Challenges in Foot and Ankle Reconstructive Surgery

1. Front Matter

   Pages i-xii

   PDF

2. Forefoot Maladies

   1. Front Matter

      Pages 1-1

      PDF

   2. Case #1: Revision of a Scarf Osteotomy and Lapidus Procedure with Antibiotic Polymethylmethacrolate Spacer for an Infected Second Metatarsophalangeal Joint Implant

      • Harry John Visser

      Pages 3-9

   3. Case #2: Utilization of a Cancellous Titanium Wedge for a Revisional Reconstruction of a Lapidus Procedure

      • Harry John Visser

      Pages 11-14

   4. Case #3: Revision of Displaced Capital First Metatarsal Head Osteotomy with Intramedullary K-wire & Dual Locking Plates

      • Harry John Visser

      Pages 15-22

   5. Case #4: Management of First Metatarsal Head Capital Osteotomy with Secondary Avascular Necrosis Utilizing a Fresh Frozen Femoral Head Allograft for Arthrodesis

      • Harry John Visser

      Pages 23-30

   6. Case #5: Revision of a Silastic Flexible Hinged Implant Involving the First Metatarsophalangeal Joint with Arthrodesis Utilizing a Fresh Frozen Femoral Head Allograft

      • Harry John Visser

      Pages 31-35

   7. Case #6: Management of Stage 3 Hallux Limitus Deformity with Acellular Dermal Allomatrix for Resurfacing of the First Metatarsal Head

      • Harry John Visser

      Pages 37-47

   8. Case #7: Management of Brachymetapody with Multiple Metatarsal Osteotomies and Autograft

      • Harry John Visser

      Pages 49-53

   9. Case #8: Management of Severe Congenital Hallux Varus and Digital Adductus Deformity with 1st Metatarsophalangeal Arthrodesis, Metatarsal Head Resection, and Closed Digital Osteoclasis

      • Harry John Visser

      Pages 55-58

   10. Case #9: Rheumatoid and Psoriatic Forefoot Deformity: First MPJ Arthrodesis, Metatarsal Head Reduction with Hoffman Incision and Closed Digital Osteoclasis

       • Harry John Visser

       Pages 59-65

   11. Case #10: Fat Pad Augmentation with Acellular Dermal Allomatrix Involving Submetatarsal Heads 2 and 3

       • Harry John Visser

       Pages 67-69

3. The Varus Foot and Ankle

   1. Front Matter

      Pages 71-71

      PDF

   2. Case #11: Reconstruction of the Lateral Foot Column due to Loss of the Cuboid and Anterior Calcaneus Secondary to Gunshot Trauma with Hemi-Fibular Strut Graft and Reattachment of the Peroneus Brevis Tendon

      • Harry John Visser

      Pages 73-76

   3. Case #12: Loss of Peroneus Brevis Tendon Insertion Secondary to Failed Surgery of the Epimetaphyseal Styloid Process with Subsequent Development of Adductovarus Deformity

      • Harry John Visser

      Pages 77-82

   4. Case #13: Two-Staged Allograft Reconstruction of the Peroneal Tendon with Subsequent Adductovarus Foot Deformity Utilizing a Hunter Rod for Loss of Gliding Function of the Peroneal Groove

      • Harry John Visser

      Pages 83-90

   5. Case #14: One Stage Allograft for Dual Peroneal Tendon Ruptures and Subsequent Adductovarus foot Deformity

      • Harry John Visser

      Pages 91-96

   6. Case #15: Flexor Digitorum Longus Transfer to the Fifth Metatarsal for Dual Loss of Peroneal Tendon and Muscle Function and Subsequent Adductovarus Foot Deformity

      • Harry John Visser

      Pages 97-107

   7. Case #16: Supramalleolar Osteotomy for Ankle Varus Malunion Post Ankle and Subtalar Joint Arthrodesis

      • Harry John Visser

      Pages 109-116

   8. Case #17: Tendon Transfer and Balancing for Combined Upper Motor Neuron and Lower Motor Neuron Equinoadductovarus Foot and Ankle Deformity

      • Harry John Visser

      Pages 117-122

Comprised exclusively of clinical cases, this concise, practical casebook provides clinicians and surgeons with current reconstructive techniques for complicated manifestations of foot and ankle injuries as a result of trauma, neuromuscular disease and deformity. Presenting unique cases in forefoot, midfoot, rearfoot, and ankle surgery, it is sensibly divided into six sections: forefoot maladies, the varus foot and ankle, the valgus foot and ankle, Charcot neuropathy, tendinopathies, and ankle joint revision. Each section demonstrates the surgical techniques chosen in each case, supported by generous, detailed surgical and radiographic slides and diagrams. A consistent chapter format, outlining the case presentation, diagnosis, management, and pearls and pitfalls, ensures its utility and accessibility.


Pragmatic and reader-friendly, Challenges in Foot and Ankle Reconstruction Surgery: A Case-based Approach is an excellent resource for foot and ankle surgeons, podiatrists and all clinical staff treating these common yet challenging conditions.

• Achilles tendon repair
• Ankle joint revision
• Arthrodesis
• Charcot neuropathy
• Congenital brachymetapody
• Foot and ankle tendinopathy
• Lapidus revision
• Subtalar arthrosis
• Valgus foot and ankle
• Varus foot and ankle

• SSM Health Care, St. Louis, USA

  Harry J. Visser

Harry John Visser, DPM, FACFAS
Director of Residency Training 
SSM DePaul Foot and Ankle 
Reconstructive Surgery 
St. Louis, Missouri

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