Surgical Pearls

Jodi Schoenhaus, DPM
11,262 reads | 0 comments | 12/21/2010

The complexity of venous ulcerations leads to prolonged healing and doubt. Clinicians have traditionally treated venous wounds with debridement, multi-layer compression dressings and skin grafts.

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Sean Grambart, DPM
46,739 reads | 1 comments | 10/21/2010
Fifteen to 25 percent of all injuries involving the human musculoskeletal system are reportedly sprains of the lateral ankle ligaments.1 The majority of patients with ankle sprains have excellent results following surgical treatment but 20 to 40 percent of patients with severe ankle sprains will have continued pain and instability.2 | Continue reading
Stephen L. Barrett, DPM, Joseph M. Vella, and A. Lee Dellon, MD
22,171 reads | 0 comments | 08/19/2010
As with other types of extremity surgery, podiatric surgery is very specialized and very diverse in the different types of procedures performed routinely by surgical specialists. Procedures can range from simple or complex osseous surgery to delicate peripheral nerve surgery — all of which require some type of hemostasis to be performed optimally. | Continue reading
Nga T. Ho, DPM, Branden R. Rhodes, DPM, and Stephen Kominsky, DPM, FACFAS
20,754 reads | 0 comments | 06/22/2010
The original Akin osteotomy for the correction of hallux abducto valgus (HAV) included resection of the medial prominence of the first metatarsal head in combination with a medial based wedge osteotomy of the proximal phalanx of the hallux.1 Subsequently, there have been several modifications to the original procedure in order to address factors such as location, rotation, shortening, dorsiflexion and plantarflexion.2-12 | Continue reading
Michael E. Graham, DPM, FACFAS
60,128 reads | 0 comments | 04/20/2010
Subtalar arthroereisis has a long evolutionary history since its first conception in the 1940s. Since then, researchers have created and abandoned many different methods, materials and devices. The promise of the next great device to stabilize the subtalar joint complex without osteotomy or arthrodesis usually diminished with long-term usage. | Continue reading
Kenneth Seiter, DPM
20,193 reads | 0 comments | 02/23/2010
   Surgical revision of a failed silicone prosthesis in the first metatarsophalangeal joint (MPJ) is a difficult dilemma that many foot and ankle surgeons increasingly encounter. While advocates of silicone and similar implants have alluded to their preliminary benefits, there is a scarcity of literature on how to salvage these failures, especially when they occur in younger, active patients. | Continue reading
Lawrence Fallat, DPM, FACFAS
51,130 reads | 0 comments | 12/30/2009
   There are numerous surgical procedures designed to correct the variations of bunion deformities. Often, the final step of the operation is to correct the valgus and abduction component of the great toe. This has been the subject of a popular and technically simple procedure that was introduced approximately 85 years ago. | Continue reading
Michael S. Downey, DPM, FACFAS­­
62,504 reads | 0 comments | 10/26/2009
   The management of posterior heel pain can be a perplexing diagnostic and therapeutic problem. The differential diagnosis is extensive and even the skilled clinician can experience difficulty establishing an accurate diagnosis. Of the challenging conditions affecting the back of the heel, the retrocalcaneal exostosis may be the most onerous to treat. | Continue reading
Graham A. Hamilton, DPM, and Travis L. Sautter, DPM
25,541 reads | 0 comments | 08/24/2009
   Arthroscopy is an expedient tool in the management of intra-articular fractures of the ankle and post-fracture articular defects. It provides the surgeon the ability to anatomically reduce a fracture under direct visualization with minimal intervention. It also enables the surgeon to address any articular injury primarily. | Continue reading
Jodi Schoenhaus, DPM, and Jason Gold, DPM
209,046 reads | 0 comments | 06/26/2009
   Entrapment neuropathy of the tarsal tunnel and its terminal branches is a painful condition, which can be challenging to diagnose given the possibility of concurrent conditions with overlapping symptoms. Heel spur syndrome/plantar fasciitis and entrapment neuropathy often present at the same time. However, it is important to differentiate clearly between the two pathologies as entrapment neuropathy has a distinct history and clinical presentation. | Continue reading