Forefoot Reconstruction

1. Front Matter

   Pages 1-17

   PDF

2. The Procedures

   1. Scarf and Great Toe Osteotomies in the Treatment of Hallux Valgus

      • Louis Samuel Barouk

      Pages 19-114

   2. The Weil Lesser Metatarsal Osteotomy

      • Louis Samuel Barouk

      Pages 115-138

   3. The BRT Proximal Metatarsal Osteotomy

      • Louis Samuel Barouk

      Pages 139-154

   4. Soft Tissue Procedures in Forefoot Surgery

      • Louis Samuel Barouk

      Pages 155-157

   5. Gastrocnemius Proximal Release (GPR)

      • Louis Samuel Barouk

      Pages 158-167

   6. Use of the “20” Memory Staple in Osteotomies of Fusions of the Forefoot

      • Louis Samuel Barouk

      Pages 168-173

   7. The Button Temporary Spacer

      • Louis Samuel Barouk

      Pages 174-178

3. The Main Forefoot Pathologies

   1. The Different Types of Hallux Valgus Deformity

      • Louis Samuel Barouk

      Pages 179-204

   2. Hammer and Claw Toe of the Lesser Rays

      • Louis Samuel Barouk

      Pages 205-216

   3. Metatarsalgia

      • Louis Samuel Barouk

      Pages 217-242

   4. MTP Joint Dislocation of the Lesser Rays

      • Louis Samuel Barouk

      Pages 243-250

   5. Impairment of the Lesser MTP Joints (Excluding Rheumatoid Lesion)

      • Louis Samuel Barouk

      Pages 251-254

   6. Lesser Toes Transverse Deformity

      • Louis Samuel Barouk

      Pages 255-268

   7. The Second Ray Pathology

      • Louis Samuel Barouk

      Pages 269-278

   8. Some Pathologies of the Fifth Ray

      • Louis Samuel Barouk

      Pages 279-289

   9. Lesser Metatarsal Aplasia (Congenital Brachi Metatarsal)

      • Louis Samuel Barouk

      Pages 290-290

   10. Severe Forefoot Disorders

       • Louis Samuel Barouk

       Pages 291-304

   11. Rheumatoid Forefoot

       • Louis Samuel Barouk

       Pages 305-312

   12. Some aspects of surgery for hallux limitus

       • Louis Samuel Barouk

       Pages 313-314

For a long time, forefoot surgery had many disadvantages including a painful postoperative period and recurrence of deformities. New techniques – notably Scarf, the first metatarsal osteotomy and the Weil osteotomy of the lesser metatarsal – provide a significant improvement in the treatment of static forefoot disorders. The great toe osteotomy has also been greatly improved. Since 1991, the author has introduced these techniques in many countries, while developing and studying the corresponding implants and the postoperative period. He has also developed surgical management techniques that bridge these different osteotomies. More than 1000 surgeons around the world are using these techniques, which are now widely taught. In this second edition of the book the general presentation is clearer and more pleasant and many pictures have been replaced. Several topics are emphasized, notably the great toe proximal phalanx osteotomy, the joint preservative surgery in severe forefoot disorders, including revision after failed bunionectomy and rheumatoid forefoot following the "ms” point for an accurate and effective metatarsal shortening. Lastly, new procedures are exposed, particularly in Claw toe and hammer with the PIP plantar release and the surgery of the middle phalanx and also the Weil osteotomy of the first metatarsal in hallux limitus.

• Forefoot
• Hallux valgus
• Postopearitve management
• Surgery
• Surgical techniques
• osteotomy

Barouk is a combination of Mozart and Monet as he "harmonizes the forefoot", while using gentle strokes to correct a hallux valgus, metatarsal malalignment, or digital deformity. These attributes are transferred to words and illustrations in this outstanding work. Forefoot Reconstruction is a must for any serious foot and ankle surgeon.

Lowell Scott Weil, Sr, DPM, FACFAS, The Journal of Foot & Ankle Surgery

• Polyclinique de Bordeaux, Bordeaux, France

  Louis Samuel Barouk

Policies and ethics