Surgical Pearls

Michael M. Cohen, DPM, FACFAS
15,383 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
24,999 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
13,037 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
19,623 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
Jodi Schoenhaus, DPM
11,455 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
49,147 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
22,899 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
21,283 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
62,115 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
20,809 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