re|vision

Community

Compare the technique

One place to work out which method actually produces the better outcome for a given procedure — argued out by the people who do it, the people who study it, and the people who build the instruments.

Why a forum and not another lecture

Most surgical education shows you how one surgeon does one procedure. It rarely puts two techniques side by side and asks which one the evidence — and the follow-up clinic — actually supports.

That comparison is the whole point here. Pick the procedure, read what has already been argued, add what you see in your own patients, and leave with a clearer reason for the choice you make on Monday.

Residents, practising podiatrists, and industry in the same thread — because the person who can answer a question about burr speed or screw metallurgy is often not a surgeon.

  1. Pick the procedure

    Every procedure gets its own room. No scrolling one firehose feed to find it.

  2. Read the comparison

    Each technique thread follows the same shape, so two of them can be read against each other without translating between formats.

  3. Add what you actually see

    Your complication, your revision, your fixation that failed at eight weeks. The honest cases are the ones that change practice.

Start here

The comparisons

Ten procedures, and the technique question members are genuinely divided on. This is the opening structure — rooms get added as members ask for them.

Hallux valgus / bunion

Percutaneous or open — and at which deformity does that answer change?

  • Minimally invasive (3rd/4th-gen percutaneous)
  • Open chevron + Akin
  • Scarf
  • Lapidus / first TMT fusion

First TMT fusion fixation

Which construct earns early weightbearing, and how early is honest?

  • Crossed screws
  • Plate and screw
  • Biplanar plating
  • Staples

Lesser-toe deformity

Does an implant buy anything a K-wire does not?

  • K-wire
  • Intramedullary implant
  • Arthroplasty
  • Arthrodesis

End-stage ankle arthritis

Replace or fuse — by age, alignment, and adjacent-joint risk.

  • Total ankle replacement
  • Open arthrodesis
  • Arthroscopic arthrodesis

Achilles rupture

Where does non-operative functional rehab actually lose to repair?

  • Open repair
  • Percutaneous / MIS repair
  • Functional rehab, non-operative

Progressive collapsing foot deformity

How much correction, and how much joint do you spend to get it?

  • Arthroereisis
  • MDCO + FDL transfer
  • Cotton / Evans lengthening
  • Triple arthrodesis

Plantar fasciopathy

The order of operations before anyone cuts.

  • Corticosteroid injection
  • ESWT
  • PRP
  • Gastrocnemius recession
  • Endoscopic plantar fasciotomy

Syndesmotic injury

Screw or suture button — cost, removal rate, and malreduction.

  • Syndesmotic screw
  • Suture button
  • Combination

Calcaneal fracture

Approach choice against the wound-complication rate.

  • Sinus tarsi
  • Extensile lateral
  • Percutaneous / balloon
  • Primary subtalar fusion

Charcot reconstruction

Beam it, frame it, or both — and who holds up to weightbearing.

  • Internal beaming / superconstruct
  • Circular external fixation
  • Combined
  • Non-operative total contact casting

Techniques are listed as options, not rankings. Working out the ranking is what the forum is for.

Every technique thread has the same six parts

This is what makes two techniques comparable at a glance instead of a soup of opinions. A thread that skips a section gets one added, not deleted.

  1. Indication — the patient this is for, and the patient it is not for.
  2. The technique itself — steps, instrumentation, fixation, imaging.
  3. What the evidence says — with the citation, and the level of it.
  4. What members see — real outcomes and real complications, including the bad ones.
  5. Cost and access — theatre time, disposables, what a facility has to own.
  6. Open questions — what nobody can answer yet. This is where the research comes from.

Where a thread has a matching recording or paper on this site it links to it — re | cordings for the footage, re | search for the evidence.

Industry

Vendors are welcome — wearing a name badge

The engineers and reps behind the implants and instruments know things surgeons cannot look up. Getting them into the thread is a feature, not a compromise — provided everyone can see who is talking.

  • Company shown on every post
  • Technical answers, not pitches
  • Disclose the product you make
  • Cite the study, including the ones that disagree

Questions industry answers better than any of us: burr speed and thermal necrosis, screw metallurgy and pull-out, jig geometry, what the instructions for use actually permit, why a construct was designed the way it was, and what their own revision data looks like.

Interested in taking part? Use the contact form and say which company you are with and which procedures you can speak to.

Open the forum

A note on where the forum lives

This site is flat static HTML — fast, cheap, and editable in a text editor. Threads and member accounts need a database, so the discussion itself runs on separate software. The button above points at the existing forum today.

To move it, change one href in forum.html (or in tools/pages.py and rebuild). Nothing else on the site depends on it.