How things we use in our day-to-day lives keep changing is fascinating. Two homely examples are the toothbrush and the shaver, be it in the shape of the handle or head, or in flexibility. One blade in shavers became two, then three, until the ante was upped by manufacturers to six blades. Have those changes been driven by a real need (other than that of the manufacturers’ sales, to “get the edge,” so to speak) or just a need to change? In our professional lives, too, we have seen changes in the designs of plates and screws, some minor ones and others metamorphoses. Plates have incorporated compression, limited contact, locking, contouring, and anatomic design modifications. Screws have been cannulated, locking, and variable in diameter or pitch, to name a few qualities. Although these innovative design features may not be necessary all the time, they can serve a need in special situations. For run-of-the-mill problems, run-of-the-mill solutions usually suffice, but now and then we all face situations that need out-of-the-box solutions. For this issue of the journal, Steven Raikin graciously agreed to serve as Guest Editor. He put together a panel of renowned experts, who detail their techniques for the management of unusual scenarios of problems related to the first ray. Those articles are followed by innovative techniques for the exposure of talar osteochondritis dissecans and peroneal endoscopy.
Vinod K. Panchbhavi, MD, FACS
The author declares no conflict of interest.