Drs. George B. Holmes, Jr. and Simon Lee have designed this unique reference which offers expert advice, preferences, and opinions on tough clinical questions commonly associated with the foot and ankle. The unique Q&A format provides quick access to current information related to the foot and ankle with the simplicity of a conversation between two colleagues. Numerous images, diagrams, and references allow readers to browse large amounts of information in an expedited fashion.
Curbside Consultation of the Foot and Ankle: 49 Clinical Questions provides information basic enough for residents while also incorporating expert advice that even high-volume clinicians will appreciate. Practicing orthopedic surgeons, orthopedic residents, foot and ankle specialists, and medical students will benefit from the user-friendly, casual format and the expert advice contained within.
Some of the questions that are answered:
• When do you do an allograft or autograft talar transplantation graft for a failed osteochondral talar lesion?
• How do you treat an athlete with chronic lateral foot overload and peroneal tendonitis with a cavovarus foot?
• How do you fix your syndesmotic injuries? Can I use tight-ropes now?
• I have a 63 year old patient who had an ankle fracture 20 years ago. They are ready for a major procedure now. Should I perform an ankle arthrodesis or should I refer her out to someone for a total ankle arthroplasty? What are your criteria for a total ankle arthroplasty?
• Do I need to use bone graft in foot and ankle surgery, autologous or allograft? What graft should I use?
About the Author(s)
George B. Holmes, Jr, MD graduated from Yale College in New Haven, Connecticut and earned his medical degree from Yale University School of Medicine. He completed his orthopedic residency at the Harvard Combined Orthopaedic Residency. This was followed by a sports medicine fellowship with Lyle Micheli, MD at the Children’s Hospital Boston in Massachusetts and a foot and ankle fellowship with Roger A. Mann, MD in Oakland, California.
Dr. Holmes is currently Director of the Section of Foot & Ankle Surgery at Rush University Medical Center, Chicago, Illinois. He is also an editor for Foot & Ankle International and has hosted visiting fellows from Brazil and Poland. Past nonacademic activities include serving as an orthopedic consultant for the Joffrey Ballet, the Philadelphia Dance Company, the Boston Marathon, the Chicago Bulls, and the Sacramento Kings. He has authored numerous peer-reviewed and nonpeer-reviewed articles; regional, national and international podium presentations; and book chapters.
Simon Lee, MD is an assistant professor in Orthopaedic Surgery at Rush University Medical College. He is a graduate of Rush Medical College, completing his orthopedic surgery residency at the University of Illinois, Chicago. He completed his Foot and Ankle Surgery Fellowship in Charlotte, North Carolina at the Miller Clinic and Carolina’s Medical Center.
Dr. Lee is active in the continued education of orthopedic residents at Rush Medical Center in foot and ankle surgery. He is active and serves as a committee member for the American Orthopedic Foot and Ankle Society (AOFAS). Dr. Lee has served on the faculty of numerous courses on surgery of the foot and ankle through the AAOS and AOFAS. Additionally, he is a reviewer for the Foot and Ankle International (FAI) journal. Locally, Dr. Lee serves as the foot and ankle consultant for numerous Chicago metro area high schools, colleges, semi-professional and professional dance companies, and the Chicago White Sox and Chicago Bulls.
Table of Contents
Hallux Metatarsophalangeal Pain and a Radiolucent Line on Her
and Clawing of Her Lesser Toes. What Do I Do?
Do I Perform a Plantar or Dorsal Surgical Approach?
Bunion. Will This Eventually Need Surgery?
Severe Bunion Who Cannot Find Shoes for the Michigan Winters?
Antifungal Medication for Onychomycosis?
Rigidus Should Receive a Cheilectomy, Arthrodesis, or Arthroplasty?
Branch of the Lateral Plantar Nerve (Baxter’s Nerve)?
Talonavicular Joint. What Am I Doing Wrong?
Magnetic Resonance Imaging Finding of Medial Malleolar Edema
Consistent With a Medial Malleolar Stress Fracture?
Graft for a Failed Osteochondral Talar Lesion?
Do a Turn-Down or V-Y Lengthening for My Achilles Tendon Gap?
Changes Involving the Achilles Tendon?
Ago and Is Ready for a Major Procedure Now. Should I Perform an
Ankle Arthrodesis or Should I Refer Her to Someone for a Total
Ankle Arthroplasty? What Are Your Criteria for a Total Ankle
How Would You Treat This?
Os Trigonum and Fluid Around Her Flexor Hallucis Longus Tendon
Sheath Seen on Magnetic Resonance Imaging?
Navicular Stress Fracture?
for a Fifth Metatarsal Stress Fracture Now Has New Pain With a
Positive Triple Phase Bone Scan. Now How Do I Treat This Patient?
Resonance Imaging Evidence of Tibial Diaphyseal Edema Not Resolved
After 3 Months of Protected Weight Bearing?
to Continue to Compete?
Cut-Off for a Primary Repair and How Do You Treat Them if Greater
Peroneal Tendonitis With a Cavovarus Foot?
You Evaluate Them Appropriately?
Displaced or Ligamentous Lisfranc Injury?
for Surgical Decompression?
I Treat It?
in Your Patients With Osteoporosis?
Patients With Diabetes?
Should I Use—Autologous or Allograft?