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From one of the world's leading orthopaedic surgeons comes the standard-setting text/atlas on functional reconstruction of the foot and ankle. Dr. Hansen describes the most successful surgical procedures for repairing fractures, traumatic injuries, and other problems. Emphasis is on restoring normal anatomy and optimal function. The first two sections present in-depth discussions of the general principles of acute trauma, fracture, and reconstructive surgery. The third section is a comprehensive surgical atlas that visually documents in step-by-step detail specific operative techniques, including arthrodesis, osteotomy, tendon transfers, muscle-balancing techniques, capsulorrhaphy and capsulotomy, and miscellaneous techniques. More than 1,100 illustrations complement the text.
| Preface | p. xiii |
| Acknowledgments | p. xv |
| Introduction | p. xvi |
| Principles of Surgery in the Foot and Ankle | p. 1 |
| Preoperative Preparation | p. 1 |
| Surgical Consideration for Soft-Tissue Injuries | p. 2 |
| Surgical Considerations for Bony Injuries | p. 5 |
| Principles and Techniques of Tendon Transfer | p. 7 |
| Wound Closure of Incisions in the Foot | p. 8 |
| Postoperative Management | p. 9 |
| Effects of Smoking | p. 12 |
| Surgical Instruments Used in Foot Surgery | p. 13 |
| Acute Trauma and Fracture Surgery | p. 15 |
| Functional Anatomy | p. 17 |
| The Forefoot | p. 17 |
| The Midfoot | p. 22 |
| The Hindfoot | p. 26 |
| Traits Associated with Foot Dysfunction | p. 28 |
| Acute Compartmental Syndromes Affecting the Foot and Ankle | p. 33 |
| Diagnosis of Compartmental Syndromes | p. 33 |
| Foot Compartmental Syndromes | p. 34 |
| Late Decompression | p. 36 |
| Elevation Ischemia | p. 37 |
| Heel Cord Injuries | p. 39 |
| Anatomy | p. 39 |
| Diagnosing Tendon Rupture | p. 39 |
| Operative Repair | p. 40 |
| Flexor Hallucis Longus Transfer | p. 40 |
| Alternative Tendon Transfer Technique | p. 42 |
| Postoperative Rehabilitation | p. 42 |
| Acute Ankle Injuries | p. 43 |
| Ankle Sprains | p. 43 |
| Ankle Fractures | p. 45 |
| Pilon Fractures | p. 53 |
| Acute Fractures in the Foot | p. 65 |
| Talar Fractures | p. 65 |
| Calcaneal Fractures | p. 76 |
| Tarsal Navicular Fractures | p. 82 |
| Cuboid and Cuneiform Fractures | p. 89 |
| Lisfranc's Joint Fracture-Dislocations | p. 91 |
| Metatarsal Fractures | p. 96 |
| Sesamoid, Metatarsophalangeal Joint, and Phalangeal Fractures | p. 99 |
| Dislocations in the Foot | p. 105 |
| Ankle Dislocations | p. 105 |
| Talus | p. 108 |
| Subtalar Dislocations | p. 108 |
| Midfoot Dislocations | p. 108 |
| Metatarsophalangeal Joint Dislocations | p. 111 |
| Cuboid Syndrome | p. 112 |
| Reconstructive Surgery in the Foot and Ankle | p. 113 |
| Evaluation and Education of the Patient | p. 115 |
| Preliminary Evaluation | p. 115 |
| Physical Examination | p. 115 |
| Radiographic Evaluation | p. 118 |
| Expectations after Surgery | p. 120 |
| Nonunions, Malunions, and Avascular Necrosis | p. 123 |
| Distal Tibia and Ankle | p. 123 |
| Talus | p. 127 |
| Calcaneus | p. 131 |
| Tarsal Navicular Bone | p. 134 |
| Lesser Metatarsals | p. 137 |
| Phalanges | p. 143 |
| Posttraumatic and Degenerative Problems in the Joints | p. 145 |
| The Ankle | p. 145 |
| The Subtalar Joint | p. 157 |
| The Talonavicular Joint | p. 166 |
| The Naviculocuneiform Joint | p. 170 |
| The Calcaneocuboid Joint | p. 170 |
| The Tarsometatarsal Articulations (Lisfranc's Joint) | p. 174 |
| The First Metatarsophalangeal Joint | p. 178 |
| Posttraumatic and Degenerative Problems in the Muscles and Tendons | p. 187 |
| Chronic Achilles Tendinosis and Haglund's Deformity | p. 187 |
| Acute and Chronic Rupture of the Posterior Tibial Tendon | p. 188 |
| Peroneus Longus Impairment | p. 190 |
| Perongus Brevis Rupture or Longitudinal Tear | p. 191 |
| Residuals of Compartmental Syndrome | p. 191 |
| Progressive Symptomatic Flatfoot (Lateral Peritalar Subluxation) | p. 195 |
| Hindfoot Reconstruction and the Concept of Ground Reaction Force | p. 195 |
| Symptomatic Flatfoot among Adults | p. 197 |
| The Cavovarus Foot (Medial Peritalar Subluxation) | p. 209 |
| Cavovarus Clawfoot Caused by Deep Posterior Compartmental Syndrome | p. 212 |
| The Dysfunctional Forefoot | p. 215 |
| Normal Forefoot and Midfoot Function | p. 215 |
| Anatomy of the First Metatarsal | p. 216 |
| Metatarsalgia | p. 216 |
| Other Neuromuscular Conditions | p. 227 |
| Meningomyelocele | p. 227 |
| Stroke | p. 227 |
| Head Injury | p. 227 |
| Cerebral Palsy | p. 227 |
| Polio | p. 227 |
| Clubfoot Residuals in Adults | p. 228 |
| Rheumatoid Arthritis and Other Inflammatory Arthritides | p. 235 |
| Diabetic Foot Problems | p. 243 |
| Treatment of the Charcot Foot | p. 246 |
| Ulceration Under the First Metatarsal Head | p. 247 |
| Revisions of Previous Surgery | p. 257 |
| Hindfoot | p. 261 |
| Revision of Ankle Fusion | p. 266 |
| Amputation Techniques | p. 273 |
| Amputations of the Great Toe | p. 273 |
| Amputation of the Second, Third, and Fourth Toes | p. 273 |
| Amputation of the Fifth Toe | p. 274 |
| Single Ray Resection of the Second, Third, and Fourth Metatarsal | p. 274 |
| Transmetatarsal Amputation | p. 279 |
| Atlas of Standard Operative Techniques | p. 281 |
| Arthrodesis Techniques | p. 283 |
| Ankle Arthrodesis | p. 283 |
| Anterior Arthrodesis through an Anterior Incision | p. 283 |
| Arthrodesis through a Lateral Approach | p. 288 |
| Technique with Minimal Dissection | p. 291 |
| Subtalar Joint Arthrodesis in Situ | p. 293 |
| Subtalar Joint Arthrodesis with Bone Block Distraction | p. 296 |
| Triple Arthrodesis | p. 300 |
| Correction of Valgus Deformity | p. 300 |
| Correction of Varus Deformity | p. 305 |
| Double Hindfoot Arthrodesis (Fusion of the Ankle and Subtalar Joints) | p. 307 |
| Fusion of Intact Bone | p. 307 |
| Fusion after Bone Loss | p. 310 |
| Talonavicular Joint Arthrodesis | p. 312 |
| Fusion of Intact Bone | p. 312 |
| Fusion after Bone Loss | p. 314 |
| Calcaneocuboid Joint Arthrodesis | p. 315 |
| Calcaneocuboid Joint Arthrodesis with Bone Block Distraction for Correction of a Lateral Peritalar Subluxation and a Short Lateral Column | p. 318 |
| Combined Arthrodesis of the Talonavicular and Calcaneocuboid (Chopart's) Joints | p. 323 |
| Naviculocuneiform Joint Arthrodesis | p. 327 |
| Intercuneiform Joint Arthrodesis | p. 330 |
| Arthrodesis of the Tarsometatarsal (Lisfranc's Joints 1-2-3) | p. 332 |
| First Tarsometatarsal Joint Arthrodesis | p. 335 |
| Simple Correction | p. 336 |
| Correction of Fixed Metatarsus Varus | p. 339 |
| Correction of a Short First Metatarsal | p. 340 |
| Correction with Lesser Metatarsal Shortening | p. 342 |
| Arthrodesis of the First Metatarsophalangeal Joint | p. 343 |
| Fusion of Intact Bone | p. 343 |
| Fusion after Bone Loss | p. 346 |
| Arthrodesis of the First Interphalangeal Joint | p. 348 |
| Lesser Toe Proximal Interphalangeal Joint Arthrodesis and Ankylosis | p. 350 |
| Shortening and Ankylosis | p. 350 |
| Formal Fusion | p. 351 |
| Lesser Toe Distal Interphalangeal Joint Arthrodesis | p. 352 |
| Tibio-Calcaneo-Talar Neck Arthrodesis | p. 354 |
| Osteotomy Techniques | p. 357 |
| Distal Tibiofibular Osteotomy for Correction of Valgus or External Rotation at the Ankle Mortise | p. 357 |
| Distal Tibial and Fibular Osteotomy for Correction of Varus | p. 361 |
| Talar Osteotomy | p. 363 |
| Calcaneal Osteotomy for Correction of Heel Varus | p. 357 |
| Calcaneal Osteotomy for Correction of Heel Valgus | p. 370 |
| Calcaneal Osteotomy for Correction of Calcaneus Deformity or Hindfoot Cavus | p. 372 |
| Transverse Calcaneal Osteotomy for Loss of Height Secondary to Calcaneal Fracture | p. 374 |
| Calcaneal Osteotomy for Correction of Valgus Deformity Secondary to a Short Lateral Column | p. 376 |
| Calcaneal Osteotomy in Multiple Planes for Correction of Major Posttraumatic Deformity | p. 380 |
| Midtarsal Osteotomy for Correction of Forefoot Abduction and Medial Column Collapse | p. 384 |
| Midtarsal Osteotomy for Correction of Global (Midfoot) Cavus | p. 388 |
| First Metatarsal Osteotomy for Correction of Fixed First Metatarsal Cavus Deformity | p. 391 |
| First Metatarsal Osteotomy for Correction of Metatarsus Primus Varus | p. 394 |
| Osteotomy for Shortening a Lesser Metatarsal | p. 397 |
| Lesser Metatarsal Osteotomy to Elevate a Metatarsal Head | p. 400 |
| Lesser Metatarsal Osteotomy for Correction of Flexion Deformity | p. 402 |
| Lesser Metatarsal Osteotomy for Correction of Extension Deformity | p. 404 |
| Fifth Metatarsal Osteotomy for Correction of Splayfoot Deformity | p. 406 |
| Proximal Metaphyseal Closing Wedge Osteotomy | p. 406 |
| Diaphyseal Longitudinal Osteotomy | p. 407 |
| Distal Metaphyseal Chevron-type Osteotomy | p. 409 |
| First Proximal Phalangeal Osteotomy for Correction of Hallux Valgus Interphalangeus | p. 410 |
| First Proximal Phalangeal Osteotomy for Malunion Following Fracture or Akin Osteotomy | p. 412 |
| Tendon Transfers and Muscle-Balancing Techniques | p. 415 |
| Achilles Tendon Lengthening | p. 415 |
| Gastrocnemius Slide | p. 415 |
| Percutaneous Achilles Tendon Lengthening | p. 418 |
| Open Achilles Tendon Lengthening | p. 420 |
| Transfer of the Flexor Hallucis Longus to the Base of the First Proximal Phalanx | p. 422 |
| Transfer of the Flexor Hallucis Longus to the Heel Cord | p. 425 |
| Short Harvest | p. 425 |
| Long Harvest | p. 428 |
| Transfer of the Flexor Digitorum Communis to the First Cuneiform | p. 430 |
| Transfer of the Peroneus Longus to the Dorsolateral Aspect of the Midfoot | p. 433 |
| Transfer of the Peroneus Longus to the Heel Cord | p. 436 |
| Transfer of the Peroneus Brevis to the Peroneus Longus | p. 439 |
| Transfer of the Posterior Tibial Tendon to the Dorsolateral Midfoot | p. 442 |
| Combination Transfer of the Anterior Tibialis and the Flexor Digitorum Communis to Support the Medial Column | p. 448 |
| Transfer of the Extensor Digitorum Communis to the Midfoot | p. 451 |
| Transfer of the Extensor Hallucis Longus to the Base of the First Metatarsal | p. 453 |
| Proximal Transfer of the Flexor Digitorum Communis: An Intrinsicplasty for Clawtoe or Intrinsic-minus Deformity (Girdlestone Procedure) | p. 455 |
| Transfer of the Flexor Longus to the Dorsal Hood | p. 455 |
| Flexor Transfer for Correction of a Long Toe or Ankylosis of the Toe in Flexion | p. 457 |
| Correction of Severe Clawing with Sublaxation or Dislocation of the Metatarsophalangeal Joint | p. 459 |
| Transfer of Flexor Hallucis Longus to the Peroneus Brevis | p. 462 |
| Capsulorrhaphy and Capsulotomy Techniques | p. 467 |
| Capsulorrhaphy of the First Metatarsophalangeal Joint for Correction of Hallux Valgus | p. 467 |
| Capsulotomy for Correction of Chronic Dorsal Dislocation in the Lesser Toes | p. 470 |
| Capsulotomy and Distal Condylar Resection of the Proximal Phalanx for Correction of Flexion Ankylosis and Shortening a Lesser Toe | p. 475 |
| Miscellaneous Techniques | p. 477 |
| Partial Proximal Plantar Fasciectomy | p. 477 |
| Excision of Contracted Deep Posterior Compartment Musculature for Residual Equinocavovarus Deformity Secondary to Deep Posterior Compartmental Syndrome | p. 479 |
| The Silastic Sinus Tarsi Implant | p. 482 |
| Shear-Strain-Relieved Bone Graft | p. 487 |
| Harvest of a Tricortical (Structural) Bone Graft from the Posterior Iliac Crest | p. 487 |
| Harvest of Cancellous Bone from the Proximal Tibia | p. 490 |
| Harvest of Block Graft from the Dorsal Calcaneus | p. 492 |
| The Fibular Door and the Fibular Window | p. 494 |
| The Fibular Door | p. 494 |
| The Fibular Window | p. 496 |
| Ankle Dislocation Approach of Shelton | p. 498 |
| Total Ankle Arthroplasty | p. 500 |
| Repair of Distal Tibiofibular Syndesmosis | p. 507 |
| Treatment of Subtalar Joint Instability with Chronic Inversion Sprains | p. 509 |
| Correction of Haglund's Deformity | p. 511 |
| Subject Index | p. 513 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
ISBN: 9780397517527
ISBN-10: 0397517521
Audience:
Professional
Format:
Hardcover
Language:
English
Number Of Pages: 544
Published: 1st April 2000
Dimensions (cm): 28.0 x 21.6
x 2.9
Weight (kg): 1.816
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