Hallux Abducto Valgus Surgery

Preface

Bob Baravarian, DPM Editor

Hallux valgus and bunion surgery have evolved dramatically in the past 15 years that I have been practicing. I remember thinking that as long as the metatarsal was positioned over the sesamoids, the foot would heal. I also remember looking sometimes and wondering why things did not work out as well as I thought. Why did the patient scar and get stiff? Why did the bunion come back? Why did a patient have postoperative complications and what caused them? Throughout my career, I have tried to work toward a better option, a better solution, a more comfortable procedure, and foremost, a faster outcome. What used to take 6 months to heal now commonly takes 6 weeks. What required prolonged periods of no weight-bearing now is done fully weight-bearing. It is under those auspices that I present this latest clinic on hallux valgus correction. My goal is to present the options available, the current rationale, and the most current options. At University Foot and Ankle Institute in Los Angeles, California, we have been studying bunions and bunion surgery for over 10 years with a single-minded goal of improved and timely outcomes. To that end, we have begun to implement a standardization protocol to our surgeries. We use a special local anesthetic for 72 hours of numbness and pain relief; we use a very light and breathable casting material that is waterproof. We have implemented better rigid fixation to allow weight-bearing without the need for prolonged periods of casting. We also have worked to begin early and often physical therapy to prevent cast disease and get the patient and region moving quickly. This whole process has resulted in outstanding outcomes: less stiffness, less recovery time, and better patient satisfaction. I want to thank all the authors for their time and contributions. You are all respected in your field and I appreciate you donating your time to this issue. I also want to thank my partners, who I work with every day without which the results and patient outcomes

Clin Podiatr Med Surg 31 (2014) xiii–xiv http://dx.doi.org/10.1016/j.cpm.2013.12.007 0891-8422/14/$ – see front matter Ó 2014 Published by Elsevier Inc.

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Preface

would not continually improve. Finally, I want to thank my family for their understanding and love. All I do, I do for them. Bob Baravarian, DPM Department of Surgery UCLA School of Medicine Los Angeles, CA, USA Podiatric Foot and Ankle Surgery Santa Monica/UCLA Medical Center and Orthopedic Hospital Santa Monica, CA, USA University Foot and Ankle Institute 2121 Wilshire Boulevard Suite 101 Santa Monica, CA 90403, USA E-mail address: [email protected]

Hallux valgus and bunion surgery.

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