Ask the Expert with Mark Myerson, MD-Ask the Expert with Mark Myerson, MD

Video Transcription

Video Summary

In this video, an orthopedic surgeon presents a case of severe hallux valgus deformity in a 34-year-old female patient. Different treatment options are discussed, including a double osteotomy, lapidus procedure, or minimally invasive chevron achings. Preoperative and postoperative X-rays are shown to demonstrate the correction of the deformity. Dr. Meyerson provides input on the case, suggesting options such as a lapidus procedure with distal osteotomy or a biplanar mica procedure. The limitations and corrective power of minimally invasive chevron achings are also discussed.<br /><br />Key takeaways from the video include:<br /><br />- Total ankle replacement is generally not recommended for patients under 40 with ankle arthritis. Ankle fusion is a more suitable option.<br />- A modified Lapidus procedure is preferred over MICA for metatarsal deformities.<br />- Osteochondral autograft or allograft may be considered for severe osteochondral lesions.<br />- Treatment decisions should consider individual patient factors and goals.<br /><br />The video presents valuable insights into orthopedics and decision-making for various cases. It emphasizes the importance of individualized treatment plans and considering all possible options. The session also highlights the challenges faced by orthopedic surgeons and the need for continuous learning and adaptation.

Keywords

orthopedic surgeon

hallux valgus deformity

treatment options

double osteotomy

lapidus procedure

minimally invasive chevron achings

preoperative X-rays

postoperative X-rays

deformity correction

Dr. Meyerson

modified Lapidus procedure

MICA

ankle fusion

osteochondral autograft

osteochondral allograft