Ask the Expert with Lew Schon, MD-Ask the Expert with Lew Schon, MD

Video Transcription

Video Summary

Summary:<br /><br />The video features discussions between Dr. Sean and Dr. Amgad on various cases related to weight-bearing CT, the lapidus procedure, and osteochondral defects (OCD) of the ankle. Dr. Sean emphasizes the importance of rotational alignment and suggests using a weight-bearing CT scan for a comprehensive assessment. He also provides recommendations for fixation in the lapidus procedure.<br /><br />A case of OCD of the medial talus in a 25-year-old female is presented, and the panel discusses treatment options including arthroscopy, open surgery, drilling or fixation, mosaicoplasty, and bone grafting. Dr. Sean advises using weight-bearing CT to evaluate the severity and proposes a multi-step approach involving debridement, bone grafting, and potential use of allograft or cartilage substitute for resurfacing.<br /><br />Dr. Amgad presents a complex case of Charcot arthropathy with ankle instability in a morbidly obese patient. The challenges faced during multiple surgical interventions, including infections and wound dehiscence, are discussed. Extensive debridement, external fixation, and revision surgeries are involved in the treatment, and the importance of patient compliance and participation is emphasized.<br /><br />Overall, the video highlights the benefits of weight-bearing CT in various cases and provides insights into surgical techniques and treatment approaches for conditions such as hallux rotation, OCD of the ankle, and Charcot arthropathy.

Asset Subtitle

Members brought some of their toughest cases to Dr. Lew Schon at this dynamic live event. Join us to hear his advice and the discussions that ensued for the following cases:
• Breakage of an IM rod
• A progressive foot deformity that made wearing shoes impossible
• OCD of the medial talus
• Deformity after Lapidus IP arthrodesis
• Hallux valgus with significant plano-valgus
• A diabetic foot that had multiple surgeries.

Keywords

weight-bearing CT

lapidus procedure

osteochondral defects

rotational alignment

fixation

OCD of the ankle

arthroscopy

bone grafting

medial talus

debridement

allograft

Charcot arthropathy

ankle instability

surgical interventions

patient compliance