CME OnDemand: 2021 Annual Meeting Instructional Course Lectures (ICLs)-Advanced Forefoot: The Final Frontier

Video Transcription

Video Summary

The video content explores the use of osteotomies in foot surgery, focusing on the debate between shortening osteotomies and mid-shaft segmental metatarsal osteotomies. The speaker explains that both techniques have their advantages depending on the clinical situation. Shortening osteotomies are more suitable for cases with lateral transfer metatarsalgia. However, the video also highlights the variety of metatarsal osteotomies available, each with its own pros and cons. The association between abnormal metatarsal parabola and second MTP joint pathology is mentioned, suggesting that a long second metatarsal may contribute to plantar plate pathology. Osteotomy is emphasized as a crucial component of open repair for the plantar plate. The choice between shortening osteotomies and mid-shaft segmental metatarsal osteotomies depends on the specific case. The video also discusses the role of osteotomies in improving foot pain and addresses complications and success rates associated with metatarsal shortening through osteotomy. The speaker emphasizes the need for surgeons to understand the underlying reasons for using shortening osteotomies. Additionally, the video touches on the use of osteotomies in plantar plate repair and their role in managing lesser MTP instability. The overall focus of the video is to provide insights into the use of osteotomies in foot surgery.

Asset Subtitle

Moderator: Michael J. Coughlin, MD

1st TMT Fusion: Fad, Fiction, or Fact? - Robert D. Santrock, MD
The Painful Implant: What Now? - Scott B. Shawen, MD
Complex/Salvage 1st Ray Surgery - Joseph S. Park, MD
Debate: Metatarsal Osteotomy - Donald R. Bohay, MD; Michael J. Coughlin, MD
Lesser MTP Instability: The Holy Grail - Jesse F. Doty, MD
Frieberg’s and Lesser MTP Arthrosis: Do We Have Any Answers Yet? - Jason T. Bariteau, MD
Discussion

Keywords

osteotomies

foot surgery

shortening osteotomies

metatarsal osteotomies

lateral transfer metatarsalgia

abnormal metatarsal parabola

second MTP joint pathology

long second metatarsal

plantar plate pathology

open repair

improving foot pain

complications

success rates

surgeons

insights