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Special Procedures in Foot and Ankle Surgery PDF

355 Pages·2013·17.044 MB·English
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Special Procedures in Foot and Ankle Surgery Amol Saxena Editor Special Procedures in Foot and Ankle Surgery Editor Dr. Amol Saxena, D.P.M. Department of Sports Medicine Palo Alto Foundation Medical Group-Palo Alto Division Palo Alto, CA USA ISBN 978-1-4471-4102-0 ISBN 978-1-4471-4103-7 (eBook) DOI 10.1007/978-1-4471-4103-7 Springer London Heidelberg New York Dordrecht Library of Congress Control Number: 2012943941 © Springer-Verlag London 2013 Whilst we have made considerable efforts to contact all holders of copyright material contained in this book, we may have failed to locate some of them. Should holders wish to contact the Publisher, we will be happy to come to some arrangement with them. 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. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. 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. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Foreword As a colleague and friend of Amol Saxena, I feel honoured to write the foreword to International Advances in Foot and Ankle Surgery . During my 20 years of experience, I found the specialty of foot and ankle surgery growing unexpectedly. This was due to international collaboration between podiat- ric, orthopaedic, and trauma surgeons from around the globe. As a German trauma surgeon I had little to no exposure to reconstructive foot andankle surgery at the time I was trained; the fi rst hallux valgus repair I performed was with Dr. Brian Holcomb, a podiatric surgeon in Georgia. Years later this led to the formation of the German-based foundation, the Association for Foot Surgery. Among others, this foundation created a global platform for all disciplines to train together and shares ideas and experiences concerning foot pathologies. Amol Saxena was one of the invited speakers to the scientifi c conference in Munich, where he shared all his experience with the surgeons. As a speaker at many international conferences he took it upon himself to gather international contributing authors for this book. All the authors have extraordinary personal experience with the procedures they describe. While this book does not exclude scientifi c background, it emphasizes a practi- cal, hands-on approach. To meet the demand of all foot and ankle surgeons, the book encompasses forefoot and rearfoot deformities as well as trauma and recon- structive surgery of the diabetic foot. With that in mind I strongly recommend this book for all foot and ankle surgeons of any subspecialty from any nation as this book will shortly be recognized as the state of the art. Bad Schwartau, Germany Kai Olms v Preface It is with great pleasure and gratitude that I am able to edit I nternational Advances of Foot and Ankle Surgery . The idea for this book came about through my contact and subsequent friendships with two well-known and innovative foot and ankle sur- geons – Nicola Maffulli, M.D., Ph.D., and Kai Olms, M.D. – as we discussed the need to share international thought leaders’ concepts. As the world progressed into a global economy and the Internet helped connect people of similar interests in the early twenty-fi rst century, I began communicating, writing, and lecturing with these two individuals across the globe. Through these two individuals with their zeal for traveling, teaching, and learning (but not necessarily in that order!), professional friendships and further contacts developed, ideas were shared, and many of the authors of this book became connected. The globalization of foot and ankle surgery may not be readily apparent; how- ever in this book there are many examples. Recently I personally experienced this as I performed a “Stainsby” procedure on a patient whose second toe was severely dislocated despite metatarsal osteotomy, hammertoe, and soft tissue lengthening. In the past I may have performed an isolated partial metatarsal head resection. However, I was able to relocate the toe, preventing a possible transfer lesion with the Stainsby, which I learned from German authors of chapters in this text, which they in turn “imported” from the British surgeon it is named after. The Italian surgeon Valente Valenti performed a resectional arthroplasty for hallux rigidus in the mid-1970s. His procedure was “imported” to the United States in the mid-1980s and subsequently “exported” back to Germany early in the twenty-fi rst century. Many older procedures have been re-popularized with regional modifi cations such as the Hohmann osteotomy fi rst described in Germany in the early 1900s. In the United States, the procedure was performed on the fi rst and fi fth metatarsal with no fi xation as a minimally invasive technique during the 1970s. Subsequently with the increased utilization of AO fi xation from Europe, the desire to have more stabil- ity, and predictable healing time, the Hohmann procedure was adapted with inclu- sion of screw fi xation. As the Europeans (particularly the Latin-based speaking countries of Italy, France, and Spain) increased their desire to have smaller inci- sions, this osteotomy has been increasingly utilized using percutaneous fi xation. vii viii Preface Other examples are Ilizarov fi xation from Russia, arthroscopy from Japan, and the Weil osteotomy from the United States being adopted by other parts of the world. This often came about by motivated surgeons visiting other surgeons with similar interests and the desire to better serve their patients. I believe all the authors in this text share this commonality as our patients drive us to learn and excel, and I am grateful for the opportunity to pull this select group together. I am cognizant that many authors created chapters on topics that could be entire texts in their own right. Furthermore, the need to publish in a foreign language provides additional stress, along with combining different writing styles in chapters where similar topics were “blended” together. This adds to this text’s uniqueness. Everyone’s life journey, including their career, is a story formed by happenstance and instances of luck, misfortune, and guidance. As a young and often injured run- ner I found myself in the offi ces of two early forefathers of sports medicine, Fred Behling, M.D., and Gordon Campbell, M.D., in my hometown of Palo Alto, California. It was through their encouragement and possibly lack of interest in foot surgery, that I pursued podiatry as a profession, as they desired a partner profi cient in treating the sports medicine aspects of the foot and ankle. They professed and practiced subspecialization as a way of achieving excellence in patient care. I sub- sequently joined their practice in 1993 just as they were retiring from the Palo Alto Medical Clinic’s Sports Medicine Department, where I currently have three ortho- pedic sports medicine and one pediatric sports medicine colleagues. All four are among the most productive in their respective fi elds in the United States, covering professional and high school sports teams, writing chapters, and having high-vol- ume practices. With the support of our department, combined with my other podiat- ric colleagues within our clinic, I have been able to offer a fellowship for post-residency training in sports medicine and foot and ankle surgery. These fellows have been able to further share in exchanges with some of the international authors of this book and I have hosted colleagues from other countries as well. As I stated, luck has a part in one’s journey and subsequently their training. I am extremely fortunate to have had the training from not only one of the most versatile foot and ankle surgeons but great teacher and human being in John Grady, D.P.M. There are other highly respected authors I’ve met through contacts that are mentors writing here as well. I was also fortunate to be able to connect and shadow with another legend and thought leader in the foot and ankle world, Sigvard T. Hansen, M.D., early on, whose philosophy on foot and ankle surgeons paralleled mine in life, in that everyone is equal until proved otherwise. It is also exciting to have many of the current and future bright minds of the orthopedic, podiatric, and trauma worlds of foot and ankle surgery all contributing in the name of advancing foot and ankle surgery. Finally, I am indebted to my family, teachers, and friends for being supportive of not only this project but how my career developed. I am richer for all their positive encouragement, able to be fulfi lled professionally, but also personally. I am sure I could not have completed this and other accomplishments without them. CA, USA Amol Saxena Contents 1 The Lapidus Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Eliza Addis-Thomas, David S. Caminear, and Amol Saxena 2 Revision Hallux Valgus Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 David S. Caminear, Eliza Addis-Thomas, Adam William Brynizcka, and Amol Saxena 3 Insertional and Midsubstance Achilles Tendinopathy. . . . . . . . . . . 37 Amol Saxena, Umile Giuseppe Longo, Vincenzo Denaro, and Nicola Maffulli 4 Peroneal Tendinopathy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Francesco Oliva, Amol Saxena, Nicholas Antonio Ferran, and Nicola Maffulli 5 Osteochondral Lesions of the Talus . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Amol Saxena 6 Acquired Adult Flatfoot Deformity . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Joseph S. Park and Lew C. Schon 7 Cavus Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Sig T. Hansen Jr. 8 Endoscopic Gastrocnemius Recession . . . . . . . . . . . . . . . . . . . . . . . . 139 Lawrence A. DiDomenico, Thomas W. Groner, Jeffrey A. Szczepanski, and Amol Saxena 9 Intramedullary Nail Fixation for Tibiotalocalcaneal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153 Lawrence A. DiDomenico and Thomas W. Groner 10 Pedal Amputations in Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173 Nicholas J. Bevilacqua, Lee C. Rogers, and David G. Armstrong ix

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