Dear Professor Vitek,
I'm in complete agreement with you. I am writing this not because I am observing a development at the moment, but because I am enthusiastic about this idea and its implementation. I have long been aware of the shortcomings of all the methods proposed so far... Kramer had a good idea, but he wasn't Vitek. Please excuse me for saying so, but this idea is thanks to your genius. I saw a single x-ray and was immediately captivated by your genius. I saw this image and gassed - that's it!!!! Who did this? Where did this come from? What implants, where from?
It was real. You know that in Germany everybody is thinking about how something can't be done... But that's never been my way of thinking. I immediately saw what options this combination of locking and angular stability has. It is stable enough and sufficiently micro-movable... This is exactly what Willenegger longed for, among other things... First, they operated on X-rays... Then they saw that nature could not possibly have incorporated plates into their concept of fracture healing... Yes, and then we nailed it, locked it according to the ingenious ideas of G. Küntscher. Then, after realizing that nature could not have included external fixators either, suddenly also operated less invasively and saw that even femur fractures of adult stags healed in the wild... That's when the "aha" effect of another idea became apparent... Angular stability. However, no one has yet come up with the idea of combining both procedures... and this also in the area of the forefoot... But exactly there lies the indescribable advantage of this combination. No other method before could achieve this!!! And that's why I'm very happy to have seen this X-ray image and to have immediately recognized its importance... It is entirely thanks to you, and I am happy about the results during every operation...
Of course, I am also prepared to act as a tutor, to convince other colleagues of the three-dimensional possibilities of correction and to work for your operating principles with absolute conviction. Well, I can promise you that. I'm sure there are a few more tricks you can use
"backhanded" and I look forward to your answer.
Sincerely, your W. Hess
Dr. Diaz Vernandes, Valencia
Dr. Diaz Fernandes from Valencia will publish a paper in Foot and Ankle Surgery in November 2017 in which he praises the advantages of the V-tek plate in the percutaneous technique. In particular, he mentions advantages in the stable fixation of the bone incision with the V-tek plate compared to wire fixation in the Bösch surgery. The head is much more stable in terms of rotation and displacement towards the floor. A further advantage of the Vitek method is that the joint is not stiff but can be loaded and moved.
Dr. Magin, München
Dr. Magin has a excellent and long time expertise in foot surgery. He utilised the Stoffella technique for a time and switched some years ago to V-tek Technique.
He writes at his homepage:
"The V-tek operation was introcuced by Dr. Michael Vitek. It is an improvement of the innovative Stoffella Technique.
The very tissue-preserving V-tek method makes a corection of both feet at the same time possible. The feet can be fully loaded immediately after the surgery. The Technique was introduced by Dr. Michael Vitek.
After older methods patients had to unload the operated feet or walked on crutches or had to wear casts. Now with the modern methods, patients can walk right after the operation with full loading of the operated feet and both feet can be operated at the same time. This brings the patients back to work and sports much earlier. The "trick" is, not to use a wire but a very stable plate, which is brought into the bone. Together with angle stable screws the result is a very stable fixation."
Dr. Fernandes and Dr. Fernandes, Barcelona
The Doctores Fernandes and Fernandes from Barcelona publish the following article in the official medium of the Spanish Foot Society "Revista del Pie y Tobillo":
Corrección quirúrgica del hallux valgus con placa intramedular bloqueada V-Tek®
Surgical correction of hallux valgus with the V-tek® intramedullary locking plate
Because of the diversity and stability in the correction of the deformity, distal, diaphyseal osteotomies and even Cuneiform Metatarsal I arthrodesis can be performed (Lapidus Technique).
This system allows immediate loading and good comfort in the postoperative phase.
Revista del Pie y Tobillo, Volume 27, Issue2 Pages 108-114
Pérez Fernández, M.Á. Pérez Fernández
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Bellvitge, Feixa Llarga, s/n. 08908 L'Hospitalet de Llobregat (Barcelona)
Many techniques for hallux valgus correction have been described. Depending on deformity severity, surgeon training or available resources, we can use one or another. We present a new system using an intramedular locking plate which is suitable for treating any type of hallux valgus. Due to its versatility and stability in correcting deformities, we can perform distal, diaphyseal and proximal first metatarsal osteotomies and even cuneo-first metatarsal arthrodesis (Lapidus technique). This system allows immediate weight bearing and provides the patient good comfort during the postoperative period.
Dr. Braumandl, Landshut
"Dr. Braumandl is specialised on the very tissue preserving V-tek technique which is a further development (improvement) of the Stoffella operation.
Dr. Braumandl is a specialist in the new technique. Patients, operated with the older techniques had to unload the feet for weeks, or walked with speacial shoes or casts. Now this modern technique allows an immediate ambulating without problems. The feet can be fully loaded."
Read more: Orthopaedics Landshut
Dr. Niemeier, Barssel
"With the V-tek System developed by the Viennese Footsurgeon Dr. Michael Vitek it is not only possible to correct a severe Hallux valgus but also the deformities at the small toes. In small toes tiny screws are used. The operated feet can be fully loaded immediately. Wires make a special shoe necessary, they are used only in unusual cases. All these procedures can be operated also under local anaesthesia."
Dr. Dietmar Kowertz
writes in a patient information on BENEFIZ-online.de:
"The newest very tissue preserving surgery technique for the hallux valgus called V-tek, puts a highly stable Titanium plate inside the bone. The plate is lockes by screws. The plate and screws are not removed, they can stay in the bone. The joint function is preserved and the patient can ambulate immediatly after surgery with full loading and without pain."
Footcenter Daldosch Vienna
New operation methods for hammertoes and clawtoes:
"Dr. Michael Vitek developed years ago a new technique for the operative correction of hammertoes and clawtoes. The main difference to the other techniques is the increased comfort for the patient. There is no use of wires, which stick out of the toes. Due to the use of hightech materials like Titanium implants the feet can be loaded immediately after surgery. Compression-screws can absorb the high pulling forces of the tendons an lead to a good fitting of the osteosynthesis partners."
Dr. Nass, Kaufbeuren
Dear Professor Vitek,
About 4 years ago I was allowed to attend one of your foot surgery courses in Vienna via the company Normed and since then I have been using your implants regularly.
...................... because I have had very good experiences with your implants and I do not intend to switch to other implants.
Best regards and many thanks
Dr. Martin Nass
Hanne Wondrak Str. 12
0170 204 5 208