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Syndesmosis Procedure for Hallux Valgus and Bunion Deformities Correction

Discussion in 'Foot Surgery' started by danielywu, Jan 15, 2014.

  1. danielywu

    danielywu Active Member

    Dear Dieter:

    Indeed, syndesmosis procedure is technically easier than osteotomy procedures because it does not need to cut bones apart in their very specific and precise ways and then fix them again in another very specific and precise new position. Unfortunately, we surgeons are human and can make mistakes on even the simplest tasks. Surgical risk is understandably in direct proportion to surgical complexity. Surgery should be kept simple not only to reduce risks but also to force us to think more. Sometimes indeed, “less is more” and also “simple is best and most difficult”. Syndesmosis procedure is less traumatic for good reasons but not entirely immune from complications and surgical inadequacy. I am just as worried that syndesmosis procedure will be underestimated of its own complexity and surgeons should not learn the technique through mistakes instead of proper understanding and assistance.

    Daniel
     
  2. Dieter Fellner

    Dieter Fellner Well-Known Member

    Daniel:

    I concur. Before my Hong Kong trip we debated and discussed for over 2 years, and you kindly provided detailed answers to all my questions. The syndesmosis procedure is, on the surface, not challenging. Why is it that one surgeon can succeed where others fail?

    There are pearls to be found in any surgical technique. Adherence to tried & tested, proven practice can mean the difference between success and failure.

    I suspected, prior to my trip, my comprehensive understanding and knowledge was good, but incomplete. I discovered, in your operating room, my intuition to be correct. You are a most gregarious surgical mentor, and thank you for sharing your skills so generously.

    In addition, the time spent in the office managing the SP patient is invaluable. Events following surgery can be as important as the surgery. Comprehension of the SP process, accurate identification of those events and timely, appropriate intervention can make or brake the outcome.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Physiological Soft Tissue Procedure for Hallux Valgus Deformity Correction.
    Wu DY
    JSM Foot Ankle 1(3): 1012. 2016
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Can the Syndesmosis Procedure Prevent Metatarsus Primus Varus and Hallux Valgus Deformity Recurrence? A 5-Year Prospective Study
    Daniel Yiang Wu, MD, Eddy Kwok Fai Lam, PhD
    The Journal of Foot and Ankle Surgery; Available online 12 January 2018
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Syndesmosis Procedure Correction of Hallux Valgus Feet associated with the Metatarsus Adductus Deformity
    Daniel Yiang Wu, Eddy Kwok Fai Lam
    September 17, 2021
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Radiological Analysis of the Syndesmosis Concept in Metatarsus Primus Varus and Hallux Valgus Deformities Recurrence Prevention
    Daniel Yiang Wu, MD et al
    December 04, 2023
     
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