Shah - Handbook of foot and ankle orthopedics

Handbook of Foot and Ankle Orthopedics

Rajiv Shah, MS (Ortho),

Managing Director,

Sunshine Global Hospitals, Gujarat, India;

National Chairman,

Indo-US Foot and Ankle Courses, India;

Former President,

Indian Foot and Ankle Society, India

Thieme

Delhi Stuttgart New York Rio de Janeiro

Publishing Director: Dr. Sonu Singh

Development Editor: Dr. Gurvinder Kaur

Head, Editorial Services: Rachna Sinha

Assistant Manager - Editorial Production: Kumar Kunal

Sales and Marketing Director: Arun Kumar Majji

Chief Executive Officer: Ajit Kohli

Copyright 2016 Thieme Medical and Scientific

Publishers Private Limited

Thieme Medical and Scientific Publishers Private Limited.

A - 12, Second Floor, Sector - 2, Noida - 201 301, Uttar Pradesh, India, +911204556600

Email:

www.thieme.in

Cover design: Thieme Publishing Group

Page make-up by Cerebrum Cross Media Services

Printed in India by Gopsons Papers Limited

5 4 3 2 1

Handbook of Foot and Ankle Orthopedics

ISBN 978-93-85062-23-0

eISBN 978-93-85062-28-5

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of applications stated in the book. Every user is requested to examine carefully the manufacturers leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every form of application used is entirely at the users own risk and responsibility. The authors and publishers request every user to report to the publishers any discrepancies or inaccuracies noticed. If errors in this work are found after publication, errata will be posted at www.thieme.com on the product description page.

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

This book is dedicated to my dearest wife Dr Bina Shah

whose love, support and tolerance nurtured this book!

Rajiv Shah

Education is the most powerful weapon which you can use to change the world.

Nelson Mandela

India is in the midst of one of the most rapidly changing environments in health care history. With almost 1.3 billion people today and expected to exceed Chinas population shortly, India spent almost US $78 billion in health care in 2012 and this is projected to exceed US $280 billion by 2020. Diabetes is one of the most rapidly rising disease conditions in India, growing at a rate of almost 8% of the population. But because of poor access to primary care physicians and data collection, it is estimated that the rate of diabetes in the country may grow to almost 30%. India also has one of the fastest-growing segments of people aged over 65 years and with degenerative arthritis. And due to very high motor vehicle accident rates and industrial accidents, posttraumatic deformities approach epidemic rates here.

These are formidable times for an orthopedic surgeon in India.

This brilliant handbook written by Dr Rajiv Shah, MS, helps make sense of an overwhelming environment. Rather than running away from the most difficult diabetic foot condition or the worst of a traumatic deformity, the lone orthopedic surgeon can now analyze almost every common foot and ankle condition with logic and reason. With this handbook, the surgeon will get help in identifying common conditions, avoiding frequent mistakes, and imparting a degree of confidence to their patients as they grow within the field of specialized foot and ankle surgery.

The need for this knowledge is pressing. Treated accurately, diabetes and infection can result in limb salvage instead of amputation. Complex deformity can be treated with precise osteotomies if they are recognized in the correct plane and the patient will be returned to an active lifestyle.

As the surgeons interest in foot and ankle grows, this elegant handbook even guides the reader to building their own specialized practice. Impressively, the book has almost a full years fellowship within its covers!

As the world of orthopedic surgery changes in developing countries, this handbook will be a valuable guide for all surgeons to learn the art and science of foot and ankle surgery.

Thomas H. Lee, MD,

Vice President,

American Orthopedic Foot and Ankle Society,

United States

Dr Rajiv Shah has established himself as an eminent foot and ankle surgeon and a respected educator in the field. He has the expertise to analyze and explain foot and ankle surgery in a precise, simple-to-follow and easy-to-remember way.

This handbook is a must-have, quick reference resource for trainees and practicing orthopedic surgeons who are evaluating patients with foot and ankle problems. Dr Shah has consolidated all essential facts about foot and ankle management in this to help orthopedicians evaluate and care for the patients better.

Selene G. Parekh, MD, MBA,

Partner, North Carolina Orthopaedic Clinic,

North Carolina, United States;

Associate Professor,

Department of Orthopaedic Surgery;

and Adjunct Faculty,

Fuqua Business School,

Duke University, North Carolina, United States

Nine years ago, when I specialized to become the first foot and ankle surgeon of India, I realized that there is a lack of availability of foot and ankle literature as well as expert guidance in the field in our country. I had to heavily rely on Western literature and experts for my guidance and training. What makes practicing foot and ankle orthopedics in developing countries more challenging is the large number of untreated or poorly treated cases, quite a few of whom suffer utter neglect even at the hands of medical practitioners.