
Part VI: The Cavus Foot and Ankle
41: Case #41: Management of Cavus Foot Deformity by a Two-Staged Approach—Stage 1: Correction of Rearfoot and Midfoot Deformities, Stage 2: Correction of Forefoot Deformities
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
Part VII: Complex Foot Deformity Correction with Hexapod External Fixator
42: Case #42: Two Stage Correction of Midfoot Charcot Deformity—Stage 1: Gradual Distraction and Correction of Deformity, Stage 2: Minimally Invasive Definitive Internal Fixation
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
43: Case #43: Utilization of Hexapod Frame Following Failed Tibiocalcaneal Arthrodesis for the Treatment of Talar Body Avascular Necrosis
Diagnosis and Assessment
Management
Outcome
Clinical Pearls and Pitfalls
References
Index
