| 00:00 - 00:03 | The operation is complete, we performed an Evan's osteotomy |
| 00:04 - 00:05 | and a gastroc recession |
| 00:05 - 00:07 | The operation was done here in Midtown |
| 00:08 - 00:12 | Dr. Trausaunt performed the procedure, along with Dr. Whitaker |
| 00:12 - 00:15 | Unfortunately, we were unable to correct the forefoot varus |
| 00:17 - 00:19 | The cotton osteotomy should have corrected for the forefoot varus. |
| 00:19 - 00:21 | it would plantarflex the first ray. |
| 00:24 - 00:26 | Dr. Canalis I'm s... |
| 00:27 - 00:28 | Dr. Trausaunt sh she... |
| 00:31 - 00:33 | Dr. Trausaunt did not perform the Cotton osteotomy. |
| 00:34 - 00:36 | She did not achieve the necessary correction |
| 00:53 - 00:58 | Dr. Trausaunt,Dr. Whitaker, and residents... stay. |
| 01:13 - 01:15 | What where you thinking? |
| 01:15 - 01:17 | You were to perform the Cotton osteotomy! |
| 01:18 - 01:23 | That would have corrected the forefoot varus! |
| 01:25 - 01:28 | I know the third years' are listening outside my door |
| 01:29 - 01:31 | Even they know that you always do a COTTON as adjunct procedure |
| 01:31 - 01:34 | It's dorsally based wedge of the medial cuneiform! |
| 01:34 - 01:37 | It plantarflexes the medial column! |
| 01:37 - 01:40 | The Cotton is so simple and reliable |
| 01:40 - 01:42 | Dr. Canalis, we were concerned with delayed union. |
| 01:42 - 01:46 | It's a kid you fools! We need not be concerned with delayed union |
| 01:46 - 01:48 | What about damaging the saphenous nerve? |
| 01:48 - 01:52 | Don't you know your lower extremity anatomy?! |
| 01:53 - 01:54 | Siesel 101! |
| 01:56 - 01:57 | Dr. Whitaker Don't you teach |
| 01:57 - 02:00 | the surgical layers of dissection in your surgical course! |
| 02:00 - 02:03 | The saphenous nerve is in the first dissection interval! |
| 02:04 - 02:08 | You call yourself Jeffrey "One-Shot" Whitaker... |
| 02:08 - 02:13 | Pretty sure this will take two shots! |
| 02:14 - 02:16 | This is a very powerful procedure |
| 02:17 - 02:21 | with very few documented complications, it doesn't even require fixation! |
| 02:27 - 02:29 | Cotton would be turning in his grave. |
| 02:30 - 02:34 | The idea is simple, reestablish weightbearing of the 1st met head |
| 02:34 - 02:36 | equal to the 5th met head. |
| 02:41 - 02:42 | How hard... |
| 02:43 - 02:47 | How hard would it have been to find a graft? We typically use freeze- dried illac crest! |
| 02:48 - 02:53 | Typically a 4-8mm dorsally based wedge |
| 02:54 - 02:56 | The patient is placed in a short leg, neutral position cast |
| 02:56 - 02:59 | Graft consolidation is expected in 6-8 weeks |
| 03:00 - 03:02 | and you can expect full-weightbearing in 8-10 weeks |
| 03:04 - 03:07 | There there we know Dr. Prins wouldn't have forgotten the Cotton |
| 03:14 - 03:16 | At worst we have a non union... |
| 03:19 - 03:23 | we could use bone stim to reach consolidation |
| 03:25 - 03:26 | It's over... |
| 03:31 - 03:33 | The procedure has failed. |
| 03:40 - 03:46 | I will perform the Cotton procedure myself. Expect no complications. |
| 03:46 - 03:49 | Reschedule the patient for surgery. |
| 03:53 - 03:56 | After the Ohio State game..... |
