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Surgery & Services

Bunion Surgeries

 

Lapiplasty (Click here for more information)

             -The most advanced bunion surgery which definitively corrects the bunion deformity at the core of the problem.

             -Surgical correction involves realigning the first metatarsal bone and first metatarsophalangeal joint by putting the first metatarsal bone and the medial cuneiform bone together and allowing them to heal to achieve a successful bunion correction.

             -Immediate weightbearing is allowing after the procedure.

First Metatarsophalangeal Joint Fusion

            -When a bunion is severe or has arthritis a fusion of this joint is usually the best procedure for this condition.  The fusion is achieved by and putting the bones of the first metatarsophalangeal joint together with the use of a plate and screws  and allowing the two bones to heal together and achieve a successful fusion.

            -Immediate weightbearing is allowed after the procedure.

 

Hammertoe Correction

            -Hammertoes are corrected by various surgical procedures with the goal of straightening the toes.  Hammertoe correction in rigid hammertoes is achieved by fusing a joint within the toe usually with the use of pins. Flexible hammertoes are surgically treated by releasing a tendon within the toe in order to straighten the toe.

 

Plantar Fasciotomy

            -Plantar fasciitis can usually be successfully treated conservatively.  When patients have lingering pain secondary to plantar fasciitis surgical treatment may be indicated which involves releasing the central portion of the plantar fascia ligament.

 

Flatfoot Reconstruction

            -Flatfeet can often be corrected and successfully treated conservatively with orthotics.  In cases of ongoing pain secondary to flatfeet or severe flatfoot deformities there are various surgical procedures that can reconstruct the foot and place the foot in a more “neutral” position. These procedures involve moving the position of bone structures and/or tendons within the foot by employing various osteotomies, fusions, and/or tendon transfers.

 

Equinus

            -Equinus refers to a condition in which the calf muscles are too tight and this often results in chronic pain or structural abnormalities within the foot such as flatfeet.  Equinus can be surgically treated by releasing the connective tissue within the calf in order to increase the range of motion in the ankle.  This procedure is called a gastroc recession.

 

Osteoarthritis

            -Any joint in the foot can acquire arthritis after years of wear and tear, a traumatic injury, or having other arthritic conditions.  Arthritis is essentially the degeneration of the cartilage within a joint and can result in debilitating pain and deformities.  Surgical treatment of arthritis within the foot or ankle usually involves fusion of the arthritic joint by healing the bones of the joint together with the use of various surgical hardware such as plates and screws, staples, and/or internal or external wires.  Sometimes a joint replacement is indicated which is treated with an artificial joint.

 

Soft Tissue Masses

            -Painful soft tissues masses are common in the foot and ankle and are usually treated by surgically removing the soft tissue mass.

 

Diabetic Wound Surgery

            -Wounds infected with an underlying abscess usually need to be surgically drained and cleaned in the clinic or operating room.

 

Heel Bump/Spur Surgery

            -Posterior heel pain is often treated with surgical removal of the prominent heel bone or heel spur.  This surgery often involves accessing the heel bone through the Achilles tendon  by detaching part of the Achilles tendon and reattaching it with the use of tendon anchors.

 

Neuromas

            -Neuromas are usually first treated conservatively.  Recurrent or lingering pain secondary to neuromas are often treated by surgically removing the affected nerve.

 

Ankle Arthroscopy

            -Arthroscopy involves the use of a small camera which is placed within the ankle joint to visualize the joint and clean out and remove any debris, small bone fractures, and/or employ procedures to stimulate re-growth of cartilage within the ankle joint.

 

Ankle Stablilization

            -When a patient has had a significant injury to the ankle ligaments and/or repeated ankle sprains stabilization of the ankle is often indicated in order to repair the dysfunctional ligaments and restore stability to the ankle.  This is often accomplished by suturing the ligaments tighter together and often with the use of ligament augmentation devices.

 

Lisfranc Surgery

            -A Lisfranc injury is an injury to the midfoot joints usually involving pain and instability of the midfoot.  Lisfranc injuries are often treated by stabilizing the midfoot joints with the use of screws, plates and screws, or staples.  Often chronic pain and instability of the midfoot is treated with a fusion of the affected joints.

 

Fractures of the Foot and Ankle

            -If a fracture is displaced meaning that the pieces of bone are out of the normal anatomic position then surgical reduction of the fracture fragments and fixation are required with the use of various surgical hardware.

 

Charcot Deformity

            -Charcot is a condition usually affecting people with Diabetes and/or peripheral neuropathy in which certain bones in the foot breakdown quickly and become fragmented for a period of time then the bones fuse together again but often in a dysfunctional position leading to chronic instability of the foot.  Charcot deformities are usually treated conservatively at first but when there is chronic instability and/or subsequent wounds surgical treatment is often indicated to align the bones and joints in a functional position usually with the use of various fusion procedures of the foot and ankle.

 

Toenail Surgery

            When toenail become ingrown often treatment involves a removal of a small portion of the border of the toenail with the use of a chemical to apply to the area which was removed to prevent the border from becoming ingrown again thereby permanently correcting the ingrown toenail.  When toenails become severely ingrown, thickened, or irregularly shaped permanent removal of the toenail is a reasonable treatment option.

 

Tarsal Coalition Surgery

            A tarsal coalition is a congenital condition in which people are born with two or more bones in the hindfoot that are fused together and these fused bones are normally individual bones.  This condition often leads to decreased range of motion in the foot which often leads to pain and deformities and if left untreated can lead to arthritis later in life.

 

Tarsal Tunnel Surgery

            -Tarsal tunnel syndrome is a condition in the foot in which nerves within the inside of the hindfoot become entrapped and subsequently there are symptoms of pain and numbness within the foot.  Surgical release of the tarsal tunnel can help to relieve the pain and numbness in this area.  Tarsal tunnel syndrome is basically the equivalent of carpal tunnel syndrome in the wrist.