The Kaiser Permanente Podiatry Experience: Lessons Learned in Foot and Ankle Surgery, An Issue of Clinics in Podiatric Medicine and Surgery

1st Edition, Volume 41-1 - November 14, 2023
Editor: Christy M. King
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 6 1 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 3 0 6 2 - 5

In this issue of Clinics in Podiatric Medicine and Surgery, guest editor Dr. Christy M. King brings her considerable expertise to the topic of The Kaiser Permanente Podiatry… Read more

The Kaiser Permanente Podiatry Experience: Lessons Learned in Foot and Ankle Surgery, An Issue of Clinics in Podiatric Medicine and Surgery

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In this issue of Clinics in Podiatric Medicine and Surgery, guest editor Dr. Christy M. King brings her considerable expertise to the topic of The Kaiser Permanente Podiatry Experience: Lessons Learned in Foot and Ankle Surgery. Kaiser Permanente is recognized as one of America’s leading health care providers and nonprofit health plans, and has invested significant funds to improve health and wellness in Northern California communities. This issue, edited by the residency director at Kaiser Permanente Northern California, contains articles covering the podiatric evolution at this institution, along with advancements in foot and ankle surgery, in order to improve patient health.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
The Evolution of the Treatment of Clubfoot from Posterior Medial Release to the Ponseti Technique: My 42-Year Journey at the Permanente Medical Group
Key points
Introduction: how it all started
Igniting my passion
Increasing understanding of the complex deformity
The Baja project for crippled children
The clubfoot revolution
Developing the Kaiser connection
Refining a clubfoot practice at Kaiser permanente
Summary
Clinics care points
Disclosure
Clubfoot: Emphasis on the Complex and Atypical Subsets
Key points
Definition
History
Anatomy of clubfoot
Treatment
Bracing period
Summary
Clinics care points
Disclosure
The Application of Morton’s Observations to Contemporary Treatment of Foot Dysfunction
Key points
Introduction
Early mammalian posture
Terrestrial adaptations
Development of the medial longitudinal arch
Center of gravity
Locomotion and gait
Causes of dysfunction in the modern human foot
Treatment
Conservative treatment
Surgical treatment
Summary
Disclosures
The Lapidus Bunionectomy Revolution: Current Concepts and Considerations
Key points
Introduction
History
Considerations: Anatomy of hallux valgus
Triplane deformity
Indications
Controversies: Hypermobility or instability of the first ray
The modified Lapidus bunionectomy technique
Controversies and considerations: Fixation construct and weight-bearing protocols
Fixation options: Cross-screw fixation
Fixation construct and early weight-bearing protocol
Fixation: Additional transverse plane instability
Summary
Clinics care points
Disclosure
Early Functional Rehabilitation in Foot and Ankle Surgery
Key points
Introduction
First metatarsophalangeal joint arthrodesis
The modified Lapidus bunionectomy
Ankle fractures
Summary
Clinics care points
Disclosure
Management of High-Risk Ankle Fractures
Key points
Background
Osteopenic and elderly ankle fracture fixation techniques
Diabetic ankle fracture fixation techniques
Outcomes and discussion
Summary
Clinics care points
Disclosure
Considerations with Fractures of the Posterior Malleolus in Ankle Fractures
Key points
Introduction
Pathoanatomy of posterior malleolus fracture
Evaluation/imaging/classification
Surgical technique
Clinical outcomes
Complications
Clinics care points
Disclosure
Navigating the Challenges of Total Ankle Replacement: Deformity Correction and Infection Considerations
Key points
Introduction
Summary
Clinics care points
Disclosures
Considerations in Charcot Reconstruction
Key points
Introduction
Preoperative considerations
Surgical considerations
Postoperative considerations
Durable medical equipment
Summary
Disclosures
Current Concepts in Achilles Tendon Ruptures
Key points
Introduction
Etiology and diagnosis
Anatomy
Treatment
Conservative treatment
Surgical treatment
Percutaneous repair and minimally invasive surgery
Open repair
Chronic rupture treatment
Summary
Clinics care points
Batting Cleanup: Revision of Surgical Misadventure
Key points
Introduction
Case 1
Case 2
Case 3
Case 4
Case 5
Case 6
Summary
Clinics care points
Disclosure
Shaping the Next Generation of Foot and Ankle Surgeons: Podiatric Surgical Residency Education at Kaiser Permanente Northern California
Key points
Introduction
History of surgical residency programs
Surgical training
Clinical training
Didactic training
Research
Research: Kaiser foot and ankle residency research summit
Wellness: Resident retreat
Wellness: Attending and resident wellness events
Additional educational experiences: Mission trips and fellowship opportunities
Summary
Clinics care points
Disclosure
Epilogue: One Job