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Surgical Pearls

By Danielle Butto, DPM, FACFAS

Plantar first metatarsal head ulcerations can be challenging to treat. Ulcerations under the first metatarsal head reportedly represent the most common cause of lower limb amputations in patients with diabetes in the United States.1 Providers…

By Nicole K. Cates, DPM, Amber M. Kavanagh, DPM and Jacob Wynes, DPM, MS, FACFAS

Diabetic foot ulcerations (DFUs) are a common yet often complicated problem. Ulcerations precede amputations 85 percent of the time in those with diabetes.1 Prevention and early treatment are of the utmost importance in order to achieve…

By Keith D. Cook, DPM, FACFAS and Bobbi Hayashi, DPM

Surgical management of displaced intra-articular calcaneal fractures is cumbersome, complex and constantly evolving.

By Eric M. Feit, DPM, FACFAS

Arthritis of the first metatarsophalanageal joint (MPJ), or hallux rigidus, is the most common arthritic condition in the foot and ankle.1 It typically involves progressive osteophyte formation and cartilage destruction resulting in joint pain,…

By H. John Visser, DPM, FACFAS and Joshua Wolfe, DPM, MHA

Lisfranc injuries occur in one in 55,000 people in the United States, comprising 0.2 percent of all adult fractures as well as 17 percent of pediatric injuries.1-4 These injuries are typically associated with high-energy trauma such as automotive…

By Brittany E. Mayer, DPM and Noman A. Siddiqui, DPM, MHA

Circular external fixation, also known as Ilizarov frames, has been widely utilized in musculoskeletal surgery since Ilizarov developed a novel frame construct incorporating circular rings with wire fixation.1 Evolving over the years, the…

By Troy J. Boffeli, DPM, FACFAS and Samantha A. Luer, DPM

Surgeons rely heavily on preoperative weightbearing (WB) X-rays when selecting the ideal procedure combination for reconstructive flatfoot surgery. A full preoperative weightbearing radiographic series typically involves three views of the foot…

By Michael Theodoulou, DPM, FACFAS

Posterior ankle arthroscopy is somewhat of a misnomer. It is initially an endoscopic approach to access the posterior ankle and subtalar joint complexes. Endoscopic techniques for posterior ankle pathology have come into increasing favor by many…

By Jonathan Hook, DPM, MHA, Frank Narcisi, DPM, and Curt Martini, DPM

Syndesmotic injury is common in patients who sustain both ankle sprains and ankle fractures, occurring approximately 18 percent and 20 percent of the time respectively.1 A thorough history and physical examination are prudent for diagnosing these…

By Ashim Wadehra, DPM, and Lawrence Fallat, DPM, FACFAS

Posterior tibial tendon dysfunction is a common condition that foot and ankle surgeons frequently encounter. It is a debilitating pathology, which results in degeneration of the posterior tibial tendon, hindfoot valgus and collapse of the…

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