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In orthopaedic surgery, the study of the foot has a special place. Familiarity with the congenital and acquired problems of in flammation and arthrosis must be blended with an understand ing of the mechanics of support and propulsion before a sure choice of effective treatment can be made. There is involvement of bones, joints, tendons, ligaments, soft tissues and integument, none of which can be treated in isolation. Superficial appraisal can lead to the cardinal error of facile diagnosis, and ignorance of the physiology of the organ and of the differences of expert opinion with respect to pathogenesis and basic therapeutic con cepts invites inevitably poor management. In this book, I have attempted to interpret pathology, clinical presentation and treatment in the light of practical experience. I do not presume to be original, for many distinguished authors on the subject already. Lelievre (1952), Viladot et have written al. '1956), de Doncker and Kowalski (1970) and many others, preceded by Hohmann (1951), Morton (1935), Hauser (1950) and Boehler (1944), have all contributed significantly to our ba sic knowledge and opened the way to understanding. The philosopher Alain wrote succinctly: "When it is fully com prehended that there is no knowledge without experience and that one cannot conceive an idea unless there already exists a thought, no more need be said".
Table des matières
I Functional Structure, Diagnosis and Cutaneous Infections.- 1 Functional Structure of the Foot.- 2 Diagnosis of Disorders of the Foot.- 3 Painful Syndromes of the Foot and Other Parts.- 4 Mycoses.- II Functional and Structural Disorders of the Forefoot.- 5 Painful Syndromes of the Forefoot.- 6 The Flat Triangular Forefoot.- 7 Simple Convex Forefoot.- 8 The Convex Triangular Forefoot.- 9 The Cavus Forefoot.- 10 Convex Forefoot with Insufficiency of the First Ray.- 11 Selective Overloading of Metatarsal Heads.- 12 Insufficiency of the Central Metatarsals.- 13 Disorders of the Sesamoids.- 14 Metatarsalgia.- 15 Pes Cavus.- 16 Pes Planovalgus.- 17 Disorders of the Toes.- 18 Disorders of the Great Toe.- 19 Quintus Varus.- 20 Tarsalgia.- III Trauma and Arthrosis.- 21 Ligamentous Injuries of Ankle and Hindfoot.- 22 Post-Traumatic Osteoarthrosis.- 23 Hallux Rigidus.- 24 Freiberg-Köhler Avascular Necrosis.- 25 Consequences of Failed Operative Treatment in the Antetarsus.- IV Congenital Abnormalities.- 26 Congenital Displacements.- 27 Congenital Malformations.- 28 Os Intermetatarseum.- V Trophic Disorders.- 29 Plantalgias of Vascular Origin.- 30 Neurodystrophic Metatarsalgia.- 31 Perforating Plantar Ulcer.- 32 Diabetes Mellitus.- VI Entrapment Syndromes.- 33 Tarsal Tunnel Syndrome.- 34 Sinus Tarsi Syndrome.- 35 Morton Neuralgia.- VII Rheumatic Diseases.- 36 Rheumatoid Arthritis.- 37 Ankylosing Spondylitis.- 38 Psoriatic Arthritis.- 39 Gout.- VIII Treatment.- 40 Insoles.- 41 Instrumentation, Technique, and Surgical Approach.- 42 Corrective Operations for Painful Syndromes of the Forefoot.- 43 Afterword.- 44 Historical Bibliography.- 45 References.- 46 Subject Index.
