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Essential Foot and Ankle Surgical Techniques A Multidisciplinary Approach Christopher F. Hyer Gregory C. Berlet Terrence M. Philbin Patrick E. Bull Mark A. Prissel Editors 123 Essential Foot and Ankle Surgical Techniques Christopher F. Hyer • Gregory C. Berlet Terrence M. Philbin • Patrick E. Bull Mark A. Prissel Editors Essential Foot and Ankle Surgical Techniques A Multidisciplinary Approach Editors Christopher F. Hyer, DPM, MS, FACFAS Gregory C. Berlet, MD, FRCS(C), FAOA Fellowship Director Orthopedic Foot & Ankle Center Orthopedic Foot & Ankle Center Worthington, OH Worthington, OH USA USA Patrick E. Bull, DO, FAOAO Terrence M. Philbin, DO, FAOAO Orthopedic Foot & Ankle Center Fellowship Director Worthington, OH Orthopedic Foot & Ankle Center USA Worthington, OH USA Mark A. Prissel, DPM, FACFAS Orthopedic Foot & Ankle Center Worthington, OH USA ISBN 978-3-030-14777-8 ISBN 978-3-030-14778-5 (eBook) https://doi.org/10.1007/978-3-030-14778-5 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Foreword A dramatic evolution in our understanding of foot and ankle disorders, both its pathophysiology and treatment, has occurred over recent years. Both of us have been involved in a paradigm shift of foot and ankle management from one fairly conservative and nonoperative, even reactionary, to a more proac- tive mindset that attempts to preserve motion in the active individual, lessen- ing long-term disabilities. Our collective 55+ years of experience in this field have witnessed advances in not only the basics of patient management but also technological opportunities. Further, our ability to teach others based on our past experiences has expanded with the number and quality of foot and ankle fellowships, subspecialty societies, industry partnerships, and even social media. All of these changes have helped us take better care of our patients, and quite simply, we are better providers than we were years ago. However, we have also been humbled in this learning experience—the abso- lute truth about foot and ankle surgery is that “this stuff is not easy!!!” The reality of repairing an extremity that repetitively hits an uneven ground with full body weight is one that challenges us—whenever we are certain of a suc- cessful treatment regiment, our patients prove us wrong. There is a reason that this humbling nature of foot and ankle surgery is par- ticularly relevant when asked to introduce this comprehensive text, Essential Foot and Ankle Surgical Techniques. The reason is a purpose: The physicians at The Orthopedic Foot and Ankle Center in Columbus, Ohio, decided a number of years ago that the best way to help our collective patients was to create a pro- vider group with multiple backgrounds. From educational backgrounds that encompass MDs, DOs, and DPMs to the necessary ancillary expertise of pros- thetists, orthotists, and physical therapists, this truly represents a “collaboration.” Patients are best managed with a “team approach,” and this text represents that. This group of talented practitioners has created a venue where all views and backgrounds are valued. The chapters delve into difficult topics and treatment options, introducing a number of management options influenced by the authors’ backgrounds, but with the priority being the patients’ best interest. That is the value and the timeliness of this text. In a time where there is a stated need to celebrate excellence, each chapter comes at the reader from a purpose and desire to aid us in this difficult career choice of foot and ankle. We applaud the editors and all of the contributors for this true multidisciplinary collaboration. Charlotte, NC, USA W. Hodges Davis, MD Robert B. Anderson, MD v Preface The specialty of foot and ankle surgery is a diverse amalgamation of orthope- dic surgical principles, biomechanics and kinesiology, sports medicine, phys- ical therapy and rehabilitation, as well as the psychology of patient and surgeon expectations. This is also a unique specialty because surgeons of different training backgrounds, including Doctors of Podiatric Medicine (DPM), Doctors of Osteopathic Medicine (DO), and Doctors of Allopathic Medicine (MD), practice it nationally and internationally. It is our belief that when knowledge and experience is shared among these diverse surgeons, the specialty of foot and ankle surgery, and ultimately patient care, continues to improve. It is for these reasons that we have brought together these surgeons and past fellows to produce this innovative and unique text. This textbook is a reflection of our unique foot and ankle specialty prac- tice and our surgical fellowship program at The Orthopedic Foot and Ankle Center in Columbus, Ohio. Our practice is comprised of fellowship-trained MD, DO, and DPM foot and ankle surgeons dedicated to the subspecialty of foot and ankle surgery. We practice in a fully collaborative environment encompassing all aspects of education, research, and patient care—with the primary goal of constantly improving patient care and surgical outcomes. We continue to “spread the word” nationally and internationally through our interaction with other surgeon colleagues and are humbled to see many like- minded surgeons who understand the benefit of this collaborative approach. We are honored to have our dear friends, mentors, and world-renowned giants in foot and ankle surgery—Drs. Robert Anderson and Hodges Davis— contribute the Foreword of this text. We individually and collectively learned so much from them both; thus, it is an absolute honor to have their words of wisdom attached to this textbook. In this text, we have tried to reveal our unique multidisciplinary perspec- tive and approach to the most common foot and ankle surgical topics. We believe that both careful preoperative planning and discussion among the treatment team are key tenets of our multidisciplinary approach. This leads to deliberate and careful consideration of operative efficiency and excellence so that the day of surgery is simply the execution of a well-thought-out plan. You will note “callouts” throughout the text of key steps and operative “pearls” to assist with the efficiency and performance of critical surgical steps. vii viii Preface This textbook is not meant to be a historical review or an all-encompassing encyclopedia of foot and ankle pathologies; rather, it is a careful description of current techniques and approaches to the most common surgical treatments. We have attempted to reveal “what works well in our hands” and the evolu- tion of techniques that produce consistently successful outcomes. We hope you find the direct and focused approach refreshingly practical and useful in the care of your patients. Worthington, OH, USA Christopher F. Hyer Contents 1 Preoperative Considerations, Surgical Planning, and Postoperative Protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Robert D. Santrock and Christopher F. Hyer 2 Hallux Valgus Correction Osteotomies . . . . . . . . . . . . . . . . . . . . . 15 Maria Romano McGann, David S. Buchan, and Christopher F. Hyer 3 Lapidus HAV Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 W. Bret Smith, B. Collier Watson, and Christopher W. Reb 4 Hallux Interphalangeal Joint Arthrodesis and Jones Tendon Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Jeffrey S. Weber 5 Hammertoes and Claw Toes: Primary and Revision . . . . . . . . . . 51 Roberto A. Brandão and David Larson 6 Plantar Plate Instability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Jeffrey E. McAlister and Mark A. Prissel 7 1st MTP Fusion: Primary and Revision . . . . . . . . . . . . . . . . . . . . 69 William T. DeCarbo and Michael D. Dujela 8 Interpositional Arthroplasty for the First Metatarsophalangeal Joint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Patrick E. Bull, James M. Cottom, and Geoffrey Landis 9 First Metatarsal Cheilectomy and Osteochondral Defect Treatments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Bryan Van Dyke and Terrence M. Philbin 10 Neuroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101 Travis Langan, Adam Halverson, and David Goss Jr. 11 Turf Toe and Sesamoid Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 Matthew M. Buchanan 12 Tarsometatarsal Joint Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . 121 Mark A. Prissel and Jeffrey E. McAlister 13 Cotton Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137 Jeffrey S. Weber ix x Contents 14 Fourth and Fifth Tarsometatarsal Degenerative Joint Disease Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149 Maria Romano McGann, Bryan Van Dyke, and Gregory C. Berlet 15 Tibialis Anterior Tendon Ruptures . . . . . . . . . . . . . . . . . . . . . . . . 153 Corey M. Fidler and Patrick E. Bull 16 Charcot Midfoot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 W. Bret Smith and Justin Daigre 17 Naviculocuneiform Joint Fusion . . . . . . . . . . . . . . . . . . . . . . . . . . 167 Jeffrey E. McAlister, Roberto A. Brandão, Bryan Van Dyke, Maria Romano McGann, and Christopher F. Hyer 18 Posterior Tibial Tendon Repair: Kidner, FDL Transfer, and Medial Displacement Calcaneal Osteotomy . . . . . . . . . . . . . 175 Kyle S. Peterson and Michael D. Dujela 19 Lateral Column Lengthening. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189 Kyle S. Peterson, David Larson, and Roberto A. Brandão 20 The Medial Double Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . 197 Bradly W. Bussewitz, Christopher W. Reb, and David Larson 21 Isolated Talonavicular Joint Arthrodesis . . . . . . . . . . . . . . . . . . . 209 Jeffrey E. McAlister and Gregory C. Berlet 22 Isolated Subtalar Joint Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . 217 Michael D. Dujela, Ryan T. Scott, Matthew D. Sorensen, and Mark A. Prissel 23 Two-Incision Triple Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . 233 J. George DeVries 24 Tarsal Coalition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249 Daniel J. Cuttica and Thomas H. Sanders 25 Achilles Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 261 Gregory C. Berlet, Roberto A. Brandão, and Bryan Van Dyke 26 Ankle Arthrodesis: Open Anterior and Arthroscopic Approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 Michael D. Dujela and Christopher F. Hyer 27 Tibiotalocalcaneal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . 291 J. George DeVries and Matthew D. Sorensen 28 Cavus Foot Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 Jeffrey E. McAlister, Mark A. Prissel, Christopher F. Hyer, Gregory C. Berlet, Terrence M. Philbin, and Patrick E. Bull 29 Surgical Treatment of Peroneal Tendon Disorders . . . . . . . . . . . 325 Terrence M. Philbin, B. Collier Watson, and Christopher F. Hyer Contents xi 30 Plantar Fasciitis and Tarsal Tunnel . . . . . . . . . . . . . . . . . . . . . . . . 337 Corey M. Fidler and Gregory C. Berlet 31 Supple Equinus, Equinovarus, and Drop Foot Surgical Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343 Roberto A. Brandão, Maria Romano McGann, and Patrick E. Bull 32 TAR Primary Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357 W. Bret Smith and P. Pete S. Deol 33 Revision Total Ankle Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . 365 Christopher W. Reb and Gregory C. Berlet 34 Surgical Management of Talar Avascular Necrosis . . . . . . . . . . . 377 Jeffrey S. Weber 35 Hindfoot and Ankle Charcot Reconstruction . . . . . . . . . . . . . . . . 391 Roberto A. Brandão, Justin Daigre, and Christopher F. Hyer 36 Ankle and Subtalar Joint Arthroscopy . . . . . . . . . . . . . . . . . . . . . 411 Ryan T. Scott and Mark A. Prissel 37 Open Treatment of Osteochondral Lesions of the Talus . . . . . . . 421 Daniel J. Cuttica and Christopher W. Reb 38 Collateral Ankle Ligament Repair . . . . . . . . . . . . . . . . . . . . . . . . 431 Ryan T. Scott, James M. Cottom, Matthew D. Sorensen, and Mark A. Prissel 39 Amputations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 447 Premjit Pete S. Deol and Robert D. Santrock 40 Grafting and Biologics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 459 Ryan T. Scott, Christopher F. Hyer, Gregory C. Berlet, Terrence M. Philbin, Patrick E. Bull, and Mark A. Prissel Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 469

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