Minimally Invasive Foot and Ankle Surgery: A Percutaneous Approach

 

Written by leading global experts in this rapidly growing field, Minimally Invasive Foot and Ankle Surgery: A Percutaneous Approach, edited by Ettore Vulcano, MD, A. Holly Johnson, MD, and Oliver N. Schipper, MD, covers all aspects of minimally invasive surgery (MIS) for today’s foot and ankle surgeons. In one highly illustrated, easy-to-follow reference, this cutting-edge text provides practical guidance on the recent advances in technology and techniques that allow for keyhole incisions, lower risk of infection, less pain, and shorter postoperative recovery times. The authors’ years of experience as pioneers of modern MIS foot and ankle surgery in North America ensure that this new reference will become your go-to resource for improved outcomes and fewer complications using today’s best keyhole surgery techniques.

 

Table of Contents:

 

Part 1: Forefoot

Section 1: Hallux Valgus

1 Chevron-Akin

Introduction

Clinical Assessment

Radiographs

Patient Selection

Bilateral Surgery

Operative Technique

Theatre Setup

Osteotomy Creation

Initial Guidewire Insertion

Osteotomy Displacement and Screw Insertion

Recontouring of Medial Border of Metatarsal

Distal Soft-Tissue Release

Akin Osteotomy

Closure

Postoperative Management

Outcomes

Complications

Technique Tips

References

2 Surgical Technique for Percutaneous Transverse Distal First Metatarsal Osteotomy and Akin Bunionectomy

Introduction

Preoperative Planning

Indications

Preparation and Patient Positioning

Surgical Technique

Distal First Metatarsal Osteotomy

Akin Osteotomy

Postoperative Care

Complications

References

3 Basal Closing Wedge Osteotomy

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

Pearls and Pitfalls

Postoperative Management

Outcomes

References

4 Percutaneous Scarf

Introduction

Main Characteristics of the Percutaneous Scarf

Indications and Contraindications

Preoperative Planning and Preparation

Materials

Surgical Approach

Surgical Technique

Step 1: Incision and Creation of the Working Space

Step 2: Distal Apex

Direction of the Distal Apex

Step 3: Distal Transverse Cut

Step 4: Longitudinal Cut

Step 5: Proximal Transverse Cut

Step 6: Lateral Displacement

Step 7: Restoring DMAA and Metatarsal Head Rotation

Step 8: Osteosynthesis of the Osteotomy and Medial Eminence Removal

Medial Eminence Removal

Step 9: Lateral Release

Step 10: Akin Osteotomy

Pearls and Pitfalls

Postoperative Management

Outcomes

Conclusion

Acknowledgments

References

5 Lapidus

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

Lateral Release

Medial Eminence Resection

First TMT Fusion

Postoperative Management

Outcomes

Conclusion

References

Section 2: Hallux Rigidus

6 Minimally Invasive Dorsal Cheilectomy and Moberg Osteotomy for Hallux Rigidus

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

MIS Dorsal Cheilectomy of First MTPJ

Arthroscopic Assistance

Minimally Invasive Moberg Osteotomy (Dorsal Closing Wedge of Proximal Phalanx)

Postoperative Management

Outcomes

Clinical Outcomes

Complications

References

7 Minimally Invasive First Metatarsophalangeal Fusion

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

Postoperative Management

Outcomes

References

Section 3: Metatarsalgia

8 Distal Minimally Invasive Metatarsal Osteotomy

Introduction

Principles

Indications and Contraindications

Indications

Contraindications

Preoperative Planning and Preparation

Surgical Technique

Postoperative Management

Outcomes

Evolutions

Conclusion

References

9 Bunionette

Introduction

Pathogenesis

Clinical Presentation

Imaging Studies

Treatment

Percutaneous Osteotomy

Indications

Surgical Technique

Condylectomy

Osteotomy

Varus of the Fifth Toe

Postoperative Management

Outcomes

References

10 Freiberg Disease

Introduction

Pathogenesis

Patient History and Physical Examination

Laboratory Studies

Classification

Imaging Studies

Radiographs

Nuclear Bone Scans and MRI

Preoperative Planning and Preparation

Approach

Medical Treatment

Surgical Treatment

Surgical Technique

Planning

Dorsiflexion Osteotomy

Exostectomy

Distal Metatarsal Osteotomy

Postoperative Management

Outcomes

Case 1

Case 2

References

11 Percutaneous Distal Metatarsal Osteotomy for Morton Neuroma

Introduction

Surgical Treatments

Distal Metatarsal Osteotomy

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Room Setup

Surgical Technique

Pearls and Pitfalls

Postoperative Management

Outcomes

References

12 Lesser Toes Deformities

Introduction

Physiopathology

Classification of Lesser Toes Deformities

Indications and Contraindications

Patient History and Physical Examination

Analysis of the Functional Impact of the Deformation

Pulp Pressure Quality

Reducibility

Metatarsophalangeal Instability

Imaging Studies

Standard Radiograph

Ultrasound

MRI

Preoperative Planning and Preparation

Surgical Technique

What Surgery Apart From Treating the Cause?

Nonpercutaneous Techniques

Metatarsal Osteotomy

Which Techniques for Which Deformities?

Deformity in the Sagittal Plane

Deformity in the Horizontal Plane

Postoperative Management

Take Home Messages

References

Part 2 Midfoot

13 Tarsometatarsal Fusion

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

Postoperative Management

Outcomes

References

14 Charcot Foot

Introduction

Background

Indications and Contraindications

Patient History and Physical Examination

Patient History

Physical Examination

Imaging Studies

Perioperative Planning and Preparation

Preoperative Prophylaxis

Anesthesia

Surgical Technique

Setup

Procedure

Postoperative Managment

Complications

Single-Stage Versus Two-Stage Procedure

Outcomes

References

Part 3 Midfoot/Hindfoot

15 Medializing Osteotomy

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Preoperative Planning and Preparation

Surgical Technique

Pitfalls

Postoperative Management

Outcomes

References

16 Percutaneous Dwyer and Lateral Displacement Calcaneal Osteotomy

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Radiographs

MRI

CT

Surgical Technique

Postoperative Management

Outcomes

References

17 Percutaneous Zadek Osteotomy to Treat Insertional Achilles Tendinopathy

Insertional Achilles Tendinopathy

Risk Factors for Achilles Tendinopathy

Treatment Options for Insertional Achilles Tendinopathy

Operative Management

Indications and Contraindications

Preoperative Planning and Preparation

Room Setup

Surgical Technique

Pearls and Pitfalls

Postoperative Management

Outcomes

Conclusion

References

18 Percutaneous Haglund Resection

Introduction

Indications

Patient History and Physical Examination

Imaging Studies

Surgical Technique

Pearls and Pitfalls

References

19 Arthroscopic and Percutaneous Triple Arthrodesis

Introduction

Indications and Contraindications

Indications

Contraindications

Equipment

Positioning and Operating Room Organization

Portal Placement

Subtalar Joint

Calcaneocuboid Joint

Talonavicular Joint

Subtalar Débridement

Talonavicular Joint

Calcaneocuboid Joint

Screw Fixation

Subtalar Joint

Talonavicular Joint

Calcaneocuboid Joint Fixation

Bone Graft Substitute

Postoperative Management

Cases

Outcomes

References

20 Triple Arthrodesis: A Fully Percutaneous Approach

Preparation

Room Setup

Surgical Technique

Subtalar Joint Approach

Calcaneocuboid Joint Approach

Talonavicular Joint Approach

Bone Grafting and Fixation

Pearls and Pitfalls

Postoperative Management

21 Minimally Invasive Percutaneous Dorsal Cheilectomy with Hallux Metatarsophalangeal Joint Arthroscopy

Introduction and Background

Indications

Contraindications

Patient History and Physical Examination

Imaging Studies

Preparation and Patient Positioning

Surgical Technique

Postoperative Care

Complications and Management

Outcomes

References

22 Percutaneous Ankle Arthrodesis

Introduction

Indications and Contraindications

Patient History and Physical Examination

Imaging Studies

Surgical Preparation

Room Setup

Surgical Technique

Pearls and Pitfalls

Postoperative Management

Outcomes

References

Index

 

An aparitie	3 Oct. 2023
Autor	Dr. Ettore Vulcano MD, A. Holland Johnson MD, Oliver Schipper
Editura	LWW
Format	Hardcover
ISBN	9781975198701
Limba	Engleza
Nr pag	224
Versiune digitala	DA