Surgical Techniques in Orthopaedics: Hallux Valgus

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Table of Contents

Surgical Techniques in Orthopaedics: Hallux Valgus
• John T. Campbell, MD - Editor
Introduction
John T. Campbell, MD Distal Soft Tissue Correction
Mark E. Easley, MD and Paul S. Shurnas, MD
• Medical Editor Introduction
• Dorsal First Web Space Incision
• Adductor Tendon Release
• Capsular Release
• Medial Exposure
• Medial Eminence Resection

Proximal Phalangeal Closing Wedge Osteotomy (Akin)
Kevin C. Owsley, MD and Judith F. Baumhauer, MD
• Medical Editor Introduction
• Patient Presentation
• Chevron and Akin Osteotomies
• Fixation, Closure and Postoperative Protocol
• Postoperative Radiographs
Chevron Osteotomy
Lew C. Schon, MD
• Medical Editor Introduction
• Patient Presentation
• Preparation for the Chevron Osteotomy
• Chevron Osteotomy: Using a Jig
• Chevron Osteotomy: Freehand
• Fixation and Final Resection
• Capsulorrhaphy
• Pitfalls
• Closure and Postoperative Protocol
• Bandaging
• Postoperative Radiographs

Proximal Crescentic Metatarsal Osteotomy
Gregory P. Guyton, MD
• Medical Editor Introduction
• Patient Presentation
• Soft Tissue Release
• Medial Capsular Release and Eminence Resection
• Crescentic Osteotomy
• Closure and Postoperative Radiographs

Proximal Oblique First Metatarsal Osteotomy (Ludloff)
Steven B. Weinfeld, MD
• Medical Editor Introduction
• Patient Presentation
• Soft Tissue Release
• Ludloff Osteotomy
•Closure and Postoperative Rehabilitation Complications
Proximal First Metatarsal Medial Opening Wedge Osteotomy
Mark E. Easley, MD and Paul S. Shurnas, MD
• Medical Editor Introduction
• Proximal Exposure
• Osteotomy Placement and Alignment
• Opening Wedge Osteotomy
• Plate Positioning and Fixation
• Bone Grafting and Closure

First TMT Arthrodesis (Lapidus)
Brian C. Toolan, MD
• Medical Editor Introduction
• Preoperative Evaluation and Indications
• Patient Positioning
• Incision and Exposure
• Medial Cuneiform Osteotomy
• Medial Capsulotomy
• Fixation
Bone Grafting and Closure
Postoperative Radiographs and Evaluation

First Metatarsophalangeal Arthrodesis
Enyi Okereke, PharmD, MD
• Medical Editor Introduction
• Patient Presentation and Preparation
• Incision and Exposure
• Resection
• Joint Preparation
• Fixation and Closure
• Bandaging

First Metatarsophalangeal Resection Arthroplasty (Keller)
G. Andrew Murphy, MD
• Medical Editor Introduction
• Patient Presentation
• Incision and Exposure
• Proximal Phalangeal Osteotomy/Resection
• Fixation
• Closure and Postoperative Radiographs

Pearls and Pitfalls
John T. Campbell, MD and John J. Keeling, MD
• Nerve Anatomy
• Dorsal Incision: Superficial Peroneal Nerve
• Dorsal Incision: Deep Peroneal Nerve
• Dorsal Web Space Incision: Deep Peroneal Nerve
• Medial Incision: Dorsal and Plantar Nerve Branches
• Soft Tissue Correction/Bunionectomy
• Distally-Based L-Shaped Capsulotomy
• Medial Eminence Resection
• Capsular Closure: Excess Tissue Resection
• Capsular Closure: Inadequate Tissue
• Additional Fixation Techniques
• Chevron Osteotomy
• Proximal Phalangeal Closing Wedge Osteotomy (Akin)
• First TMT Arthrodesis
• Ludloff Osteotomy
• First MTP Arthrodesis
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