When Excising Diseased Peroneus Longus Tendon May Make More Sense Than Tendon Reconstruction

William Fishco DPM FACFAS
6/6/12 | 7759 reads | 0 comments
Peroneal tendon disorders are fairly common after ankle inversion injuries or in patients who have chronic wear and tear associated with the pes cavus foot type. Peroneus brevis tendon partial tears and tendinosis seem to be more prevalent than peroneus longus tendon disorders. I want to dedicate this blog to a simple yet effective surgery for severe tendinosis and/or complete rupture of the peroneus longus tendon. Read More.

Secrets To Performing Bunion Surgeries That Will Stand The Test Of Time

William Fishco DPM FACFAS
4/30/12 | 5726 reads | 2 comments
I am sitting in the Louisville airport waiting to catch a plane back to Phoenix. I thought this would be a good time to write my next blog. I had a great morning of giving lectures for the Kentucky Podiatric Medical Association where I spoke for a couple hours on various surgical and non-surgical topics. One lecture was on bunion surgery and I thought I would share some of my thoughts regarding the dreaded complication of recurrent or failed bunionectomy. Read More.

What You Should Know About Peroneal Tendon Disorders

William Fishco DPM FACFAS
3/26/12 | 18119 reads | 0 comments
Lateral ankle pain and hindfoot conditions can be difficult to diagnose through a history and physical exam. Often, multiple anatomic areas are painful with palpation or motion. To that end, it is common to order magnetic resonance imaging (MRI) for a “lateral ankle pain.” Read More.

When ‘Ingrown Toenail’ Pain May Be Caused By A Subungual Exostosis

William Fishco DPM FACFAS
3/2/12 | 12749 reads | 0 comments
Disorders of toenails easily rank in the top five most common podiatric complaints in our patient population. We see ingrown toenails every day and sometimes we get into a rut assuming that the source of all pain from the toenail is the toenail itself. Read More.

How A Sagittal Z Osteotomy Can Be Beneficial With Revisional Surgery Of The First Metatarsal

William Fishco DPM FACFAS
2/3/12 | 5402 reads | 0 comments
An important part of any busy podiatric surgeon’s practice is revision of failed foot surgery. Since forefoot surgery makes up the majority of procedures performed on the foot, one commonly encounters aberrations of the metatarsals from prior surgery. One of the most common conditions affecting the forefoot includes excessive shortening or sagittal plane malposition of the first metatarsal. Read More.

Exploring Surgical Solutions For Insertional Achilles Tendinitis In The Absence Of A Heel Spur And/Or Haglund’s Deformity

William Fishco DPM FACFAS
12/29/11 | 12825 reads | 0 comments
Achilles tendon disorders are commonplace in a podiatric practice. Achilles tendinopathy encompasses a wide variety of pathologies. When I evaluate patients with Achilles tendon pain, I divide the tendon into three zones. Read More.

Developing A Surgical Strategy For Metatarsalgia In The Cavus Foot

William Fishco DPM FACFAS
12/1/11 | 8218 reads | 0 comments
Metatarsalgia is one of the most common conditions that we treat on a daily basis. I am sure we all treat this the same way. After ruling out a neuroma, one typically treats metatarsalgia with shoe gear modifications such as stiff soled shoes and accommodative padding. Treatment ultimately leads towards an orthotic device with appropriate modifications such as metatarsal pads and cutouts. If there is significant equinus, then a heel cord stretching protocol may be part of the treatment plan. Read More.

A Simple But Effective Technique For First MPJ Fusion

William Fishco DPM FACFAS
10/25/11 | 3469 reads | 1 comments
I want to discuss a simplified technique for a first metatarsophalangeal joint (MPJ) fusion. I think we sometimes get caught up in the hype of plating systems and joint preparation devices. Sure, it is fun to use these and they do work. However, at times, I have found that using these devices can be counterproductive, making things more difficult than they should be. Read More.