Forefoot reconstruction:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Paris [u.a.]
Springer
2005
|
| Ausgabe: | 2. ed. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 388 S. zahlr. Ill. 1 CD-ROM (12 cm) ; 1 CD-ROM (8 cm) |
| ISBN: | 2287252517 9782287252518 |
Internformat
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| 250 | |a 2. ed. | ||
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| 650 | 4 | |a Foot Deformities |x surgery | |
| 650 | 4 | |a Foot |x Abnormalities | |
| 650 | 4 | |a Foot |x Surgery | |
| 650 | 4 | |a Forefoot, Human |x surgery | |
| 650 | 4 | |a Metatarsalgia |x surgery | |
| 650 | 4 | |a Surgical Procedures, Operative |x methods | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Table of Contents
I. THE PROCEDURES 19
Scarf and Great Toe Osteotomies in the Treatment
of Hallux Valgus 19
The Lateral Release of the Metatarso-Sesamoidal Phalangeal Complex
(MSPC) 20
Local Anatomy 20
Technique and Result 21
Approach 21
The Release 21
Scarf Osteotomy of the First Metatarsal 25
Definition 25
History 28
Local Anatomy as Applied to the Scarf Osteotomy 29
First Metatarsal Medial Approach 32
The Scarf Cuts 34
Longitudinal Cut 34
The Transverse Cuts 39
The Displacements 40
The Versatility of the Scarf Osteotomy 40
Transverse Lateral Shift 40
Lateral Rotation 44
DMAA (or PASA) Correction: Medial Rotation 44
Lowering 49
Elevation 56
Lengthening 57
Shortening of the First Metatarsal 58
Axial Rotation 66
Combination of Different Displacements 67
Scarf Fixation 68
Distal Fixation 70
Proximal Fixation 72
Medial Distal Resection 73
Medial Soft Tissue Tightening (Capsulorraphy) 74
The Great Toe First Phalanx Osteotomy 78
Basal Osteotomy 79
Shaft Osteotomy 81
Fixation 82
Conclusion 88
12 Forefoot Reconstruction Check Tests to be Performed During the Hallux Valgus Surgery 88
The Load Simulation Test 88
The Other Tests 90
Postoperative Period after Hallux Valgus Surgery 91
Walking and Postoperative Footwear 91
Functional Recovery 92
Drawbacks with this Type of Hallux Valgus Surgery 94
Fractures with the Scarf Osteotomy 94
Under or Overcorrection of the Deformity 96
Undercorrection 96
Overcorrection 99
Incorrect Sagittal Position of the First Metatarsal Head 102
First Metatarsal Head Necrosis 103
MTP Stiffness 104
Drawbacks with the Great Toe First Phalanx Osteotomy 105
PI Basal Osteotomies 105
PI Shaft Osteotomy 105
Advantages of this Type of Hallux Valgus Surgery 106
The Weil first metatarsal decompression osteotomy in
Two indications 111
Technique ill
Displacement of the head Ill
Fixation Ill
Combined procedures 113
Specificities for hallux limitus 113
Indications 113
Results 113
In conclusion 113
Specificities for simple shortening 114
Indication 114
Results 114
The Weil Lesser Metatarsal Osteotomy 115
History, Definition 115
Surgical Anatomy 116
Technique 120
Indications 129
Metatarsalgia 129
Indications in Claw Toe and MTP Dislocation (Longitudinal Decompression) 129
Hammer Toe or Claw Toe 129
MTP Dislocation 129
Excess of Lesser Metatarsal Length 130
Indications in Overlapping and Wind-Swept Toes (Transverse Displacement) 130
Table of Contents 13
Weil Osteotomy: Drawbacks 132
MTP Stiffness after Weil Osteotomy 133
Long-Term Results 138
The BRT Proximal Metatarsal Osteotomy 139
History, Definition 139
Local Anatomy as Applied to the BRT Osteotomy 140
Bone Aspects 140
Vascular Aspect 140
Technique 141
Osteotomy of the Three Central Metatarsals 141
Osteotomy of the First Metatarsal 143
Osteotomy of the Fifth Metatarsal 144
Combined Procedure 144
Postoperative Period 144
Drawbacks 145
Advantages 145
Indications and Results 146
BRT Osteotomy in Metatarsalgia 146
BRT Osteotomy in Emerging MTP Subluxation 149
BRT Osteotomy in Pes Cavus 149
BRT Osteotomy in latrogenic Forefoot 152
Conclusion 154
Soft Tissue Procedures in Forefoot Surgery 155
In Hallux Valgus Correction 155
In Lesser Toes Deformity Correction 156
Gastrocnemius Proximal Release (GPR) iss
Definition, History 158
Local Anatomy 159
Patient Examination for Castrocnemius Shortness 160
Consequences of Castrocnemius Shortness i6i
Technique of Proximal Release 162
Results 165
Forefoot and GPR 165
14 Forefoot Reconstruction
Use of the 20 Memory Staple in Osteotomies
of Fusions of the Forefoot i68
Definition, History, Generalities 168
Indications and Results 168
Basal Metatarsal Osteotomies 168
First Metatarso Phalangeal Joint Fusion 171
Lisfranc s Fusion 171
Hindfoot Arthrodesis 173
Conclusion 173
The Button Temporary Spacer 174
Definition, History 174
Technique 175
Results 175
II. THE MAIN FOREFOOT PATHOLOGIES 179
The Different Types of Hallux Valgus Deformity 179
Mild or Emerging Hallux Valgus 179
Juvenile Hallux Valgus i8i
Arthritic Hallux Valgus 187
Hallux Valgus in Spastic Foot 193
Hallux Valgus in Elderly Patients (more than 80) 197
Failed Bunionectomy 199
Undercorrection 199
Overcorrection 201
Impaired MTP Joint: Joint Preservative Surgery 204
Very Impaired MTP Joint, or Loss of Great Toe Ground Contact 204
Hammer and Claw Toe of the Lesser Rays 205
Main Causes and Chronology of Hammer and Claw Toes 205
Soft Tissue Procedure in Hammer Toe Deformity 206
The PIP Surgery 208
Middle Phalanx Osteotomies 211
Weil Osteotomy and Toe Deformity 214
Metatarsalgia 217
The Main Causes 218
Insufficiency of the First Ray 218
Excess of Metatarsal Plantar Slope or Head Protuberance 219
Table of Contents 15
Vertical Position of the First Phalanx 220
Metatarsal Excess of Length in Dorso-Plantar X-Ray View in Standing Position 220
Metatarsal Excess of Length in the Medial Oblique X-Ray View 223
Stance and Propulsive Phase Metatarsalgia 224
Stance Phase Metatarsalgia (SPM) 224
Propulsive Phase Metatarsalgia (PPM) 224
Equinism 225
The Surgical Treatment of Metatarsalgia 226
The Principles of Surgical Treatment 226
The Procedures we Used to Relieve Metatarsalgia 227
Weil Osteotomy for metatarsalgia 227
Basal Metatarsal Chevron Osteotomy 231
The BRT Osteotomy 231
Clinical Types of Metatarsalgia and their Treatments 233
Hallux Valgus and Metatarsalgia 233
Solutions for Metatarsalgia with Excessive Length of Lesser Metatarsals 237
Solutions for the Correction of Vertical Position of the First Phalanx and Recovery
of a Correct Ground Contact 238
Equinism Correction 239
latrogenic Metatarsalgia 240
Metatarsalgia and Pes Cavus 241
Conclusion 242
MTP Joint Dislocation of the Lesser Rays 243
Impairment of the Lesser MTP Joints
(Excluding Rheumatoid Lesion) 251
Lesser Toes Transverse Deformity 255
Overlapping Second Toe 255
Technique and Results in Mild, Moderate or Severe Deformity 257
The Problem of Footwear 262
Lateral Wind-Swept Toes Deformity 263
Generalities 263
Surgical Treatment 263
MTP Release on the Lesser Rays Combined with Toe Surgery and Hallux Valgus Correction 263
Weil Lesser Metatarsal Osteotomy 265
Diverging Toes 268
The Second Ray Pathology 269
Hammer or claw toes 269
Metatarsalgia 273
MTP Dislocation 275
16 Forefoot Reconstruction __^__
Some Pathologies of the Fifth Ray 279
Hammer or Claw Toe 279
Intercommissural Keratosis 280
Overlapping Fifth Toe 281
Taylor s Bunion 282
Lesser Metatarsal Aplasia (Congenital Brachi Metatarsal) 290
Severe Forefoot Disorders 291
Postoperative Aspects 296
Application to the Main Types of Forefoot Severe Disorders 297
Limits, Problems and Long-Term Result of Such Joint Preservative
Surgery 301
Rheumatoid Forefoot 305
Conclusion 312
Some Aspects of Surgery for Hallux Limitus 313
Weil 1st Metatarsal decompression osteotomy 313
MTP Fusion 313
Button Prosthesis 313
III. SURGICAL MANAGEMENT IN FOREFOOT
RECONSTRUCTION 315
Preoperative Management 315
Examination 315
Decision-Making in the Main Pathologies 324
In Hallux Valgus Deformity 324
In Relieving Metatarsalgia 326
In Hammer or Claw Toe Correction 328
In MTP Dislocation on Lesser Rays 332
In Severe Forefoot Disorders Treatment 333
In the latrogenic Forefoot 336
Intraoperative Management 339
Specific Tools 339
Operative General Tactics 341
¦t
Table of Contents 17
Management in the Different Main Pathologies Encountered 342
Hallux Valgus Correction 342
Management on the Lesser Rays 346
Management in Severe Forefoot Disorders 352
Postoperative Management 354
Revision in Forefoot Surgery 358
IV. EIGHT PRINCIPLES OF FOREFOOT RECONSTRUCTION 359
First Principle. The post operative period 359
Second Principle. Where to focus the surgery.
(Law of the most impaired ray) 359
Third Principle. The metatarsal parabola 365
Fourth Principle. The generous shortening of the
metatarsals 366
Fifth Principle. Single ray pathology 370
Sixth Principle. Relationships between forefoot,
rear foot and lower limb 371
Seventh Principle. Keep the toes long 374
Keep the Toes Long 374
Obtain a Square Type Foot 374
Eighth Principle. Obtain a foot which fits to elegant shoes 375
References 383
Acknowledgements 339
|
| adam_txt |
Table of Contents
I. THE PROCEDURES 19
Scarf and Great Toe Osteotomies in the Treatment
of Hallux Valgus 19
The Lateral Release of the Metatarso-Sesamoidal Phalangeal Complex
(MSPC) 20
Local Anatomy 20
Technique and Result 21
Approach 21
The Release 21
Scarf Osteotomy of the First Metatarsal 25
Definition 25
History 28
Local Anatomy as Applied to the Scarf Osteotomy 29
First Metatarsal Medial Approach 32
The Scarf Cuts 34
Longitudinal Cut 34
The Transverse Cuts 39
The Displacements 40
The Versatility of the Scarf Osteotomy 40
Transverse Lateral Shift 40
Lateral Rotation 44
DMAA (or PASA) Correction: Medial Rotation 44
Lowering 49
Elevation 56
Lengthening 57
Shortening of the First Metatarsal 58
Axial Rotation 66
Combination of Different Displacements 67
Scarf Fixation 68
Distal Fixation 70
Proximal Fixation 72
Medial Distal Resection 73
Medial Soft Tissue Tightening (Capsulorraphy) 74
The Great Toe First Phalanx Osteotomy 78
Basal Osteotomy 79
Shaft Osteotomy 81
Fixation 82
Conclusion 88
12 Forefoot Reconstruction Check Tests to be Performed During the Hallux Valgus Surgery 88
The Load Simulation Test 88
The Other Tests 90
Postoperative Period after Hallux Valgus Surgery 91
Walking and Postoperative Footwear 91
Functional Recovery 92
Drawbacks with this Type of Hallux Valgus Surgery 94
Fractures with the Scarf Osteotomy 94
Under or Overcorrection of the Deformity 96
Undercorrection 96
Overcorrection 99
Incorrect Sagittal Position of the First Metatarsal Head 102
First Metatarsal Head Necrosis 103
MTP Stiffness 104
Drawbacks with the Great Toe First Phalanx Osteotomy 105
PI Basal Osteotomies 105
PI Shaft Osteotomy 105
Advantages of this Type of Hallux Valgus Surgery 106
The Weil first metatarsal decompression osteotomy in
Two indications 111
Technique ill
Displacement of the head Ill
Fixation Ill
Combined procedures 113
Specificities for hallux limitus 113
Indications 113
Results 113
In conclusion 113
Specificities for simple shortening 114
Indication 114
Results 114
The Weil Lesser Metatarsal Osteotomy 115
History, Definition 115
Surgical Anatomy 116
Technique 120
Indications 129
Metatarsalgia 129
Indications in Claw Toe and MTP Dislocation (Longitudinal Decompression) 129
Hammer Toe or Claw Toe 129
MTP Dislocation 129
Excess of Lesser Metatarsal Length 130
Indications in Overlapping and Wind-Swept Toes (Transverse Displacement) 130
Table of Contents 13
Weil Osteotomy: Drawbacks 132
MTP Stiffness after Weil Osteotomy 133
Long-Term Results 138
The BRT Proximal Metatarsal Osteotomy 139
History, Definition 139
Local Anatomy as Applied to the BRT Osteotomy 140
Bone Aspects 140
Vascular Aspect 140
Technique 141
Osteotomy of the Three Central Metatarsals 141
Osteotomy of the First Metatarsal 143
Osteotomy of the Fifth Metatarsal 144
Combined Procedure 144
Postoperative Period 144
Drawbacks 145
Advantages 145
Indications and Results 146
BRT Osteotomy in Metatarsalgia 146
BRT Osteotomy in Emerging MTP Subluxation 149
BRT Osteotomy in Pes Cavus 149
BRT Osteotomy in latrogenic Forefoot 152
Conclusion 154
Soft Tissue Procedures in Forefoot Surgery 155
In Hallux Valgus Correction 155
In Lesser Toes Deformity Correction 156
Gastrocnemius Proximal Release (GPR) iss
Definition, History 158
Local Anatomy 159
Patient Examination for Castrocnemius Shortness 160
Consequences of Castrocnemius Shortness i6i
Technique of Proximal Release 162
Results 165
Forefoot and GPR 165
14 Forefoot Reconstruction
Use of the "20" Memory Staple in Osteotomies
of Fusions of the Forefoot i68
Definition, History, Generalities 168
Indications and Results 168
Basal Metatarsal Osteotomies 168
First Metatarso Phalangeal Joint Fusion 171
Lisfranc's Fusion 171
Hindfoot Arthrodesis 173
Conclusion 173
The Button Temporary Spacer 174
Definition, History 174
Technique 175
Results 175
II. THE MAIN FOREFOOT PATHOLOGIES 179
The Different Types of Hallux Valgus Deformity 179
Mild or Emerging Hallux Valgus 179
Juvenile Hallux Valgus i8i
Arthritic Hallux Valgus 187
Hallux Valgus in Spastic Foot 193
Hallux Valgus in Elderly Patients (more than 80) 197
Failed Bunionectomy 199
Undercorrection 199
Overcorrection 201
Impaired MTP Joint: Joint Preservative Surgery 204
Very Impaired MTP Joint, or Loss of Great Toe Ground Contact 204
Hammer and Claw Toe of the Lesser Rays 205
Main Causes and Chronology of Hammer and Claw Toes 205
Soft Tissue Procedure in Hammer Toe Deformity 206
The PIP Surgery 208
Middle Phalanx Osteotomies 211
Weil Osteotomy and Toe Deformity 214
Metatarsalgia 217
The Main Causes 218
Insufficiency of the First Ray 218
Excess of Metatarsal Plantar Slope or Head Protuberance 219
Table of Contents 15
Vertical Position of the First Phalanx 220
Metatarsal Excess of Length in Dorso-Plantar X-Ray View in Standing Position 220
Metatarsal Excess of Length in the Medial Oblique X-Ray View 223
Stance and Propulsive Phase Metatarsalgia 224
Stance Phase Metatarsalgia (SPM) 224
Propulsive Phase Metatarsalgia (PPM) 224
Equinism 225
The Surgical Treatment of Metatarsalgia 226
The Principles of Surgical Treatment 226
The Procedures we Used to Relieve Metatarsalgia 227
Weil Osteotomy for metatarsalgia 227
Basal Metatarsal Chevron Osteotomy 231
The BRT Osteotomy 231
Clinical Types of Metatarsalgia and their Treatments 233
Hallux Valgus and Metatarsalgia 233
Solutions for Metatarsalgia with Excessive Length of Lesser Metatarsals 237
Solutions for the Correction of Vertical Position of the First Phalanx and Recovery
of a Correct Ground Contact 238
Equinism Correction 239
latrogenic Metatarsalgia 240
Metatarsalgia and Pes Cavus 241
Conclusion 242
MTP Joint Dislocation of the Lesser Rays 243
Impairment of the Lesser MTP Joints
(Excluding Rheumatoid Lesion) 251
Lesser Toes Transverse Deformity 255
Overlapping Second Toe 255
Technique and Results in Mild, Moderate or Severe Deformity 257
The Problem of Footwear 262
Lateral Wind-Swept Toes Deformity 263
Generalities 263
Surgical Treatment 263
MTP Release on the Lesser Rays Combined with Toe Surgery and Hallux Valgus Correction 263
Weil Lesser Metatarsal Osteotomy 265
Diverging Toes 268
The Second Ray Pathology 269
Hammer or claw toes 269
Metatarsalgia 273
MTP Dislocation 275
16 Forefoot Reconstruction _^_
Some Pathologies of the Fifth Ray 279
Hammer or Claw Toe 279
Intercommissural Keratosis 280
Overlapping Fifth Toe 281
Taylor's Bunion 282
Lesser Metatarsal Aplasia (Congenital Brachi Metatarsal) 290
Severe Forefoot Disorders 291
Postoperative Aspects 296
Application to the Main Types of Forefoot Severe Disorders 297
Limits, Problems and Long-Term Result of Such Joint Preservative
Surgery 301
Rheumatoid Forefoot 305
Conclusion 312
Some Aspects of Surgery for Hallux Limitus 313
Weil 1st Metatarsal decompression osteotomy 313
MTP Fusion 313
Button Prosthesis 313
III. SURGICAL MANAGEMENT IN FOREFOOT
RECONSTRUCTION 315
Preoperative Management 315
Examination 315
Decision-Making in the Main Pathologies 324
In Hallux Valgus Deformity 324
In Relieving Metatarsalgia 326
In Hammer or Claw Toe Correction 328
In MTP Dislocation on Lesser Rays 332
In Severe Forefoot Disorders Treatment 333
In the latrogenic Forefoot 336
Intraoperative Management 339
Specific Tools 339
Operative General Tactics 341
¦t
Table of Contents 17
Management in the Different Main Pathologies Encountered 342
Hallux Valgus Correction 342
Management on the Lesser Rays 346
Management in Severe Forefoot Disorders 352
Postoperative Management 354
Revision in Forefoot Surgery 358
IV. EIGHT PRINCIPLES OF FOREFOOT RECONSTRUCTION 359
First Principle. The post operative period 359
Second Principle. Where to focus the surgery.
(Law of the most impaired ray) 359
Third Principle. The metatarsal parabola 365
Fourth Principle. The generous shortening of the
metatarsals 366
Fifth Principle. Single ray pathology 370
Sixth Principle. Relationships between forefoot,
rear foot and lower limb 371
Seventh Principle. Keep the toes long 374
Keep the Toes Long 374
Obtain a Square Type Foot 374
Eighth Principle. Obtain a foot which fits to elegant shoes 375
References 383
Acknowledgements 339 |
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| author | Barouk, Louis Samuel |
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| ctrlnum | (OCoLC)66524854 (DE-599)BVBBV021254120 |
| dewey-full | 650 617.585059 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 650 - Management and auxiliary services 617 - Surgery & related medical specialties |
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| dewey-search | 650 617.585059 |
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| dewey-tens | 650 - Management and auxiliary services 610 - Medicine and health |
| discipline | Wirtschaftswissenschaften Medizin |
| discipline_str_mv | Wirtschaftswissenschaften Medizin |
| edition | 2. ed. |
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| id | DE-604.BV021254120 |
| illustrated | Illustrated |
| index_date | 2024-07-02T13:40:06Z |
| indexdate | 2024-07-09T20:33:56Z |
| institution | BVB |
| isbn | 2287252517 9782287252518 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-014575447 |
| oclc_num | 66524854 |
| open_access_boolean | |
| owner | DE-19 DE-BY-UBM DE-20 |
| owner_facet | DE-19 DE-BY-UBM DE-20 |
| physical | 388 S. zahlr. Ill. 1 CD-ROM (12 cm) ; 1 CD-ROM (8 cm) |
| publishDate | 2005 |
| publishDateSearch | 2005 |
| publishDateSort | 2005 |
| publisher | Springer |
| record_format | marc |
| spelling | Barouk, Louis Samuel Verfasser (DE-588)124261833 aut Forefoot reconstruction Louis Samuel Barouk 2. ed. Paris [u.a.] Springer 2005 388 S. zahlr. Ill. 1 CD-ROM (12 cm) ; 1 CD-ROM (8 cm) txt rdacontent n rdamedia nc rdacarrier Foot Deformities surgery Foot Abnormalities Foot Surgery Forefoot, Human surgery Metatarsalgia surgery Surgical Procedures, Operative methods Atlas (DE-588)4143303-8 gnd rswk-swf Orthopädische Chirurgie (DE-588)4075710-9 gnd rswk-swf Hallux valgus (DE-588)4131922-9 gnd rswk-swf Osteotomie (DE-588)4044023-0 gnd rswk-swf Fußkrankheit (DE-588)4121306-3 gnd rswk-swf Fußkrankheit (DE-588)4121306-3 s Orthopädische Chirurgie (DE-588)4075710-9 s Atlas (DE-588)4143303-8 s DE-604 Hallux valgus (DE-588)4131922-9 s Osteotomie (DE-588)4044023-0 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014575447&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Barouk, Louis Samuel Forefoot reconstruction Foot Deformities surgery Foot Abnormalities Foot Surgery Forefoot, Human surgery Metatarsalgia surgery Surgical Procedures, Operative methods Atlas (DE-588)4143303-8 gnd Orthopädische Chirurgie (DE-588)4075710-9 gnd Hallux valgus (DE-588)4131922-9 gnd Osteotomie (DE-588)4044023-0 gnd Fußkrankheit (DE-588)4121306-3 gnd |
| subject_GND | (DE-588)4143303-8 (DE-588)4075710-9 (DE-588)4131922-9 (DE-588)4044023-0 (DE-588)4121306-3 |
| title | Forefoot reconstruction |
| title_auth | Forefoot reconstruction |
| title_exact_search | Forefoot reconstruction |
| title_exact_search_txtP | Forefoot reconstruction |
| title_full | Forefoot reconstruction Louis Samuel Barouk |
| title_fullStr | Forefoot reconstruction Louis Samuel Barouk |
| title_full_unstemmed | Forefoot reconstruction Louis Samuel Barouk |
| title_short | Forefoot reconstruction |
| title_sort | forefoot reconstruction |
| topic | Foot Deformities surgery Foot Abnormalities Foot Surgery Forefoot, Human surgery Metatarsalgia surgery Surgical Procedures, Operative methods Atlas (DE-588)4143303-8 gnd Orthopädische Chirurgie (DE-588)4075710-9 gnd Hallux valgus (DE-588)4131922-9 gnd Osteotomie (DE-588)4044023-0 gnd Fußkrankheit (DE-588)4121306-3 gnd |
| topic_facet | Foot Deformities surgery Foot Abnormalities Foot Surgery Forefoot, Human surgery Metatarsalgia surgery Surgical Procedures, Operative methods Atlas Orthopädische Chirurgie Hallux valgus Osteotomie Fußkrankheit |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=014575447&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT barouklouissamuel forefootreconstruction |