| Podiatric Medical Condition |
Consider Surgical Procedure |
1. Ankle Joint - Inflammation
(Synovitis),
Gout, or Arthritis |
- Ankle Arthroscopy |
2. Ankle/Foot Fractures -
A. If stable fracture and in good alignment
B. If fracture is unstable, mal-alignment
C. With any fracture your goal is to have a
stable fracture, with good
range of
motion, and good alignment.
All three
helps in bone healing. Fractures
usually
take 6-8 weeks to heal. |
-Consider closed reduction
- Consider surgery (ORIF) (Open
Reduction Internal Fixation)
plus
immobilization |
3. Ankle Instability - Inversion
sprains are
common |
- Lateral Ankle Stabilization |
4. Achilles Tendon Rupture -
Usually
associated with trauma |
- Achilles Tendon Repair |
5. Tendon Rupture - Usually
this is the
Posterior Tibial Tendon
or the Achilles
Tendon |
- Surgical Repair |
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6. Achilles Tendon Contractures
- Usually
associated with Cerebral
Palsy,
Neuromuscular disease, Clubfoot,
Burns, Trauma |
- Achilles Tendon Lengthening |
7. Ankle/Foot Soft Tissue Mass
-
Ganglionic Cysts, Lipomas
Neuromas,
Fibromas, Warts, Tumors,
Inclusion
Cysts, etc.
A. Most soft tissue masses in the foot or
ankle are benign, some soft
tissue
masses are malignant or
have the
potential to become malignant.
I believe
all soft tissue masses should
be sent to
pathology for examination.
it is beyond
the scope of this web site
to cover all
soft tissue masses. |
- Surgical Excision &
Biopsy |
8. Tarsal Tunnel Syndrome -
Nerve
entrapment similar to Carpal
Tunnel
Syndrome in the wrist. |
- Tarsal Tunnel Release |
| 9. Bunions - There are many
types of bunions and many different procedures |
- Bunionectomy |
10. Hallux Limitus - Decrease
Range of
motion 1st MPJ |
- Cheilectomy (remove
spurs around
joint)
- Decompression Osteotomy (like a
Bunion procedure)
- Arthrodesis (Fusion)
- Implant |
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11. Tailor's Bunions - 5th MPJ
area,
sometimes called a bunionette |
- Tailor's Bunionectomy |
12. Hallux Fusion - Good for
foot where
Hallux has difficulty clearing
the Ground.
(i.e., Stroke patients,
neuromuscular
diseases, hallux hammertoe. |
- Hallux Arthrodesis -
fusion of the big toe
use in conjunction with
Jones
Tenosuspension (Tendon transfer
1st
metatarsal) |
13. Hammertoes - Sometimes called
clawtoes, mallet toes |
- Hammertoe Correction
(Arthroplasty )
removal of bone usually
at the joint |
14. Contractures - metarsal
Phalengael
joints usually associated
with
hammertoes |
- Tenotomy / Capsulotomy
(Surgical
Release) |
| 15. Diabetic ulcers - |
- Surgical Correction |
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16. Diabetic Infections - Serious
and need
to be treated aggressively
and quickly |
- Incision & Drainage
with IV antibiotics |
17. Diabetic Amputations - These
are
usually a result of infection,
ulceration,
peripheral vascular disease.
many
amputations can be avoided
with
regular medical care, early
intervention,
and appropriate treatment. |
- Surgical Correction
|
18. Charcot Foot - Usually breakdown
of
the midfoot or rearfoot.
Common in
diabetics, neuropathy conditions |
- Achilles Tendon Lengthening
- Fusions
- Exostectomy |
19. Exostosis - (Bone Spurs)
Achilles
Tendon insertion area, Calcaneal
Spur,
Dorsal (top of foot) |
- Exostectomy |
20. Nerve Entrapment - Usually
associated
with scar tissue |
- Nerve Resection |
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21. Foreign Body Removal - These
are
usually stepping on a piece
of glass,
needle, toothpick, thorn,
or painful
hardware |
- Surgical Removal |
22. painful Keratomas - Usually
nucleated
callouses causing pain secondary
to
depressed metatarsal |
- Surgical Correction
(Oblique Osteotomy) |
23. Flatfoot Problems - usually
can be
treated conservatively |
- Young's Tenosuspendion
(Flatfoot
proceedure
- Fusions |
24. Plantar Fasciitis - Heel
pain with or
without heel spur |
- Plantar Fasical Release
(open) or
endoscopic technique |
25. Ingrown Toenails - Painful,
usually
treated in office |
- Partial Nail Avulsion
(temporary
procedure-cutting out the
sides of the
nail) |
| 26. Thick painful Toenails -
Painful, usually treated in office |
- Total nail Avulsion
- Total Matrixectomy |
27. Pes Cavus Reconstruction
- High arch
foot, sometimes associated
with
neuromuscular disease |
- Multiple Procedures
are needed to
correct this foot type |
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