Surgical Pearls

Jason R. Miller, DPM, FACFAS, and Stanley Chen, DPM, AACFAS
12,743 reads | 0 comments | 02/26/2013
Tendon and ligament pathologies are extremely common in the adult population. Eleven percent of runners experience Achilles tendinopathy with seven out of 100,000 people sustaining a rupture. There are 1 million ankle injuries per year, 85 percent of which are ankle sprains. The total cost of tendon and ligament treatment is approximately $30 billion per year in the United States alone.1 The medical community has actively sought the augmentation of these repairs and the response by orthobiologic companies has been great. | Continue reading
By Bradly Bussewitz, DPM
12,750 reads | 0 comments | 12/19/2012
The European approach to the bunion commonly involves the scarf bunionectomy, much more so than here in the United States. Of the many bunion approaches, why should we bother adding another to the list? Those who utilize the scarf approach understand the stability, power of correction and utilitarian nature of this bunionectomy choice. I use the scarf as one of my go-to procedures for correcting mild to severe hallux abducto valgus. | Continue reading
Jodi Schoenhaus Gold, DPM, FACFAS
17,868 reads | 0 comments | 10/26/2012
Fat pad augmentation or the use of grafting in the ball of the foot and the heel has gained popularity over the past decade. The goal is simply to add cushioning or padding to areas that demonstrate a loss or displacement of natural fat due to an increased peak pressure. | Continue reading
Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM
78,579 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
29,935 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
11,683 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
29,531 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
12,146 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
11,987 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
15,325 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