first cut what else do you do differently the way of cutting the bone is completely different to what we have until now described in the literature in the patient after the surgery is able to get up and walk definitely is able to walk right away is this means. to me that i have fewer of these bone reconstruction that i have here and the fixation by this plate and the six crews so stable that the patient can walk walk immediately after the operation without any crutches or any special shouldn t be wise but of course he should stay in bed for the majority of the three days that he spends in the hospital in order to get the one dry so it s a three day stay there exactly and what about it does this thing really occur after y. or is it healed if you operate this correctly you can see it right away and documented in the in the x. ray it s quite reasonable that you did everything right so this is something that you can be sure about that peroration has been successful at the other hand this d
of the bone is completed it is completed this is you ve got your your own plate you re putting into the front of the defense you say it s very superior to this what the other surgeons worldwide do so why don t they just copy your method. everybody asked me this especially the patients that come from abroad and from the whole germany area so the reason is i didn t publish it yet so i have now more than ten thousand feet and i m gonna publish it but until now i didn t want to have anybody else have the learning curve that i had so i just kept it for myself and i will i will ask anybody who wants to imitate the surgery to come to me and get it from my hands or to work through a program to well maybe you maybe you won t be sufficient enough but it is. here thanks for inviting me today. you ve got a letter to have you think you sue if you ve got any questions you d like to learn the surgery be sure to write me an e-mail. on an upcoming show will be interesting
. so we in the operation room and you re performing surgery right now so that s usual way the. other surgeons are using for this kind of operation well. i think now the usual approach is the approach that i m using your. line of the foot in the middle space what you do now. here is an approach from the media side and so this is also not visible from above so it s cosmetically it s also better at the other hand it s also it has also the advantage that we are not. in the danger of in a way hurting the nerves that is exactly in this area so it s cosmetically better for the patient and for us the surgeon is better because you can see better into the operation feel yes and actually the way i cut the bone is also. has the necessity of having the cuts here in this area ok so in after you did the
metatarsal head here and the big the bigger troll would stay in the straighter position so the positioning of the first natasa bone which is shifted to the mid axis of the of the patient is the reason for the problem. so did you try anything to avoid this or to get rid of the painter itself. and i think yes but i just decided to go for the operation that you will perform surgery on this with your own method so why did you create a new method i looked at different methods that are common nowadays that are being applied justified the applied and i put the different advantages of the shifting of the bone of the cutting of the bone and of the fixation into one method and do you always have to perform surgery. well the indication for the operation is mainly the pain of the patient so if the patient has pain the indications are so any degree of alex was has
patient is the reason for the problem. so did you try anything to avoid this or to get rid of the paper itself. and i think yes but i just decided to go for the operation so you will perform surgery on this with your own method so why did you create a new method a look at different methods that are common nowadays that are being applied justified the applied and i put the different advantages of the shifting of the bone of the cutting of the bone and of the fixation into one method and do you always have to perform surgery. well the indication for the operation is mainly the pain of the patient so if the patient has pain the indication is clear so any degree of alec s progress has a justification to be operated on if he has if it s painful at the other hand of course if you have