Surgical Pearls

Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM
72,987 reads | 0 comments | 08/28/2012
Fifth metatarsal fractures are the most common of all metatarsal fractures.1 Avulsion fractures, Jones fractures and proximal diaphyseal fractures occur most frequently, but diaphyseal, neck and head fractures also occur.2 Clinicians can treat most of these fractures conservatively if the fractures are not significantly displaced. | Continue reading
Damien Dauphinée, DPM, FACFAS, CWS-P
27,546 reads | 1 comments | 06/27/2012
The interdigital neuroma is a common source of forefoot pain that podiatric foot and ankle surgeons see in their practices every day. The characteristic symptoms have been well known since Morton first described them in 1876.1 Even though Morton believed the problem was located at the fourth metatarsophalangeal articulation, his name has been associated with the pathology for over a century. Peripheral nerve surgeons have chosen to avoid the term “neuroma,” opting instead for “interdigital neuritis,” which better describes the problem. | Continue reading
Kelley Wallin, DPM, and Donald Green, DPM, FACFAS
11,276 reads | 0 comments | 04/23/2012
Subtalar joint arthrodesis and subtalar joint arthroereisis are widely used surgical procedures for eliminating motion or limiting excessive pronation at the subtalar joint.1-3 | Continue reading
John F. Grady, DPM, FASPS
28,428 reads | 1 comments | 02/22/2012
Hallux limitus is generally responsive to conservative care consisting of anything from changing foot gear, changing activity and exercises to orthoses, injections, anti-inflammatory medication and physical therapy.1 When these things fail, surgery is necessary. | Continue reading
Nicholas J. Bevilacqua, DPM, FACFAS
11,826 reads | 0 comments | 12/21/2011
Ankle fractures are seemingly uncomplicated injuries. However, in the elderly and people with diabetes, this seemingly straightforward injury can have catastrophic outcomes. | Continue reading
Samantha Bark, DPM, Meagan M. Jennings, DPM, FACFAS, and Shannon M. Rush, DPM, FACFAS
11,445 reads | 0 comments | 10/21/2011
There has been a variety of research looking at treatments for acute Achilles tendon ruptures including non-operative repair with different rehabilitation protocols, extensile open repairs, percutaneous repairs, percutaneous repair with ultrasound guidance, percutaneous repair with endoscopic guidance and mini-open repairs.1-3 Some physicians advocate for surgical repair whereas others insist that an operation is unnecessary and poses an unacceptable risk.4 | Continue reading
Michael M. Cohen, DPM, FACFAS
14,917 reads | 0 comments | 08/24/2011
Imagine that you were running late on your way to the hospital to attend to an urgent patient. You have a choice of two routes. One route is longer because it uses two streets, each with a traffic light, and no place to make a U-turn and change direction if the traffic is heavy. The shorter route is a straight shot but has no traffic lights with options for U-turns if necessary. | Continue reading
Shelby Swanson, BA, Andrea Dyack, BS, BA, and Michael S. Lee, DPM, FACFAS
23,982 reads | 1 comments | 06/21/2011
Arthrodesis of the first metatarsophalangeal joint (MPJ) was first advocated in 1894 by Clutton for severe, painful hallux valgus.1 McKeever refined the technique in 1952 using intramedullary screw fixation, which is currently the gold standard for treatment of advanced arthritis and/or significant deformities of the hallux.2 Common indications for arthrodesis include stage 3 hallux rigidus (osteoarthritis), rheumatoid arthritis, failed first MPJ implants, severe hallux valgus deformities and post-traumatic arthritis.3,4 | Continue reading
By Bradly W. Bussewitz, DPM, and Christopher F. Hyer, DPM, FACFAS
12,741 reads | 0 comments | 04/21/2011
Operating room (OR) efficiency does not happen by accident. The ability to synchronize anesthesia, the OR staff and junior physicians can take the attending surgeon great time, effort and diplomacy within the hospital or surgery center. At the center of the efficient model is the surgery itself. The surgeon must have a procedural template to help maneuver and facilitate the ease of each given procedure. | Continue reading
Jerome A. Slavitt, DPM, FACFAS
19,170 reads | 0 comments | 02/24/2011
Hammertoe correction, one of the mainstays of podiatric surgery, is not as simple and straightforward as one would think. A surgeon may schedule a hammertoe surgery and assume an arthroplasty will correct the deformity. The surgeon is thinking this procedure is quick, easy to perform and he or she will be in and out of the operating room in no time. | Continue reading