Ankle
Care and Management
Arthroscopic Articular Cartilage Repair (Ankle)
This minimally-invasive procedure is performed to stimulate the growth of fibrocartilage in an injured joint. Fibrocartilage is a tough, dense, fibrous material that can fill in areas where smooth, glassy cartilage has become damaged or worn away. This procedure may be performed with general or regional anesthesia.
Lateral Ankle Ligament Reconstruction (ALR)
This surgery corrects an unstable ankle. It tightens one or more ligaments that support your ankle. It helps people who’ve had repeated ankle sprains. It can also help people who have certain foot deformities.
PRP Therapy for Achilles Tendon Pain
If you have pain in your Achilles tendon, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your ankle feel better and work better.
Radiofrequency Treatment for Achilles Tendinosis (TOPAZ® Coblation®)
During this procedure, the surgeon uses a specialized radiofrequency instrument to break up scar tissue in a painfully-inflamed Achilles tendon. The coblation procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure. This animation will show the minimally-invasive technique.
Total Ankle Joint Replacement (Wright INBONE® II)
This surgical procedure is performed to remove portions of the ankle that are diseased or severely injured and to implant a device that will help manage pain and restore mobility to the ankle.
Conditions
Ankle Sprains
Ligaments are fibrous, elastic bands of tissue that connect and stabilize the bones. An ankle sprain is a common, painful injury that occurs when one or more of the ankle ligaments is stretched beyond the normal range of motion. Sprains can occur as a result of sudden twisting, turning or rolling movements.
Chronic Lateral Ankle Pain
This is a pain on the outer side of your ankle. It’s a lasting pain that you may feel all the time. It can make it hard for you to walk and run, and it can increase the possibility of ankle sprains.
Osteochondral Lesion of the Talus
This is an injury of the protective cartilage on the top of the talus (the ankle bone). You’ll find this cartilage where the talus touches the tibia and fibula (the bones of the lower leg). An osteochondral lesion can be a painful problem.
Big Toe
Care and Management
First Metatarsal-phalangeal (MTP) Total Joint Replacement (MOVEMENT™)
This procedure uses a small, two-piece implant to cover damaged or missing articular cartilage in the MTP joint, where the base of the great toe meets the foot. The implant restores mobility to the bones of this joint, allowing them to glide smoothly against each other. This procedure is commonly used to treat hallux rigidus, also called stiff big toe.
First Metatarsal-phalangeal Joint (MTP) Arthrodesis
This surgical procedure is performed to help relieve pain in the front of the foot and correct deformities in the MTP joint of the big toe caused by injury, arthritis or genetic defect. The procedure fuses the bone at the base of the big toe to the first metatarsal bone of the foot.
Lapidus Procedure for Bunion Correction
This procedure is used to correct a bunion, a bony bump at the base of the great toe caused by excess bone growth and misalignment of the bones of the foot and toe. This procedure removes the bump and brings the toe back into proper alignment.
Winograd Procedure for Ingrown Toenail
This procedure is used to remove the problem portion of an ingrown toenail and to prevent the ingrown toenail from recurring. This procedure is performed under local anesthetic, and takes only a few minutes to perform.
Conditions
Bunion
This deformity affects the joint at the base of the big toe. It is a bony bump beneath the skin on the inner side of the foot. A bunion starts small, but over time it can grow to become very large. Bunions are more common in women.
Hallux Rigidus (Stiff Big Toe)
This is a type of arthritis that affects the base of the big toe. It forms in the metatarsophalangeal joint (we call it the “MTP” joint). With hallux rigidus, the protective cartilage on the ends of these bones wears away. Bone rubs against bone. Bony growths called “bone spurs” may form. Your toe stiffens, and this can make walking uncomfortable.
Ingrown Toenail
This common problem happens when the edge of a toenail grows into the skin of your toe instead of over it. The nail may dig in deep. And that can be very painful.
Foot
Care and Management
PRP Therapy for Plantar Fasciitis
If you have pain in your foot from plantar fasciitis, platelet rich plasma therapy may help. It uses parts of your own blood to help your body heal itself. PRP can help your foot feel better and work better.
Radiofrequency Treatment for Plantar Fasciitis (TOPAZ® Coblation®)
During this procedure, the surgeon uses a radiofrequency device called a TOPAZ microdebrider to break up scar tissue in a painfully-inflamed plantar fascia (a band of tissue at the bottom of the foot). The coblation procedure can be performed as a minimally-invasive procedure through the skin, or it can be performed as part of an open surgical procedure. This animation will show the minimally-invasive technique.
Conditions
Morton’s Neuroma
This condition is a thickening of the nerve sheath that surrounds a nerve in the ball of the foot. It most commonly develops between the third and fourth toes. It also commonly occurs between the second and third toes.
Plantar Fasciitis
Plantar fasciitis is an irritation of the plantar fascia. This thick band of connective tissue travels across the bottom of the foot between the toes and the heel. It supports the foot’s natural arch. It stretches and becomes taut whenever the foot bears weight.
Posterior Tibial Tendon Dysfunction (PTTD)
This is a problem with a tendon supporting the foot’s arch. We call it the posterior tibial tendon. It connects the calf muscle to the bones on the inner side of the foot. With posterior tibial tendon dysfunction, the tendon becomes inflamed or torn. Your arch becomes unstable, and it may collapse.
General
Conditions
Plantar Wart
This is a type of wart that forms on the sole of the foot. It causes a patch of thickened skin. Plantar warts are common, and they aren’t harmful. But they can be tender, and they can be embarrassing.
Heel
Conditions
Sever’s Disease (Calcaneal Apophysitis)
This isn’t a true disease, it’s a painful heel condition that affects growing children. It’s an inflammation of the growth plate in the heel bone (called the “calcaneus”). Growth plates are places where new bone forms as bones grow and lengthen.
Lesser Toes
Care and Management
Hammertoe Correction (PIP Joint Arthroplasty)
This surgical procedure is used to correct a hammertoe, a deformity of the toe that causes the toe to become permanently frozen in a bent position. During this procedure, a small piece of bone is removed to shorten the toe and allow it to straighten.
Conditions
Hammer Toe
This condition is a deformity in which a toe bends downward at the middle joint. The second toe is the one most likely to be affected, but this deformity can occur in other toes as well. Sometimes, more than one toe is affected.
Lower Leg
Care and Management
Gastrocnemius Recession (Intramuscular Approach)
This outpatient procedure is used in the correction of conditions such as flatfoot, chronic Achilles tendonitis, or equinus (commonly called toe walking). Gastrocnemius recession lengthens the muscles and tendons at the back of the leg, allowing the heel to shift downward into a more natural position. In many cases, this technique is performed as an alternative to Percutaneous Tendo-Achilles Lengthening, which can permanently weaken the Achilles tendon.