By Alessandro Caprio M.D., Francesco Oliva M.D., Ph.D., Fabio Treia M.D. (auth.), Dr. Amol Saxena (eds.)
A entire textbook of a few of the commonest and hard to accommodate pathologies. the 1st really foreign, multidisciplinary guide of foot and ankle surgical procedure via the specialty’s leaders and so much skilled surgeons. The administration of varied stipulations within the foot and ankle can be approached via authors in several elements of the area. Authors might be invited to supply radiographs, diagrams, and intra-operative photos to demonstrate the techniques defined. present brand new traits and strategies utilizing a systematic process together with facts established instructions the place acceptable. The reader may be uncovered to a step by step method of every one technique offered. No consequence examine has been played during this quarter, and the ebook may possibly function a reference during this respect.
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Extra info for International Advances in Foot and Ankle Surgery
1992;74(1):124-129. Jones C et al. Proximal crescentic metatarsal osteotomy: the effect of saw blade orientation on ﬁrst ray elevation. Foot Ankle Int. 2005;26(2):152-157. Mann RA, Mann JA. Proximal crescent osteotomy. In: Wiesel SW, ed. Operative Techniques in Orthopaedic Surgery. Philadelphia: Lippencott Williams & Wilkins; 2011. Chow FY et al. Plate ﬁxation for crescentic metatarsal osteotomy in the treatment of hallux valgus: an eight-year followup study. Foot Ankle Int. 2008;29(1):29-33. Zettl R et al.
J Foot Surg. 1982;21(4):316-323. 35. Granberry WM, Hickey CH. Hallux valgus correction with metatarsal osteotomy: effect of a lateral distal soft tissue procedure. Foot Ankle Int. 1995;16(3):132-138. 36. Paczesny L, Kruczynski J, Adamski R. Scarf versus proximal closing wedge osteotomy in hallux valgus treatment. Arch Orthop Trauma Surg. 2009;129(10):1347-1352. 37. Trnka HJ et al. Basal closing wedge osteotomy for correction of hallux valgus and metatarsus primus varus: 10- to 22-year follow-up.
25 The dorsal and plantar sensory nerves to the hallux and the EHL tendon must be protected. The osteotomy is performed using a microsagittal saw, starting at the dorsal aspect of the proximal metatarsal, essentially at the ﬁrst TMT joint. The blade must rest on the medial and not dorsal aspect of the metatarsal. Elevating the saw a few degrees so that the blade is directed approximately 10° plantarward limits the risk of dorsiﬂexing the distal fragment. We recommend identifying the desired osteotomy exit point on the plantar cortex prior to starting the osteotomy; thereby, the osteotomy will not inadvertently be too long and extend into the metatarsal head-sesamoid complex or too short and compromise the osteotomy’s stability (Fig.