Surgery of the Foot and Ankle e-dition: Text with Continually Updated Online Reference / Edition 8

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The reference of choice in foot and ankle surgery has been thoroughly updated to reflect the latest developments in the field. Under the expert editorial guidance of Drs. Coughlin and Mann, this multimedia resource covers general considerations, the forefoot, neurologic disorders, arthritic conditions, postural disorders, miscellaneous disorders, sports medicine, pediatric, and trauma. A free DVD with 59 video clips of key procedures provides a fellowship-style experience that you can explore at home or at his office desktop. This new edition reflects major advances in ankle reconstruction, management of foot disorders in the diabetic patient, and nerve problems in the foot. The multimedia edition includes the 2-volume set as well as access to the fully searchable, complete contents online.
  • Uses extensive full-color illustrations to make anatomic and surgical principles crystal-clear.
  • Presents both conservative and surgical treatments with a clinically focused approach.
  • Details the precise methods for carrying out the preferred surgical approach.
  • Discusses the biomechanics of the foot and ankle as well as principles of examination, imaging, conservative treatment, and peripheral anesthesia.
  • Presents a fresh perspective with a new co-editor and 40% new contributors.
  • Includes a DVD with video clips for a true "hands-on" experience.
  • Provides the entire fully searchable contents online.
  • Reflects major advances in ankle reconstruction, management of foot disorders in the diabetic patient, and nerve problems in the foot.

Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.

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Editorial Reviews

From the Publisher

"This text retains its position as the preeminent work on the foot and outstanding reference work, setting a new standard for long-running orthopedic textbooks." — JBJS

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Product Details

  • ISBN-13: 9780323040297
  • Publisher: Elsevier Health Sciences
  • Publication date: 12/11/2006
  • Edition description: REV
  • Edition number: 8
  • Pages: 1511
  • Product dimensions: 10.00 (w) x 12.00 (h) x 5.50 (d)

Meet the Author

Private Practice of Orthopaedic Surgery; Clinical Professor, Department of Orthopaedics and Rehabilitation, Oregon Health Sciences University, Portland, OR

Director of Foot Fellowship Program, Oakland CA; Associate Clinical Professor, Department of Orthopaedic Surgery, University of California at San Francisco School of Medicine, San Francisco, CA

Professor, Departments of Orthopaedic Surgery and Biomedical Engineering, University of Iowa College of Medicine, Iowa City, IA

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Table of Contents


Biomechanics of the Foot and Ankle -- Roger A. Mann, Andrew Haskell

Principles of Examination of the Foot and Ankle -- Roger A. Mann, W. Hodges Davis

Imaging of the Foot and Ankle -- Carroll P. Jones

Conservative Treatment of the Foot and Ankle -- Keith L. Wapner

Peripheral Anesthesia -- Greg A. Horton


Hallux Valgus -- Roger A. Mann, Michael J. Coughlin

Lesser toe deformities -- Michael J. Coughlin

Keratotic Disorders of the Foot - Roger A. Mann , Jeffrey A. Mann

Bunionettes -- Michael J. Coughlin

Sesamoids and Accessory Bones of the Foot -- Michael J. Coughlin


Adult Nerve Disorders -- Lew C. Schon


Heel Pain -- Thomas H. Lee

Soft Tissue and Bone Tumors -- Arthur K. Walling

Toenail Abnormalities -- Michael J. Coughlin, James D’Orio

Workers Compensation and Liability Issues -- Gregory P. Guyton


Arthritides -- Michael J. Coughlin, Paul J. Shurnas

Arthrtis of the Ankle -- Charles L. Saltzman

Pes Planus and Arthrodeses of the Hindfoot (combine adult and children flat feet) -- Steven L. Haddad
Pes Cavus, Gregory P. Guyton

Tendon Abnormalities -- Lew C. Schon, Michael J. Coughlin


The Diabetic Foot -- James W. Brodsky, Shay Shabat

Amputations of the Foot and Ankle -- James W. Brodsky, Shay Shabat

Prostheses of the Foot and Ankle -- Gary M. Berke


Athletic Injuries to the Soft Tissues of the Foot and Ankle -- Thomas O. Clanton, William Mc Garvey

Stress Fractures of the Foot and Ankle -- Bruce E. Cohen, Robert B. Anderson

Foot and Ankle Injuries in Dancers -- William G. Hamilton

Arthroscopy of the Foot and Ankle -- Richard D. Ferkel


Congenital Foot Deformities -- James H. Beaty

Congenital and Acquired Neurologic Deformities -- Robert Dehne


Dermatology of the Foot and Lower Extremity -- Douglas W. Kress

Soft Tissue Disorders of the Foot -- Walter J. Pedowitz, David Pedowitz

Soft Tissue Trauma of the Lower Extremity -- L. Scott Levin, James A Nunley

Infections of the Foot and Ankle -- Michael J. Coughlin, J. Speight Grimes


Fractures and Fracture-dislocations of the ankle -- Roy Sanders, Art Walling

Fractures and Fracture-dislocations of the Calcaneus -- Roy Sanders

Fractures and Fracture-dislocations of the Talus -- Roy Sanders

Dislocations of the Foot -- Carlo Bellabarba, Roy Sanders

Fractures of the Midfoot and Forefoot -- Roy Sanders

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Fifty years ago, Henri L. DuVries, MD, of Chicago, Illinois, commenced work on the first edition of Surgery of the Foot, which was eventually published in 1959. This text contained his personal views regarding the diagnosis and treatment of foot and ankle disorders. The book was significant because it was written by a physician who had obtained his initial training as a podiatrist and then subsequently became a doctor of medicine. His 30 years of experience in treating disorders, deformities, and injuries of the foot were presented in this work, which became a classic reference text in the treatment of common foot disorders. In 1965, Dr. DuVries expanded the book to include several contributors, including Verne T. Inman, MD (Chairman of the Department of Orthopaedic Surgery at the University of California, San Francisco), and Roger A. Mann, MD, a senior resident in orthopaedics. Eight years later, in 1973, Dr. Inman succeeded Dr. DuVries as the editor of the third edition of Surgery of the Foot. Again the text was expanded, this time to include the ankle joint as well as an in-depth analysis of the biomechanics of the foot and ankle. Five years later, in 1978, Dr. Mann edited the fourth edition. Having been a resident under Dr. Inman and having served a fellowship under Dr. DuVries, Dr. Mann provided a means of blending the special interests of these two unique individuals-the basic biomechanical interests of Dr. Inman and the wealth of clinical knowledge of Dr. DuVries. In 1986, Dr. Mann updated and published an expanded fifth edition.

As Dr. Mann's first foot and ankle fellow in 1978, I had the opportunity to be exposed to both his philosophy of patient care and the creativity with which he addressed the evaluation and treatment of his patients. His meticulous surgical technique and comprehensive postoperative program were coupled with an introspective method of assessing the results of specific procedures in order to delineate the preferred treatment regimen. Dr. Mann's 40 years in private practice, stimulated by more than 50 foot and ankle fellows, have complemented my interaction with him. In 1999, I initiated my own fellowship program and have learned a great deal from the 10 fellows that I have trained. I have frequently reviewed the surgical procedures used in my everyday practice, with the common goal of defining the strengths of individual procedures as well as their weaknesses. For the 28 years that I have been in private practice in Boise, Idaho, I believe that the principles initially espoused by Drs. Inman and DuVries and expanded on by Dr. Mann have given me a unique perspective. In 1993, Dr. Mann and I collaborated on the sixth edition, which was expanded to a comprehensive two-volume text. In 1999, this was revised by us as the seventh edition.

This is a living text and has continued to evolve from the initial work of Henri L. DuVries. Much of our orthopaedic careers have been involved with this text-Dr. Mann has contributed to or edited all but one of the editions, and I have contributed to or edited half of the editions. However, change and growth are important! So in this current edition of Surgery of the Foot and Ankle, 17 authors continue to contribute, but 29 new authors have been added. Most important, Charles L. Saltzman, MD, a fellow of Kenneth A. Johnson, MD, joins Dr. Mann and me as an editor of this text. Dr. Saltzman brings a wealth of basic science and clinical knowledge to this association. Just as Dr. DuVries complimented his text by adding Dr. Inman, we feel strongly that Dr. Saltzman's addition will make this a stronger and more well-rounded work. The eighth edition is also enhanced by the work of many of our excellent fellows and colleagues from around the nation who have made substantial sacrifices to contribute to this textbook. These contributing authors are at the forefront of their specific area of foot and ankle surgery. Each contributing author has covered a specific topic in a comprehensive fashion, which we believe will leave the reader with a clear, concise appreciation of that subject. While this book is not meant to be encyclopedic in nature, our goal has always been to provide the reader with a method of evaluating and treating a particular problem.

A dramatic change occurs with this edition with the addition of color photographs and illustrations which, we believe, will markedly improve the didactic experience of reading this text. This new edition has been divided into 10 sections that have been subdivided into individual chapters. Specific surgical techniques within the chapters are described and illustrated in detail to afford the reader an understanding of the indications for each procedure as well as insight into the performance of a specific surgical technique. Although many different treatment regimens are presented, our goal is to recommend a specific treatment plan for each pathologic entity. Furthermore, some topics are presented in more than one section, enabling the reader to appreciate the varying points of view presented by individual contributors. In specific chapters dealing with clinical problems written by either Dr. Mann or myself, the treatment protocol we present is a result of our continued collaboration and evaluation of specific techniques. Assisted by both our former fellows and our colleagues, we continue to carefully reassess the clinical results of major surgical procedures about the foot and ankle. These results have been included in this updated eighth edition. Our patients are frequently recalled and carefully evaluated, and new radiographs are obtained as we continue to assess specific procedures and make necessary technical changes when appropriate. Likewise, new procedures have been developed since our last edition, and we have assessed them as well to determine whether they warrant inclusion in this text. Thus, it is our goal to provide the reader with an accurate assessment of both the attributes and the deficiencies of specific orthopaedic foot and ankle procedures, new and old. In this current edition, we present our most current, up-to-date thinking regarding the diagnosis, treatment, and specific surgical care of foot and ankle problems.

In Part I, General Considerations, the biomechanics, examination, and conservative treatment of foot and ankle problems are addressed. In large part, the initial principles advocated by both Dr. DuVries and Dr. Inman and presented in their initial work are included in this portion of the text. Anesthetic techniques are covered in detail and have been updated to include sciatic and femoral blocks. Imaging of the foot and ankle, an integral part of the evaluation process for foot and ankle disorders, has been updated and includes in-depth coverage of magnetic resonance imaging, computed tomography, and bone scanning. It also includes algorithms to assist the clinician in choosing appropriate imaging techniques. In Part II, Forefoot, an extensive analysis of deformities of the great toe along with complications associated with individual hallux valgus procedures has been completely revised to make the reader aware of primary surgical techniques as well as salvage techniques following postsurgical complications. The chapter on juvenile hallux valgus has been incorporated into the hallux valgus chapter to provide a comprehensive section on the treatment of this complex problem. The chapter on lesser toes has been completely rewritten and updated because of the vast number of advances made in this area during the past decade. In particular, the treatment of complex forefoot deformities, including subluxation and dislocation of the lesser metatarsophalangeal joints, has been revised because of rapidly evolving techniques. The chapter on sesamoids and accessory bones has been updated as well. The chapter on keratotic disorders and intractable plantar keratosis has been separated from the bunionette section in order to provide a more clear understanding of the differential diagnosis and the appropriate conservative and surgical treatments for these difficult problems. Part III, Nerve Disorders, has been completely rewritten and covers both acquired and static neurologic disorders, including entrapment and impingement syndromes of both the young and the skeletally mature patient. In Part IV, Miscellaneous, the chapters on heel pain, soft tissue and bone tumors, and toenail abnormalities have been rewritten and updated. A new chapter on workers' compensation and liability issues has been added to complement the surgical treatment of the working patient contained in other sections of this textbook. Part V, Arthritis, Postural Disorders, and Tendon Disorders, has been completely revamped, updating our current knowledge and treatment of systemic inflammatory arthritis, traumatic arthritis, and osteoarthritis. A separate chapter on arthritis of the ankle has been added by Dr. Saltzman, and another chapter on deformity correction and distraction arthroplasty compliments this section. Extensive revisions of the chapters on pes planus and pes cavus are included. The chapter on arthrodesis of the foot has been updated, reflecting the results of surgical techniques and our personal indepth review of these procedures. The chapter on tendon abnormalities has been extensively rewritten to reflect significant technical advances in this area. A separate section on diabetes (Part VI, Diabetes) is now included. The three chapters on diabetes, amputations, and prostheses of the foot and ankle have been completely updated. Part VII, Sports Medicine, includes a comprehensive chapter on athletic soft tissue injuries as well as specific chapters regarding stress fractures of the foot and ankle and foot and ankle injuries in dancers. The chapter on foot and ankle arthroscopy has been revised and updated in color to familiarize the reader with this exciting and evolving area of orthopaedic technology. Pediatrics is covered in Part VIII, and Soft Tissue Disorders of the Foot and Ankle are discussed in Part IX. A new chapter on soft tissue trauma to the foot and ankle has been added. Part X, Trauma, has been expanded and extensively rewritten under the direction of Roy Sanders, with new chapters on fracture-dislocations of the ankle and updates of the remaining chapters.

In 1990, Dr. Mann and I published the Video Textbook of Foot and Ankle Surgery, the second volume of which appeared in 1995. This enabled foot and ankle surgeons to view a surgical procedure while simultaneously reading about the operative technique. Encouraged by the success of this endeavor, we proposed that we incorporate a markedly edited version of the original videos into an accompanying DVD. This eighth edition thus incorporates for the very first time both written and video versions of surgical procedures. We believe that this will be a valuable addition. As Roger Mann stated in the preface of the fifth edition, "As medicine continues to progress, the information of this textbook will again need to be upgraded. The principles presented, however, are basic in their approach and will not change significantly over the years." We believe that the eighth edition of Surgery of the Foot and Ankle will strongly enhance this dynamic and exciting field of orthopaedics and will complement the learning experience of both the resident and fellow-in-training as well as the practicing surgeon.

Michael J. Coughlin, MD

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