Surgical Pearls

John Mozena, DPM, FACFAS, and Paul Clint Jones, DPM
11,012 reads | 0 comments | 12/30/2014
Jennifer L. Mulhern, DPM, AACFAS, Nicole M. Protzman, MS, and Stephen A. Brigido, DPM, FACFAS
11,400 reads | 0 comments | 10/22/2014
Noman A. Siddiqui, DPM, AACFAS, and Guido LaPorta, DPM, FACFAS
32,522 reads | 0 comments | 08/20/2014

Hallux valgus is a common first ray deformity that can affect the stability of the forefoot. Those with the deformity have complaints of pain, difficulty with ambulation and cosmetic concerns. When conservative measures fail to provide relief, surgical intervention is necessary to realign the osseous and soft tissue structures that contribute to this deformity.

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Stephen M. Schroeder, DPM, FACFAS
18,543 reads | 0 comments | 06/19/2014

The Achilles tendon is the largest and strongest tendon in the human body. Increased interest in physical fitness and athletic activity by young, middle-aged, and older patients has led to a higher incidence of rupture.1 Surgical correction is often the treatment of choice because it offers less immobilization time, early weightbearing, better rehab potential, lower risk for re-rupture and faster recovery with return to activity.2

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Noman A. Siddiqui, DPM, Corine L. Creech, DPM, and Bradley M. Lamm, DPM, FACFAS
6,538 reads | 0 comments | 04/21/2014
Radiographic analysis for surgical intervention involving the foot and ankle has historically been recognized as a vital component of pre-operative planning.1 This is especially true when dealing with complex foot and ankle deformities.2 The advent of digital radiology has made the process of radiographic evaluation one of greater convenience and reproducibility.3 The creation of programs available for computers, smartphones and tablets has made it possible for busy surgeons to have these images at their fingertips. | Continue reading
John F. Grady, DPM, FASPS, FACFAOM, and Katy Trotter, DPM
16,432 reads | 0 comments | 02/24/2014
Although hallux valgus and hallux limitus comprise the majority of first ray pathology, sesamoid disorders are not uncommon and may even carry greater morbidity that demands attention. A generic diagnosis of sesamoiditis may encompass several etiologies including fracture, symptomatic nonunion, avascular necrosis, osteoarthritis, dislocation, infection and symptomatic bipartite sesamoids.1 | Continue reading
Kyle S. Peterson, DPM, AACFAS, and Christopher F. Hyer, DPM, MS, FACFAS
19,285 reads | 0 comments | 12/16/2013

Lesser metatarsophalangeal joint (MPJ) pathology is one of the most common conditions affecting the forefoot. Most commonly located at the second MPJ, progressive subluxation and dislocation of the phalangeal base on the metatarsal head primarily results from the disruption of the plantar plate, which often begins as predislocation syndrome.1 Painful dislocation of the toe in the dorsal plane, and less commonly in the medial or lateral planes, causes pain with ambulation and shoegear. Anatomic studies have demonstrated the importance of the plantar plate in stabilization of the MPJ in the sagittal plane.2,3

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Nicholas J. Bevilacqua, DPM, FACFAS
49,571 reads | 0 comments | 10/22/2013
Achilles tendon rupture occurs frequently and if it is neglected, there may be significant long-term disability. Early diagnosis of an acute rupture and prompt initiation of treatment will generally lead to optimal results. Acute Achilles tendon ruptures may be misdiagnosed up to 25 percent of the time.1 In other cases, patients may not seek immediate medical care if they are able to ambulate and the pain is tolerable. It may be weeks or months before the patient receives a referral or decides to pursue treatment. Ultimately, continued functional impairment and alterations in gait cause the patient to seek medical attention. | Continue reading
Michelle Butterworth, DPM, FACFAS
23,342 reads | 0 comments | 08/20/2013
The Evans calcaneal osteotomy, first described in 1975, is a lateral column lengthening procedure that preserves the calcaneocuboid joint.1 This laterally based opening wedge osteotomy is historically known to provide transverse plane correction for pes planovalgus deformities. | Continue reading
Michael Tritto, DPM
9,648 reads | 0 comments | 06/25/2013
The correction of a significantly subluxed or dislocated hammertoe in an elderly patient can be a challenge to any surgeon. Over the last 22 years, I have tried numerous ways to correct the problem, all with varying degrees of success. The use of the Weil osteotomy along with other procedures, including proximal interphalangeal joint fusion, flexor transfer and now plantar plate repair from a dorsal approach, has not given me consistent results with patients who are over 65 years of age. | Continue reading