Advances in the understanding, treatment, and outcome of conditions affecting the foot and ankle parallel changes in all areas of orthopedic surgery. There is currently in our profession a greater emphasis on the importance of clinical outcomes in the treatment of ankle and foot arthritis. The specialty literature on arthroplasty in the foot and ankle is beginning to report high levels of evidence in the comparison of surgical treatments for ankle and foot arthritis. The recent advances in medical management of rheumatic conditions have led to a notable decline in the number of ankle and forefoot surgeries in that group of patients, while the survival of those badly injured in motor vehicle accidents has led to an increase in the demand for surgery in cases of post-traumatic deformity and arthritis. The added demands of an aging population that has accumulated damage to ankles from sport and work injuries adds to the potential number of patients who stand to benefit from joint replacement surgery.
In the future, biologic solutions using tissue regeneration for what is now treated with metal and/or plastic implants may be the required reading in a text such as this one. Arthroscopically assisted procedures may have a larger role in the future of arthroplasty or joint reconstruction than is currently utilized.
This volume is part of a group of works that attempt to educate and update the orthopedic community in current practice for evaluation, surgical treatment, and expected outcome in the foot and ankle. The editors have selected surgeons with a wide range of perspectives and experience to give an objective assessment of the conditions and challenges of foot and ankle joint reconstruction. The authors give their personal, experience-based input into evaluation and treatment, also providing substantial background in the relevant orthopedic literature.
It is our intent that this book will serve as a modern reference for the general orthopedist as well as the foot and ankle expert. The knowledge presented here is a current guide to improving patient outcomes and stimulates thinking that will lead to further advances in the surgical care of joint problems in the foot and ankle. We thank the authors for their time and effort as well as the publishing support personnel who created this text. This is truly a team effort that will be a valuable addition to the orthopedic foot and ankle surgeon's toolbox.
Key Features
- Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing options and component materials, disease specific options, the management and avoidance of complications, salvage and revision TAA strategies, and more.
- Discusses variations in technique, including component removal, impaction grafting, conversion to fusion-options, arthrodesis with realignment, and more so you can choose which is most effective for each patient.
- Explores alternatives to TAA in younger arthritic patients such as arthroscopy, osteotomies, allograft resurfacing, distraction arthroplasty, interpostional grafts and arthrodesis.
- Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic.
- Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room.
- Features procedural videos---narrated by experts---on the included DVD so you can see how to perform particular techniques.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Videos: View video clips illustrating a variety of conditions.
Contents
Part I - Ankle Arthritis: Preoperative Considerations
- Chapter 1 - Evaluation of the Arthritic Ankle and Foot
- Chapter 2 - Ankle Arthritis Etiology and Prevention
- Chapter 3 - Nonoperative Management of Ankle Arthritis
- Chapter 4 - Functional Assessment of Patients with Ankle Arthritis
Part II - The “Young” Arthritic Ankle: Treatment Options
- Chapter 5 - Ankle Arthroscopy
- Chapter 6 - Tibial Osteotomy for Ankle Arthritis
- Chapter 7 - Allograft Resurfacing of the Tibiotalar Joint
- Chapter 8 - Distraction Arthroplasty for the Treatment of Ankle Arthritis
- Chapter 9 - The “Young” Arthritic Ankle: Treatment Options in Arthrodesis
Part III - Primary Ankle Replacement
- Chapter 10 - Primary Ankle Replacement
Part IV - The Challenging Primary Total Ankle Arthroplasty
- Chapter 11 - Use of Total Ankle Arthroplasty in the Varus or Valgus Ankle
- Chapter 12 - Associated Angulatory (Tibia and Fibula) Deformities
- Chapter 13 - The Challenging Total Ankle Arthroplasty: Management of Associated Foot Pathology
Part V - Complications of Total Ankle Arthroplasty: Avoidance and Treatment
- Chapter I4 - Recurrent Varus Following Total Ankle Arthroplasty
- Chapter 15 - Recurrent Valgus Following Total Ankle Arthroplasty
- Chapter 16 - Syndesmosis Fusion in the Agility Total Ankle Arthroplasty
- Chapter 17 - Periprosthetic Fractures: Intraoperative and Postoperative
Part VI - Infection in Total Ankle Arthroplasty
- Chapter 18 - Infection Following Total Ankle Arthroplasty
Part VII - Revision Total Ankle Arthroplasty
- Chapter 19 - Diagnosis and Classification of Bone Defects: The Effect on Total Ankle Arthroplasty
- Chapter 20 - Recognition and Salvage of the Failed Ankle Replacement Arthroplasty
- Chapter 21 - Longevity of Modern Ankle Replacement Arthroplasty: Survivorship and Mechanisms of Failure
- Chapter 22 - Revision of Total Ankle Replacement
- Chapter 23 - Conversion of a Failed Total Ankle Replacement to an Ankle Fusion: Indications and Technique
Part VIII - Subtalar Arthritis
- Chapter 24 - Nonoperative Treatment
- Chapter 25 - Arthroscopy of the Subtalar Joint
- Chapter 26 - Subtalar Fusion
- Chapter 27 - Arthrodesis with Realignment
Part IX - Acquired Flatfoot
- Chapter 28 - Adult Acquired Flatfoot: Nonoperative Treatment
- Chapter 29 - Tendon Transfers for Acquired Posterior Tibial Tendon Deficiency
- Chapter 30 - Treatment of Stage 2 Posterior Tibial Tendon Dysfunction
- Chapter 31 - Treatment of the Stage 4 Flatfoot
Part X - Tarsometatarsal Arthritis
- Chapter 32 - Midfoot Arthritis: Nonoperative Treatment and Arthrodesis
Part XI - Great Toe (Metatarsophalangeal Joint) Arthritis
- Chapter 33 - Hallux Rigidus Etiology
- Chapter 34 - Hallux Rigidus: Conservative Treatment
Part XII - Surgical Treatment
- Chapter 35 - Cheilectomy and Phalangeal Osteotomy
- Chapter 36 - Interpositional Grafting
- Chapter 37 - Fusion: When and How
- Chapter 38 - Replacement: Unipolar Options and Rationale
- Chapter 39 - Replacement: Bipolar Options and Rationale
Part XIII - Failed Great Toe Arthroplasty
- Chapter 40 - Surgical Management of Failed Great Toe Arthroplasty
About the Authors
- J. Chris Coetzee, MD, Foot and Ankle Surgeon, Twin Cities Orthopedics, Adjunct Associate Professor, University of Minnesota, Minneapolis, Minnesota.
- Shepard R. Hurwitz, MD, Professor of Orthopaedics, University of North Carolina, Executive Director, American Board of Orthopaedic Surgery, Chapel Hill, North Carolina.
Book Review
"Both the series and volume editors are well recognized for their interest and competency in joint reconstructive surgery. Their energy and organizational skills are evident in this compendium.
From my standpoint, this initiative certainly does fill a niche that, in spite of the numerous efforts from various perspectives, addresses an area of need in the orthopedic spectrum of knowledge. The specific attractive features include the standardized format within a given volume that is carried throughout each of the volumes. The fact that the chapters are organized to allow a quick review of the content is readily identified as keeping with the “sound bytes” learning style of the orthopedic surgeons of today. This is best recognized in the sections dealing with the pearls and pitfalls. Thus, these texts provide an interesting blend of abbreviated insights supported by detail and substance. The orthopedist's passion and need for visual validation of our thinking and understanding is captured in the video sections that are laced throughout this series. The figures are clear; the references are comprehensive but not exhaustive. Thus, one easily recognizes the effort to make this a user-friendly, comprehensive, up-to-date, technique-oriented source of truth for the busy orthopedic surgeon.
The aggressive goal and vision of the editors has been very well realized in these volumes. It is highly likely that some of these volumes, if not the entire series, will be considered a must for the busy orthopedic surgeon dealing with the arthritic joint."
-- B.F. Morrey, MD
Product Details
- Hardcover: 360 pages
- Publisher: Saunders; Har/DVD/Ps edition (September 23, 2009)
- Language: English
- ISBN-10: 141604972X
- ISBN-13: 978-1416049722
- Product Dimensions: 11.1 x 8.7 x 0.9 inches
List Price: $250.00