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Part I. Forefoot Maladies -- Revision of Lapidus, antibiotic spacer 2nd MTPJ -- Revision of Lapidus, interposition biofoam wedge, CC arthodiastatic via TN fusion -- Revision of Lapidus with interpositional fresh femoral head allograft and akin, gastroc recession -- Revision of trauma after Austin bunionectomy, locking plates x2 applied -- Revision of bunionectomy with 1st MT head resection, interpositional fresh femoral head allograft/bone marrow aspirate, locking bridge plate -- Removal of Laporta implant, allomatrix in canals, interposition 1st MTPJ -- Congenital brachymetapody -- Part II. Varus Foot and Ankle -- Cuboid reconstructed with fibula, reattachment -- STJ arthrodesis, arthrodesis of 5th MT shaft to 4th MT base -- Talectomy via transfibular approach, locking plate -- TA tendon tranfer to lateral cuneiform -- AVN of talus secondary to Charcot. Talectomy via transfibular approach, interposition of allograft in reamed tibial and calcaneal sites, application of internal bone stimulator -- Talar AVN. Transfibular approach, resection of tibia and calcaneus, back filling with bone chips. Rigid construct to allow for back filling of gap -- Intrinsic talar tilt in varus. Evans, PB tenodesis, lateral ankle stabilization, deltoid peel, tibialis posterior intratendinous lengthening -- Part III. Valgus Foot and Ankle -- Mueller-Weiss disease reconstruction -- Revision of flatfoot recon. Removal of subtalar screws, revision of STJ arthrodesis. Repeat gastroc recession, derotation osteotomy of TN malunion, removal non-union allograft medial cuneiform arthrodesis of 1st TMT -- Revision of failed triple arthrodesis. Re-alignment of ankle by resection of medial malleolus, femoral head allograft, lateral stabilization plate -- Severe fibular-calcaneal impingement secondary to valgus rearfoot position. Performed talectomy, tibiocalcaneal arthrodesis with IM nail, arthrodesis of 1st MTPJ and hammertoe repair -- Semi-rigid flatfoot in 15 yo M. Treated with sub-capital talar head wedge, Z-plasty tendo achilles lengthening, Koutsigiannis osteotomy -- PT tear. Baumann gastroc recession, double calcaneal osteotomy, Koutsigiannis calc osteotomy, PB to PL transmer inframalleolar, Evans, spring ligament repair, FDL transfer -- Subtalar arthrosis with valgus deformity. Repaired by revision of STJ via Achilles tendon split tendon approach to expose posterior facet. Joint backfilled with BMA and DBM and cancellous chips with 2 parallel fully threaded screws -- Part IV. Charcot Neuropathy -- Biplane transpedal wedge, gastroc recession, posterior calcaneal osteotomy -- Beaming screws to medial and lateral columns, locking plate medially -- Schon type II/III treated with triple arthrodesis with beams, medial column naviculectomy with grafting using beaming technique, protected with Ex-fix -- Bimalleolar fracture. ORIF 5 weeks post injury. Multiple tetrasystesmotic screw fixation, percutaneous screw fixation of medial malleolus -- Ankle fx with IM nail, no joint preparation -- Part V. Tendinopathies -- Hunter rod peroneal reconstruction -- Dwyer osteotomy, excision of peroneal tendons, insertion of peroneal tendon allograft -- Lateral calcaneal osteotomy, FDL transfer to PB stump -- D.P -- Infection secondary to graft jacket. Treated by open Z-plasty and FHL tendon transfer -- Revision of Achilles tendon repair. Treated by resection of Achilles and transfer FHL an FDL -- Repair of insertion of TA tendon -- Part VI. Ankle Joint Revisions -- Tibial calcaneal arthrodesis with IM nail -- Removal of ankle implant, ankle arthrodesis with interpositional bone graft -- Revision of INBONE TAR. 50% talar surface replaced with iliac crest bone graft strut. |