Dr. Hess from germany writes:
Dear Professor Vitek,
I fully agree with you. I am not writing this because I just watched a development, but because I am passionate about this idea and its implementation. For a long time I was aware of the shortcomings of all previously proposed methods ... Kramer had a good idea, but he was not exactly Vitek... Please excuse me for saying this, but this idea is due to your genius. I just saw a single radiograph and was immediately taken by the ingenuity. I saw this and said - that's it!!! Who did this? Where is this from? Which implants, where?
It was true. You know that how in Germany everyone thinks of how things will not work ... This is and was never my thinking.
I immediately saw the options that this combination between locking and angles stability has. It is stable enough and sufficiently microflexible ... Exactly that is what Willenegger and others longed for ... First they operated X-ray images ... Then they saw that nature can not possibly have plates built into its concept of fracture healing ... Yes and then we nailed, and bolted according to the brilliant reflections of G. Küntscher. Then, according to the findings, that nature could have scheduled no external fixators, operated suddenly even less invasively, and saw that even femur fractures of adult healed with time ... Then came the 'wow' factor of the success of another idea ... angular stability. But so far nobody was to combine the idea of both methods ... and this already in the forefoot ... But therein lies the incredible benefit of this combination. No single method previously could afford it! And so I am infinitely glad to have seen this X-ray image and to have immediately recognized its importance ... It is fully your merit, and I am happy at the results of each operation...
Of course I am willing to act as a tutor to convince other colleagues of the three-dimensional possibilities of correction, with absolute conviction to work for your operating principles. Well, I can promise you. I'm sure you have some others tricks in the "backhand" and look forward to your reply.
Sincerely, W. Hess
Dr. N. writes from B:
just wanted to say briefly that I just registered for the course with Mr. Janelt on the 3rd May in Vienna. Would especially like to practice the Lapidus before I use the method in practice.
I'm currently very happy with the conversion of the small toe surgeries, I do a DMO, a FDL transfer or PIP arthrodesis every week. Will probably have some relapses, but the neighboring hospitals still use the Hohmann. The local anesthetic is working very well, alternatively also i.v. Regional anesthesia with tourniquet above the ankle.
Bye for now
Dr. K. from D. writes:
I have become an enthusiastic follower of your OP-methods and implants in the meantime. I would like to ask for your assistance:
I have a 22 year old slim patient, who has a somewhat strange deviation of the II toe on both feet. It is a lateral deviation of the II toe with a rotation component. It is most definitely not a typical claw or hammertoe. The deformity is completely flexible, the X-ray is unobstrusive. The deviation begins in the PIP-joint in the sense of a lateral rotation. The deformity exists in both feet. I have attached the corresponding images.
The patient feels disturbed by the cosmetic aspects of this deformity and requests for a surgical correction.
Should I perform an arthrodesis in the PIP-joint or can a minimal invasion help in this case, for example a capsule tightening or a lateral release in the PIP-joint?
How do you even call this deformity? I will be grateful if you can assist me on this.
Sincere thanks for your consideration and kind regards.
Dr. M. from A. writes:
Dear Prof. Vitek,
Thank you for your prompt reply on the 07.05.2012 regarding the rheumatoid feet. I have performed the surgery according to your recommendations, and indeed on the 21.06.2012 with very good results, as the FDL transfer in other cases has also created problems for me, with not very good results, e.g. In case of a misalignment of the V. Beam with a hyperextended position in the MTP. In this case, I performed the FDL transfer as recommended. Intraoperatively good position of the toe with ground contact, but in further course the toe position went back to as it was before.
I have seen similar other cases, however, less serious. Where can the cause be? Can you give me tips? In this regard, many thanks for your response in advance.
Regarding your question on 07.05.2012: Could you gain experience with the V-tek system? For about 1 1/2 years I have been using this system and am an avid user, extreme deformities can be very well corrected, so that my treatment range has expanded.
With kind greetings
Dr. D. of R. writes:
the SKO went very well on Friday. I was amazed, how easily. For that I = never had a saw and a drill held to a bone, I thought myself quite good at it! I was grinning around, it was so much fun. The patient went home and came back here again for the dressing change. For pain medication she needed only a cooling, 3x500mg ibuprofen and 2-3x = 500mg metamizol.
The foot is straight, the patient happy, the wound was not significantly irritated.
Tres chic! Except for the shoes. She critically wrinkled her nose at them, and we are coming towards the Ballerinas. It will be just too late for this patient.
Xxxxxxxx xxxxxxxx surgical practice
Dr. D. of R. writes further:
Greetings from the coast,
xxxxxxxxxxxxxxx the stay with you was very helpful.
Meanwhile, the feet are doing very well. It's fun and patients are happy. I have now also been looking elsewhere but always come back to what I saw from you. I thus remember fondly, and also to have met two lovely and interesting people.
Greetings to both of you from afar