Greetings. I am brand new here, coming at this from a patient perspective - my medical background as a former Navy Hospital Corpsman Nuclear Medicine Technologist and having had 5 failed / under corrected foot surgeries leaving me with elevated 1st and 5th MTs / metatarsalgia. Yes, my health is excellent, very strong bones that heal well - hoped not to resort to orthotics (not ideal for energy transfer for running and weight training athletes like myself).
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I've been to the best foot and ankle reconstruction surgeons here in Los Angeles and have been told that the procedure is, simplifying here: make a 'game plan' from preoperative xrays and then it is up to surgical skill and experience while in the OR to correctly cut and set the bones properly. Xrays taken afterwards basically ensure that any hardware is installed correctly. Really you would need 3D imaging to verify exact alignment. As a patient by the 3rd under corrected surgery, I was willing to pay out of my pocket to obtain whatever extra imaging was necessary, and or install bone markers if it would better, almost guarantee the desired outcome.
Recently I searched online for 3D imaging and foot surgery and found Dr Martinus Richter in Germany who happens to be a pioneer in computer assisted surgery using intra-operative CT. I am in communication with him to see if he can fix my foot. Obviously the travel and medical expenses are all mine as insurance will not cover anything. My question is are there no foot surgeons in the USA that use this assistive technology? If none are here in the USA, WHY not? It would seem to be the smarter solution if you can virtually guarantee better outcomes.
Please see these weblinks below, the last one is a great video how it works, and let me know what you think. I have sent in weightbearing CT scans of each foot (my good one to compare), lots of xrays, and a pedobarograph study... I am hopeful that Dr Richter CAN fix my foot and perhaps use my surgical history and data as a learning case to help bring this technology to the United States. Thanks for your attention on my new forum thread, as a new member here. I have kept my name private so calling me tiger is fine.
(It won't let me post a link because I have not made 10 posts)
google this "Computer aided surgery in foot and ankle: applications and perspectives"
google this "9781849964166-c1.pdf"
Get the last one, the best one (video in action) off the healthcare Siemens website, choose medical imaging, choose on the left side of the page for C arms, choose information-gallery, choose customer testimonials, choose the 1st one for the Arcadis Orbic 3D
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