Table Of ContentSpecial 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
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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
