01/04/2017
RESPONSES/COMMENTS (CLINICAL)
From: Robert S. Steinberg, DPM, Joe Boylan, DPM
Alireza Khosroabadi, DPM, stated, "As with any surgical procedure, once you perform enough of them, you start encountering complications." I challenge that statement. That's not how I practice. Don't we all want to get better, with each and every procedure? The more you do a procedure, the better you are supposed to get at doing them, unless you get careless and sloppy.
Robert S. Steinberg, DPM, Schaumberg, IL
I appreciate Dr. Khosroabadi's candid case presentation. If I saw one of these post-op patients, I would treat the patient without disparaging the surgeon. I am a strong believer in surgeon preference. That being said, in my opinion, MIS surgery has very narrow indications in foot surgery and is not well suited for hallux valgus surgery.
Open hallux valgus procedures offer much better and stable constructs, lending well to internal fixation. In the 1980s-early 90s, the NJ & NYC area had a lot of MIS DPMs - most who seemed to have ridden off into the sunset. I discourage today’s residency-trained DPMs from the widespread performance of MIS, especially for hallux valgus.
Joe Boylan, DPM, Ridgefield, NJ
RESPONSES/COMMENTS (CLINICAL)
From: Robert S. Steinberg, DPM, Joe Boylan, DPM
Alireza Khosroabadi, DPM, stated, "As with any surgical procedure, once you perform enough of them, you start encountering complications." I challenge that statement. That's not how I practice. Don't we all want to get better, with each and every procedure? The more you do a procedure, the better you are supposed to get at doing them, unless you get careless and sloppy.
Robert S. Steinberg, DPM, Schaumberg, IL
I appreciate Dr. Khosroabadi's candid case presentation. If I saw one of these post-op patients, I would treat the patient without disparaging the surgeon. I am a strong believer in surgeon preference. That being said, in my opinion, MIS surgery has very narrow indications in foot surgery and is not well suited for hallux valgus surgery.
Open hallux valgus procedures offer much better and stable constructs, lending well to internal fixation. In the 1980s-early 90s, the NJ & NYC area had a lot of MIS DPMs - most who seemed to have ridden off into the sunset. I discourage today’s residency-trained DPMs from the widespread performance of MIS, especially for hallux valgus.
Joe Boylan, DPM, Ridgefield, NJ