Fusion: When and How
CHAPTER PREVIEW CHAPTER SYNOPSIS: The goal of this chapter is to discuss the indications, techniques, and outcomes for great toe metatarsophalangeal fusions. The importance of optimal position for fusion is…
Midfoot Arthritis: Nonoperative Treatment and Arthrodesis
CHAPTER PREVIEW CHAPTER SYNOPSIS: Osteoarthritis of the midfoot may be treated initially with nonoperative measures, which include nonsteroidal anti-inflammatory medication, a custom-molded insert, and a rocker bottom–soled shoe. If this…
Treatment of Stage 2 Posterior Tibial Tendon Dysfunction
CHAPTER PREVIEW CHAPTER SYNOPSIS: The adult acquired flatfoot describes a clinical condition characterized by a tight heel cord, medial column breakdown, and hindfoot valgus. Posterior tibial tendon failure results from…
Hallux Rigidus Etiology
CHAPTER PREVIEW CHAPTER SYNOPSIS: An arthritic disorder of the first metatarsophalangeal joint associated with osteophytes, possible due to cumulative trauma and chronic joint changes. There is limited joint motion and…
Hallux Rigidus: Conservative Treatment
CHAPTER PREVIEW CHAPTER SYNOPSIS: Limited great toe motion, primarily loss of dorsiflextion, and painful motion are the hallmark. Radiographs may show loose bodies dorsally, a condition that generally does not…
Cheilectomy and Phalangeal Osteotomy
CHAPTER PREVIEW CHAPTER SYNOPSIS: Mild and moderate forms of hallux rigidus can be successfully treated with first metatarsophalangeal joint decompression. The surgical procedure is relatively simple consisting of resection of…
Treatment of the Stage 4 Flatfoot
CHAPTER PREVIEW CHAPTER SYNOPSIS: Long-standing arch collapse can lead to valgus tilting of the talus in the mortise, with deltoid ligament attenuation and degenerative arthritis of the ankle. Pain is…
Tendon Transfers for Acquired Posterior Tibial Tendon Deficiency
CHAPTER PREVIEW CHAPTER SYNOPSIS: Tendon transfers about the foot and ankle aim to restore muscular balance within a maloriented foot with the ensuing functional disorders. A deficient tibial posterior tendon…
Adult Acquired Flatfoot: Nonoperative Treatment
CHAPTER PREVIEW CHAPTER SYNOPSIS: Adult acquired flatfoot deformity (AAFD) is characterized by flattening of the longitudinal arch, increased forefoot abduction, and hindfoot valgus. Patients experience pain and a decline in…
Subtalar Fusion
CHAPTER PREVIEW CHAPTER SYNOPSIS: The chapter starts out with the history of the isolated subtalar fusion and the evolution to its today’s presentation accompanied by general and biomechanical considerations. Indications…
