Challenges in Foot and Ankle Reconstructive Surgery: A Case-based Approach

Description

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. 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