MAPFRE Magazine critic, vol 20, nº3

The well-known book by Drs de Prado, Ripoll and Golanó, “Percutaneous Foot Surgery”, has been published and updated in English, a publication that has marked a before and after in the concept of treatment of injuries and, above all, deformities of the forefoot. As Nicola Maffulli points out in the introduction, minimally invasive surgery is not entirely new but was ordered in the work of Mariano de Prado and collaborators in its first edition in Spanish, which unfortunately was inaccessible for many surgeons of other languages.


The years, the experience and above all the evaluation and satisfaction of the patients, have allowed to prepare this edition in English (completed with very careful didactic schemes and photographs of an extraordinary quality) that will achieve international diffusion. No one doubts that Mariano de Prado is a reference in percutaneous foot surgery and it is well known the courage he had to be surprised with what he discovered of American chiropody surgery.


But what is reflected in this manual, essential for any foot surgeon, is that the authors have also managed to establish precise indications, the right technique with anatomical reasoning, and has broken the dichotomy between open surgery and percutaneous surgery, as Ramón Viladot well acknowledges in the prologue. It is not posible to continue talking about two styles or schools in foot surgery, the important thing is to establish the correct indication, with the most appropriate technique and that is best mastered.


Every surgical technique has its history and many times behind the best known names appear others that many years before had been pioneers. Bibliographic searches show that almost always there was a previously unsuspected. In the case of percutaneous foot surgery, there were many surgeons and podiatrists who dared to operate the deformities of the fingers with small incisions and specially designed instruments.


However, if we want to establish a starting point for the story that now concerns us, we will not be wrong to remember Dr de Prado’s meeting with Stephen Isham, who had designed his percutaneous technique for hallux valgus, based on biomechanical principles, with some very careful, precise and reasoned surgical steps. In Murcia, doctors De Prado and Ripoll, began to intervene the first patients following the technique of Isham. Finally, the Spanish edition and the publication of this book that we are now presenting are the confirmation of the silent work carried out over many years.


Spain has had a valuable tradition of foot surgeons. It could be pointed out a long list of them. Mariano de Prado, as the head of the group that publishes the book, has known how to walk with these techniques that now so wonderfully describes and well documentes, through a path of initial incomprehension he has been able to dismantle thanks to his experience, to the didactic training courses model he has designed and the two published manuals.


In this journey, carried with dedication, enthusiasm and an exquisite education, these doctors have known how to convince and discuss without losing any friendship, finding a space for percutaneous foot surgery that every orthopedic surgeon should know.

Source: Mapfre Magazine
Vol 20 nº 3 July / September 2009