What is the PBS technique


Dr. P. Salonikidis deals with problems of foot in Greece and Italy using the PBS technique (Physiological and Human approach). PBS is the initials for Percutaneous Bianchi’s System. Dr. Andrea Bianchi is the inspirator of the method and in essence represents the philosophy of the whole team which is constant research for the best solutions with absolute respect to the laws of biomechanics for foot physiology.

Dr. P. Salonikidis proceeds in a thorough examinations of the foot and of the X-Rays so as to make the correct diagnosis and administer the proper treatment. The main care of the doctor according to the spirit of PBS is to properly and patiently inform the patient from the first to the last stage of his therapy, beginning from the first visit with the doctor whether a conservative or surgical solution is chosen so as the best possible results are achieved for he patient.

The exams that a patient has to do prior to being examined by the doctor are a simple X-ray of the suffering foot, in face and profile, while rarely an X-ray on Guntz may be asked or a cat scan in very special and rare cases. On a surgical level, with this technique he uses very few, small tools with which via very small incisions (2 mm approximately), where necessary the surgeon can operate with precision by using radioscopy. With these tools (special mini surgical blades, drill etc.), the doctor can execute with precision corrections on the structure of a foot with fractures, tenotomies and capsouloplasty so as to reach the best possible result.

The great innovation of this technique is the doing away with the view that each fracture requires immobilization to be healed. Therefore, he lets the fractures he creates to the bones free so the healing of the fracture occurs where the actual charging of the each foot is required and not according to the old technique which wanted the doctor to define where this should occur. As a result, the patient postoperatively, after a special dressing is applied by Dr. Salonikidis, leaves with a special shoe and walks.

The advantages of the PBS technique are:

–  Regional anaesthesia so the patient isn’t put under general anaesthesia having as a result the patient leaving the clinic the same day 1-2 hours after surgery.

– No use of osteosynthesis materials thus there is no need for new surgery to remove the materials nor dangers of complications due to materials like “loosening”.

– Brief surgical time in contrast to classical methods which required approximately 1 hour surgical times.

– Immediate charging after surgery and walking which is necessary for the right restoration of walking and the healing of the fractures.

– Great limitation of postoperative pain (simple analgesics Depon or Panadol). It is noted that approximately 1/3 of the patients don’t use any analgesic.

– There is no need for frequent changing of the dressings like in order methods. There is only one change in about 20 days and a re-examination in about 40 days with a postoperative x-ray.

Thus, it is easily inferred that in order to have a very good result on a foot that is operated on there must be good knowledge of the dynamics and the function of the foot by the doctor. This is a criteria which all the members of the PBS team (10 surgeons) fulfill and that is why they all have been trained by Dr. Andreas Bianchi himself. Dr. P. Salonikidis has the honor of being a member of the PBS team examining and operating besides Greece in Italy as well. The surgical procedure is only one part of the whole treatment of a foot. All of the above are components, each with its own bearing.