https://traumatologiadrleon.com/blog daily 0.75 2023-01-11 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625857570003-EMBCWABFNVWIXF6CHJV9/Orthopaedic+Surgery+Blog Orthopaedic Surgery Blog - English - Haz que se destaque Dr. Andrés León writes a Blog for fellow Orthopaedic Surgeons and Foot and Ankle Enthusiasts https://traumatologiadrleon.com/blog/jl819ohxgumjya2ecyycro5btcbi39 monthly 0.5 2021-07-09 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625685890040-1N3QDHPCO9LFJ8VF4IXH/IMG_4265.jpeg Orthopaedic Surgery Blog - English - Intro to the Blog - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625685534239-5JB5NI2LX36E8K1QC8VM/image.png Orthopaedic Surgery Blog - English - Intro to the Blog - Haz que se destaque Hospital de la Princesa https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625685711999-KOIB6QTM23PP2FIX8GDT/image.jpeg Orthopaedic Surgery Blog - English - Intro to the Blog - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://traumatologiadrleon.com/blog/kh7v0nx7gzj9dl0ebv6uxh3taxdbsa-796hb monthly 0.5 2021-07-11 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853464564-9D21TG2ZLYBX44W464DY/The-three-foot-rockers-occurring-during-stance-phase-of-the-gait-cycle-a-the-heel.png Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625852909428-T7K5GB3Z0VAJOH781RZ6/4-Figure2-1.png Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853314228-DVUGJ2NY46XRQDPZVJUN/Eversion_and_inversion.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - The subtalar Joint has a complex 3D movement. It represents the movement of the Talus above the calcaneus and the Midfoot rotating around the head of the talus (Acetabulum Pedis) https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626014550926-5G9PVG549AVCMWNE8ZRO/Triple-arth-schematic.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626014586125-W2TFAZYB9HHYODGLQBLO/gr1.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853087219-QZNXTI2OH5J16IJLSQ4G/gr1.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853496729-SMIL0B1WUQOWRVPAJVO4/urn-cambridge.org-id-binary-20180313132204834-0569-9781108292399-41893fig2_9.png Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853165121-7PH3W8F0TQ4U8NIAQ7QC/Imagen7.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853029352-R5V44XKQY7OMML21NZYV/264_2011_1223_Fig3_HTML.gif.png Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625853129861-SV0SXKEE853RAQLBA1R3/Imagen3.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625858953355-ZHHAOH0UJD5MNGK2Y9UL/4-Figure4-1.png Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625852829472-5H6Q8QLFR62QOTD1UUBK/f08cfe08c97ba762e502715697e121c6.jpg Orthopaedic Surgery Blog - English - Principles in Foot and Ankle Pathology - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://traumatologiadrleon.com/blog/infiltrating-the-plantar-fascia monthly 0.5 2021-07-19 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013355046-1V7UY6PIXI7UAEY0GBIH/Heel+Pain+Syndrome+4.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013226213-JJIFBRKLD206ZGG81WD3/Imagen+1.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013286283-V9S7NP81ADX6M3OQA3PK/Imagen+14.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013291380-W59IMKA1CM460PVSP698/Imagen+13.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013294753-M3TITZUF00T6BZFZAKCT/Heel+Pain+Syndrome+4.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013297207-5KZYE0C9T29XHSFQVB2Z/0612-fig-3%2C-4.jpg Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013303483-QD7IAII140KFYH3CBVWQ/Imagen2+1.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013306798-73GEVCHB3ONLYUGB3NRI/platelet-rich-plasma-plantar-fasciitis.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013325379-6H0O70WUUSXG5KKHSUQY/Imagen+4561.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626013375641-1ZSULCCTRQ87K4TCK5ZV/Captura+de+pantalla+2021-07-11+a+las+14.47.06.png Orthopaedic Surgery Blog - English - Infiltrating the Plantar Fascia - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://traumatologiadrleon.com/blog/plantarplatepearls monthly 0.5 2021-07-20 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626550667542-970AIQVY4TSG476Y263B/D3D7F8A2-E992-42CF-B14F-1FE4B1D7253A.png Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626800365754-LMBBV2P58I36UM6O6GL3/Plantar+Plate+Anatomy Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Plantar plate anatomy, ligaments and plantar fascia https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626799752377-GMJY6B8XLNQT1X45D032/1CC54D7A-0A24-4F84-9923-95B3512EB5EA.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Anatomical pull of Intrinsec muscles In the normal anatomy the Intrinsic muscles help with toe flexion when the toe and the metatarsal are alineated https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626799763964-ZC0BORE4XIQSGS2STUD0/2EE0D803-F287-4EE8-8D02-2813E5E00723.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Lower center of rotation Intrinsic muscles lose mechanical advantage, they go from being flexor tendons of the toes to extensor tendons. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626799783443-Y7988O3I7P9U074H5290/92F7E8BF-B99E-4DC3-8500-B363A3BC1447.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Floating toe Floating toe does not contact the floor Inefficient toe push. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626800091084-VBWC0K34WNH8INJHARTI/C992ADCA-1AA7-4F31-B771-DE35596B32AA.png Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Floating toe Clinical view. Always explore standing up https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626800337569-M9EI4F0VB3WHKZW0YTQP/366A7306-3474-49E0-A1EC-AB4433603E60.gif Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Plantar plate attrition lession https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626797316723-VF4LPU2CLX82G6LJHGZD/Plantar+Plate+Paper+Test Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626796577228-2R7HNI5C1U16A6QCEKBG/Fixation+of+the+Plantar+plate Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - PP direct repair Using mattress sutures to fix the PP to the Proxima phalax. (Click the image to go to Youtube) https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553350832-IHGXN982536O29VKRC0H/A56E623C-F49B-46CE-B620-16D82BB48794.png Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - V Sign V Sign related to second space syndrom and Crossover toe related to Hallux Valgus and PP injury https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553328700-G9O2Z0LZ2LJMKS84BMSO/Drawer+Test+Animation Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Drawer Test With one hand stabilize the metatarsal, while with the other hand pinch the base of the Proximal phalanx. Trying to subluxate the Phalanx dorsally is how to properly apply this test. In early stages pain but no movement is common, in late stages the phalanx is dorsally dislocated https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626798040522-PO1GEZLAE51BV25PC4OT/CC0321EC-BB9D-432B-AF79-4953DA8173A2.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626796033060-MU2W6Z6LNDG7NNYCH5GI/Maesto%27s+Line Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Haz que se destaque Index minus + long 2nd metatarsal - At risk of PP injury https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553047415-72KIXTPH7RHBCB1KMNNX/A027F77D-35F0-491D-8B03-9CEFE88C7EFF.png Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Gilderstone Tayler Drawing by me. Dr. León in procreate https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553047459-H8FX2HRHDBYFXGH1LIK0/E61EC7A7-19BA-4837-B3EE-E85A8A251DAD.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Drawing of technique FP transfer Transfer of FP to dorsal aspect of F1 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553047980-6M0Q1TK082Z7JACTIDFP/5CA7D7CE-62C8-4E9F-B807-33619B82651E.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Approach to Flexor tendon https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553048264-Y8MM94TNF57TDCNBXAB4/F58BB071-3A14-4B7F-95F6-48E1F55AE650.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Step by step guide https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626553048498-74OR5OQUKRH4RE3VZB2I/A8134E4E-E2B8-42C4-B1CB-A8A2F167876A.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Drilling technique Technique by drilling hole through proximal phalanx https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626609973761-RDGA3STUOT3EQMROGD42/2FC0F5DF-0C78-45BB-A39E-1B3F25C1F009.png Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Toe Subluxated above M2 head Late presentation of plantar plate injury. Repair is not enough. Toe dislocatied dorsaly to the MTT head, fixed rigid dislocation. It requires Osteotomy to shorten the MTT head and let space for the phalanx to fall into. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626609974033-9RDI1N2CMMQPYLM41KCT/817988C7-5C75-49D7-A76F-29FFCACDE7E2.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - Weil Osteotomy of the MTT Weil osteotomy consists of a paralel to the plantar cut of the MTT head and neck, begining in the cartilage. The Ott can be fixed or it can be free + weight bearing. The MTT head usually displaces proximal and inferiorly, the center of rotation goes down and the risk of floating toe increases with this technique https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626610283221-F51QXVJNFS5BFNCZ2OS4/E4B2F359-422B-4F1C-8B02-037BA905A985.jpeg Orthopaedic Surgery Blog - English - Plantar Plate, pearls and pitfalls - TRIPLE WEIL OSTEOTOMY - Maceira’s Osteotomy Triple weil consists of 3 cuts, first beginning proximal to the cartilage and more vertical than the simple weil osteotomy. 2 cut gets rid of the flange and 3erd cut eliminates a square block of bone The head now is free to be moved up and proximal. This causes the center of rotation to be maintained in relationship with the floor. There is less risk of 2ºnd rocker metatarsalgia and less risk of floating toe https://traumatologiadrleon.com/blog/calcaneal-osteotomies-surgicaltipsandtricks monthly 0.5 2022-02-06 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627674376525-RN389VPFV10AAQ2SKR1D/7E4CD109-BBC3-4922-BB07-42F7C385EC18.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Axial view of three osteotomies https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627998493514-IB2WE0KOVGAGSNTNHJIN/7BBF0C0B-0E42-4794-AF2E-4396F4077299.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Take a look at the headless screw vs the head screw. The latter may cause pain and discomfort. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627997496190-DHRWDAKF3O5F3V7XIDEP/Proximal+dwyer+osteotomy Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Dwyer osteotomy - proximal osteotomy, longer lever arm. More correction https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627930373634-HOUD4ZQKJOTGS9W9DOTZ/Z+osteotomy+for+flatfoot Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Z Osteotomy. Using a needle to plan for the horizontal osteotomy. tantalum wedges to create medial displacement and lateral column lengthening (Evans effect) https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627998329096-GXXB90XT57JJLI18QIDE/0D4D741F-53BD-4F48-BA72-A8DF8D2EBA2F.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Codevilla bone forceps used to maintain reduction https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627997579284-LNS8P5AE6QC9BBJ41R3O/Distal+Dwyer+osteotomy Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Dwyer osteotomy - More distal osteotomy = lesser lever arm = less correction https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627930066217-9FAI1D6DA7MOB7UC1BKH/Osteotomies+of+the+Calcaneus Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Original article osteotomy of the calcaneus https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627930346181-MH27SDHC5RDLOSJ31O4N/9390FFB0-14C5-47CA-AC1C-B90EBA6FED23_1_201_a.jpeg Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Clinical case representing medializating osteotomy https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627571116495-W5XK208CIMLS9FGDL8FH/Measure+Twice+cut+once.jpg Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Osteotomy Principles Osteotomies of the foot and ankle need to follow the classical advice of “Measure Twice and Cut Once”. Osteotomies are complex 3D Cuts that change the anatomy and biomechanics with little variation of hand placement or saw inclination. Careful planning, knowledge of the relevant anatomy and visualization of the planes of cut will lead to the best results. So slow down before cutting, take your time and cut once, to be the fastest on the Operating Room. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627998360582-S9VWLUBMWBYLPZHAA4MT/D5EA9556-FDD2-482F-92B9-2D24D138A01C.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque MICO (Minimally invasive calcaneal osteotomy)- safe zone represented in red. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627998656555-C440XFI0AF3HHKQAQXSF/4ECEA1CD-67E4-4174-A53A-558097BFF4B9.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627929449935-UAOTH6YRWC9A1GA3KNQ4/1cm+Rule Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - 1CM RULE The rule is 1cm for medial displacement (Steffensmeier SJ et all) For Dwyer 1cm base wedge (for mild deformity) + 1 cm lateral slide if (moderate to severe deformity) https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627997726573-37RTJSN0DYTXIEDA856C/Z+osteotomy Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Z osteotomy, inspired by scarf osteotomy of M1 can be made to correct complex deformities of the calcaneus with a single approach https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627998667562-N1TQLOSENBHQ3P4W6A6Z/6BD47482-AD43-4517-8915-96FBF57C40F8.png Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Proposed fixation for osteotomy https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627929855271-GEDH2FGIH0LKGP888Y4L/Automatic+Laminar+Spreader Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - 5 min automatic retractor. Using a laminar spreader or similar automatic distractor. Placed in the osteotomy for 5 min to make the medial soft tissues to loosen up some tension. It can help with medial periosteum that limits translation. Especially indicated in varus foot, before closing and lateralizing the osteotomy. Waiting for 5 min looks like a waste of time, but combined with plantar flexion it frees the posterior tuberosity to be moved and saves time in the long run. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627929593132-QLRQUB7KA3IFTHHA4QI4/LambotteChisel Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Wide Lambotte bone chisel Used as a reference for the position of the osteotomy. Place the wide chisel as a line and take some xrays to see if the position is appropriate or needs to be changed. Mark the line impacting it with a hammer. When the osteotomy is finished, place two lambotte wide bone chisels inside the osteotomy and use the hammer in the middle as a fulcrum to make a lever and open the space for the bone to move. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627929992062-3W030M5Y6ECCHCEZWWWO/4276A676-D5A1-4153-9939-363995392CE4_1_201_a.jpeg Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Pfeffer GB, Michalski MP, Basak T, Giaconi JC. Use of 3D Prints to Compare the Efficacy of Three Different Calcaneal Osteotomies for the Correction of Heel Varus. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627997650498-BD0JU8PNLPX7P578ATRT/Zadek+osteotomy Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. Surgical Tips and Tricks - Haz que se destaque Zadek Osteotomy, Dorsal Wedge used to treat achilles tendinopathy https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627930122462-SA9Q3GLSNA1JBT7ED0RZ/7F348707-9673-4D3D-9648-0A9B057473BD_4_5005_c.jpeg Orthopaedic Surgery Blog - English - Calcaneal Osteotomies. 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Visión posterior de una vértebra lumbar aislada https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632073258402-3HTHU3KJ048I2FO56X7Q/unsplash-image-i_bXP0ftyyY.jpg BLOG DIVULGACIÓN - El arrancamiento de las Apófisis Transversas Vertebrales, un indicador de lesión grave - Haz que se destaque Imagen de una columna lumbar y sacro visto desde atrás. se aprecian las prominencias a los lados de las apófisis transversas y su relación con las raices nerviosas a la salida de de la columna. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632073481172-HSC225JV2PDGOYMNG5RC/unsplash-image-IG96K_HiDk0.jpg BLOG DIVULGACIÓN - El arrancamiento de las Apófisis Transversas Vertebrales, un indicador de lesión grave - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632073341139-UXGC0ZSUW418GEIRUB9T/AO+spine+classification+Group+A0 BLOG DIVULGACIÓN - El arrancamiento de las Apófisis Transversas Vertebrales, un indicador de lesión grave - Haz que se destaque Grupo A0 de la clasificación de fracturas de la columna lumbar - Fracturas de apófisis transversas https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632073408538-ZYBZKYJD8MMIMDODGQ2D/Clasificacion+AO+columna BLOG DIVULGACIÓN - El arrancamiento de las Apófisis Transversas Vertebrales, un indicador de lesión grave - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://traumatologiadrleon.com/divulgacionblog/5-pilares-de-la-ciruga-del-pie-que-todo-paciente-debe-conocer-antes-de-operarse monthly 0.5 2023-03-12 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632127826628-E5S0SYFTNT0S1LXTGY9J/unsplash-image-KrsoedfRAf4.jpg BLOG DIVULGACIÓN - 5 Pilares de la Cirugía del Pie que todo paciente debe conocer antes de Operarse - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1625852829472-5H6Q8QLFR62QOTD1UUBK/f08cfe08c97ba762e502715697e121c6.jpg BLOG DIVULGACIÓN - 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5 Pilares de la Cirugía del Pie que todo paciente debe conocer antes de Operarse - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://traumatologiadrleon.com/divulgacionblog/category/Fractura+vertebral monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Fractura monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Avulsi%C3%B3n monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Fractura+Vertebral monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Docencia monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Divulgaci%C3%B3n monthly 0.5 https://traumatologiadrleon.com/divulgacionblog/tag/Introducci%C3%B3n monthly 0.5 https://traumatologiadrleon.com/home daily 1.0 2023-03-12 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1623856206316-P3RW1S9KWDXMTYYPQBHT/IMG_9998.GIF Dr. Andrés León Gutiérrez Traumatólogo en Burgos - Haz que se destaque Sea lo que sea, la manera en la que cuentes tu historia en línea puede marcar la diferencia. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1629129657244-5V83UPIJREAYMP4260KF/Drandresleonbata Dr. Andrés León Gutiérrez Traumatólogo en Burgos - El Doctor Andrés León Gutiérrez es: Licenciado Especialista en Cirugía Ortopédica y Traumatología con formación en Hospital Universitario de La Princesa - Madrid Licenciado en Medicina y Cirugía por Universidad de Salamanca Cirujano de Pie y Tobillo en BURGOS Miembro de SEMCPT - Sociedad Española de Medicina y Cirugía de Pie y Tobillo Miembro de EFAS - European Foot and Ankle Society Miembro de SECOT - Sociedad Española de Cirugía Ortopédica y Traumatología Puedes encontrarme en Burgos en Hospital San Juan de Dios y Hospital Universitario de Burgos https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1627504504827-WPCU8X0RKBM0MOC4E7HG/Dr.+Andr%C3%A9s+Le%C3%B3n+Gif+animado Dr. Andrés León Gutiérrez Traumatólogo en Burgos - Visita el Blog Si eres Traumatólogo o Interesado en las últimas novedades de la cirugía Traumatológica y del pie. No te olvides de leer mi BLOG https://traumatologiadrleon.com/contact daily 0.75 2023-03-12 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626354142291-QZYWH5WK4F2KD5VJB4BF/hospital-universitario-burgos-knxC-U130622493727HwF-1248x770%40Burgosconecta.jpg ¿Dónde puedes encontrarnos? https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626354183478-D692M19NV3J5PMTTMJ5F/hsjd-burgos-1024x681.jpg ¿Dónde puedes encontrarnos? https://traumatologiadrleon.com/services daily 0.75 2022-02-03 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1630337008362-VIOGGATL1PALLNEL596E/Servicios+Quir%C3%BArgicos+y+Traumatol%C3%B3gicos+Doctor+Andr%C3%A9s+Le%C3%B3n+en+Burgos Servicios ofertados como Traumatólogo - Haz que se destaque Consulta las técnicas quirúrgicas que realizamos en Burgos. https://traumatologiadrleon.com/recursos daily 0.75 2021-09-20 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1630335581838-40JIJVOH89R8TCF7DCUM/Recursos+para+pacientes+descarga+gratuita+archivos+pdf+ejercicios+y+recomendaciones Recursos para pacientes - Haz que se destaque Recursos gratuitos para Pacientes. Descarga de ejercicios, recomendaciones para preoperatorio y postoperatorio https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632083561873-E790YN03V9TAK1F2YDGZ/Zapato+de+apoyo+postquir%C3%BArgico Recursos para pacientes - Haz que se destaque El zapato de apoyo postquirúrgico se pone encima del vendaje Permite apoyar todo el peso del cuerpo junto con 2 muletas Apoyar todo el pie “en plano”, no apoyar solo el talón. Se recomienda apoyar desde que la anestesia deje de hacer efecto tras la cirugía. https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1632083628642-OV1HKKYI18EOU1BZQS0O/Muletas+de+adulto Recursos para pacientes - RECOMENDACIONES DE MULETAS https://amzn.to/3nLpSST https://traumatologiadrleon.com/trauma daily 0.75 2022-09-04 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1630335772722-E1OY7AQ7ZALS5ZJLRB62/Recursos+gratuitos+para+traumat%C3%B3logos+y+especialistas+en+pie+y+tobillo.+Uso+en+consulta Recursos para Traumatólogos - Haz que se destaque Recursos gratuitos para descarga y uso por especialistas de traumatología y cirugía del pie en su práctica habitual. https://traumatologiadrleon.com/creditos daily 0.75 2021-07-15 https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626353134588-MVWNA23SGB53DAEWEZDZ/BcardBack.jpg Creditos https://images.squarespace-cdn.com/content/v1/60bc8f97ae1c7333391c19f4/1626353487335-2EZSSJWC215V7OJVL2DO/IMG_0480.jpg Creditos