Controversies in Acute Trauma and Reconstruction, An issue of Foot and Ankle Clinics of North America

1st Edition, Volume 25-4 - November 5, 2020
Editors: Jorge Filippi, German Joannas
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 5 4 2 - 7
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 5 4 3 - 4

This issue of Foot and Ankle Clinics, guest-edited by Drs. Jorge Filippi and German Joannas, will discuss Controversies in Acute Trauma and Reconstruction. This issue is one of… Read more

Controversies in Acute Trauma and Reconstruction, An issue of Foot and Ankle Clinics of North America

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This issue of Foot and Ankle Clinics, guest-edited by Drs. Jorge Filippi and German Joannas, will discuss Controversies in Acute Trauma and Reconstruction. This issue is one of four selected each year by long-time series Consulting Editor, Dr. Mark Myerson. Topics in this issue will include: Induced Membrane technique (Masquelet) for Bone Defects in the Distal Tibia; New principles in pilon fracture management; High energy pilon fractures; Strategies to avoid syndesmosis malreduction in ankle fractures; Complex Ankle Fractures; Acute deltoid ligament repair in ankle fractures; Chronic syndesmotic injuries: arthrodesis vs reconstruction; Talar neck fractures; Sinus tarsi approach for calcaneal fractures; Fixation by ORIF or primary arthrodesis of calcaneus fractures; How to identify unstable Lisfranc injuries; Subtle Lisfranc injuries; Primary arthrodesis for high energy Lisfranc injuries; and Jones fracture in the non-athletic population.

Cover image
Title page
Table of Contents
Copyright
Contributors
Editorial Advisory Board
Forthcoming Issues
Preface
New Principles in Pilon Fracture Management: Revisiting Rüedi and Allgöwer Concepts
Key points
Introduction
Classification
Treatment concepts
Recovery of the fibular length
Reconstruction of the articular surface
Bone graft supply at the metaphyseal region
Stabilization of the tibial fracture with a medial plate
Summary
Clinics care points
High-Energy Pilon Fractures: Role of External Fixation in Acute and Definitive Treatment. What are the Indications and Technique for Primary Ankle Arthrodesis?
Key points
Introduction
Acute external fixation as part of staged management
External fixation for definitive treatment
External fixation with limited internal fixation for definitive treatment
Circular external fixation for definitive treatment of pilon fractures
Frame essentials for primary management of pilon fractures with circular external fixation
The authors’ indications for consideration of small wire fixation as definitive treatment
Primary arthrodesis for acute pilon fractures
Circular external fixation for primary arthrodesis for acute pilon fractures
Frame essentials for primary management of pilon fractures with primary arthrodesis
Summary
Clinics care points
Induced Membrane Technique (Masquelet) for Bone Defects in the Distal Tibia, Foot, and Ankle: Systematic Review, Case Presentations, Tips, and Techniques
Key points
Approach
Debridement
Cement application
Second-stage fixation
Respect for soft tissues
Containment
Postoperative regime
Justification
Introduction
Indications for the induced membrane technique
Principles
Initial assessment
Technique
First stage
Second stage: at 6 to 8 weeks
Results: systematic review
Discussion
Summary
Clinics care points
Complex Ankle Fractures: Practical Approach for Surgical Treatment
Key points
Introduction
Planning
Surgical technique
Summary
Clinics care points
Acute Deltoid Ligament Repair in Ankle Fractures
Key points
Introduction
Historical perspective
Relevant anatomy and biomechanics
Does the deltoid ligament need to be repaired?
Intraoperative evaluation
Authors’ rationale and method of treatment
Summary
Clinics care points
Strategies to Avoid Syndesmosis Malreduction in Ankle Fractures
Key points
Introduction
Mechanism and biomechanics of syndesmotic injury
Outcomes after syndesmotic injury and fixation
Prevalence of and risk factors for malreduction
Achieving syndesmotic reduction
Evaluating the reduction: intraoperative imaging
Choice of implant
Clinics care points
Chronic Syndesmotic Injuries: Arthrodesis versus Reconstruction
Key points
Introduction
Pathoanatomy of chronic syndesmotic injury
Clinical assessment
Imaging studies
Treatment of chronic syndesmotic injury
Summary
Clinics care points
Talar Neck Fractures: Single or Double Approach?
Key points
Introduction
Anatomic considerations
Surgical techniques and current evidence
Summary
Clinics care points
Sinus Tarsi Approach for Calcaneal Fractures: The New Gold Standard?
Key points
Introduction
Extensile lateral approach
Less invasive approaches
Sinus tarsi approach
Sinus tarsi approach versus extensile lateral approach
Stabilization alternatives
Sinus tarsi approach for intra-articular calcaneus fracture
Complications
Summary
Clinics care points
Fixation by Open Reduction and Internal Fixation or Primary Arthrodesis of Calcaneus Fractures: Indications and Technique
Key points
Introduction
Discussion
Clinics care points
How to Identify Unstable Lisfranc Injuries? Review of Diagnostic Strategies and Algorithm Proposal
Key points
Introduction
Relevant anatomy and biomechanics
Diagnostic studies
The authors’ recommendation and algorithm
Summary
Clinics care points
Subtle Lisfranc Injuries: Fix It, Fuse It, or Bridge It?
Key points
Introduction
Conservative treatment
Surgical treatment
Summary
Clinics Care Points
Primary Arthrodesis for High-Energy Lisfranc Injuries
Key points
Introduction
When should I choose a primary arthrodesis procedure for high-energy Lisfranc injuries?
Cost effectiveness of primary arthrodesis and open reduction internal fixation
High-energy Lisfranc injuries
Surgical approaches for primary arthrodesis
Summary
Clinics care points
Jones Fracture in the Nonathletic Population
Key points
Introduction
Anatomy
Epidemiology and risk factors
What is a Jones fracture?
What are the indications for operative treatment of zone 1 tuberosity fractures?
What is the evidence for optimal treatment of acute zone 2 fractures?
Is there any role for nonoperative treatment of zone 3 proximal diaphyseal stress fractures?
When performing axial screw fixation, what type of screw should be used?
When are bone grafting or bone marrow aspirate concentrate injection recommended?
Summary and future directions
Clinics care points