Assessing The Progress Of The Podiatric Profession

Lawrence Fallat DPM FACFAS
1/7/10 | 3266 reads | 1 comments
In the late 1970s and early 1980s, the typical surgical procedures performed by podiatrists were bunionectomies, digital arthroplasties, heel spurs and neuroma excisions. Few did rearfoot surgery and even fewer did trauma. When it came to fixation, podiatrists used K-wires and monofilament wire. Podiatrists did not use bone screws or plates. Read More.

First Metatarsophalangeal Fusions, Implants And Cheilectomies: What Is A Surgeon To Do?

Lawrence Fallat DPM FACFAS
11/23/09 | 5406 reads | 2 comments
When you attend our scientific meetings, we are inundated with lectures advocating arthrodesis for the arthritic first metatarsophalangeal joint (MPJ). What happened to joint implants and attempting to restore or preserve function? I know podiatrists still commonly use implants but there are few lectures and articles supporting their use. Implants have served our patients well for decades because they gave good results. What about cheilectomies? Isn't there a place for them anymore? Read More.

Key Tips and Pearls on Bunion Surgery

Lawrence Fallat DPM FACFAS
10/21/09 | 6120 reads | 0 comments
Although I do a lot of trauma and reconstructive surgery, I still consider bunion surgery to be very challenging and at times, difficult. While we can easily evaluate the X-ray and select an appropriate procedure, we must also consider the function and cosmetic appearance of the foot. Perception of the final result can vary greatly between patients. Of course the patients want the bunion removed, but many want the great toe to be straightened. Read More.

Can ‘Beam’ Surgery Have An Impact For The Collapsed Charcot Foot?

Lawrence Fallat DPM FACFAS
9/22/09 | 4743 reads | 3 comments
I have been performing “beam” surgery for the treatment of the collapsed Charcot foot for about 18 months. If you are not familiar with this procedure, it involves reducing the deformity and percutaneously inserting a large diameter screw inside the bones of the medial column. Read More.

Plantar Fasciitis Surgery: Are We Going Full Circle?

Lawrence Fallat DPM FACFAS
8/10/09 | 7881 reads | 5 comments
We have seen quite an evolution over the years in regard to surgical procedures for plantar fasciitis. In the 1980s, the standard procedure was open heel spur resection for patients that had failed conservative treatment. Podiatrists released the fascia to gain access to the spur. Little consideration was given to the amount of fascia that was released. Frequently, the entire fascia was released in the open procedure. Read More.

Is It Time To Look For An Alternative To Digital Arthroplasty For Hammertoes?

Lawrence Fallat DPM FACFAS
7/8/09 | 6731 reads | 6 comments
Hammertoe surgery is generally thought of as a simple procedure, which consistently gives good results with very few complications. Since an arthroplasty is technically easy to perform, it is usually the first surgery residents will perform in their training. However, the digital arthroplasty is not necessarily a benign procedure. I am not talking about the overriding contracted second toe which can drive us crazy. I am talking about seemingly simple hammertoes. Read More.

Reflecting On The Progress Of Podiatric Residency Programs

Lawrence Fallat DPM FACFAS
6/15/09 | 3020 reads | 0 comments
As I was preparing for this week’s graduation ceremonies, I started to reflect on how far podiatric medical education has come. In recent years, graduates of our podiatric residency program have been included with all of our health system’s residency graduates in a celebratory lavish graduation dinner/dance at a local cultural institution. It was barely a decade ago that the podiatric resident graduation was held separately without support from the hospital and the extent of the festivities was dependent upon the generosity of the podiatric attending physicians Read More.

Why It Is Becoming More Common To Utilize Closed Reduction And Percutaneous Fixation

Lawrence Fallat DPM FACFAS
5/13/09 | 3217 reads | 1 comments
While preparing a lecture on closed reduction with percutaneous fixation techniques for calcaneal fractures, I was surprised to see how common this technique had become. In addition to using these techniques in the management of avulsion (beak) fractures of the superior posterior aspect of the calcaneus, surgeons are using them for Sanders II fractures. These are intra-articular joint depression injuries that are difficult to reduce even with open surgery. Some surgeons are even using arthroscopy to ensure accurate closed reduction of these fractures. Read More.