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A critic of this book is shown in the 48th number, volume 1, January-February 2004 of the orthopedics and traumatology journal. An official body of the spanish society of traumatology and orthopedic surgery.

This book, which defines surgical techniques in the foot and its indications with a perfect anatomical base, is probably one of the best treatises existing today regarding Orthopedic Surgery and Traumatology. As a whole, it represents all the available knowledge in a specific area of foot pathology and explains percutaneous techniques for most common surgical problems of the foot in daily practice: hallux valgus or rigidus, metatarsalgia of mechanical origin, claw toes, Morton syndrome, plantar fasciitis, calcaneal spur, tailor’s bunion and several common problems of the posterior tarsus.

 

The work is edited at a particularly appropriate time in which the experience of the authors’ years is already a reality, with a great deal of proven casuistry and numerous introductory and advanced courses taught in the last five years.

 

While there is still controversy regarding the suitability and validity of percutaneous foot surgery as a solid alternative (which leads to a confrontation with classical open surgery), the orientation offered by this book is verifiable by all those who share the day to day of the consultation and the operating theater activity of the authors.

 

The title proposal, starting with the techniques, exposes the current situation of the best existing procedures, already contrasted, and does it in an integral and step by step way so that any previously initiated specialist can prepare and place the patient in an appropriate way, anesthetize it and follow the technique correctly.

 

The schemes, macroscopic photos and radiographs are exceptional and perfectly combined, to be explicit in a very didactic way. The anatomical images, with the classic excellence of everything that the Golanó School does in our field, are especially good, perfect to sustain the base of the rest.

 

Behind the indications, the criteria that are set out can be considered as the first line in terms of the objective that surgical gestures should pursue and the type of correction that is appropriate for each case, clearly indicating that there are other ways to achieve the same therapeutic goals, other techniques for open or percutaneous surgery that may be equally suitable; the ones in the book are those usually handled by authors with results already widely disclosed with proven effectiveness.

 

Once the criteria for solving specific problems have been established, the techniques follow a logical sequence and are explained by showing each step in detail, with perfect images that guide the reader step by step in the execution of the different techniques, including the postoperative bandage technique that is a capital point in the set of procedures, to maintain the corrections obtained.

 

It is also very useful (and it is done with the same didactic style), the explanation of the patient’s position, preparation and choice of instrumental details for each technique. Perhaps, as a matter of fact, it may seem too easy and the reader does not at first realize that there is a need for a general training in foot surgery and it may not be easy to avoid problems if one goes out of the way marked in each technique.

 

In brief, this treatise is a round, impeccable work, about surgical techniques supported by a good criterion of indication and an optimal anatomical base, without any “but”, which will mark a milestone in the field of Orthopedic Surgery literature and we consider it essential for all surgeon who is dedicated to the pathology of the foot.

Villas Tomé, Carlos
Orthopedic Surgery and Traumatology Department.
Pamplona University Clinic. Navarre. Spain.

Source: Elsevier website