PODIATRIC SURGERY Surgery of the Foot & Ankle. DECISION MAKING Indications Contraindications Pre-operative Consult Medical Clearance Surgical Consent.

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Presentation transcript:

PODIATRIC SURGERY Surgery of the Foot & Ankle

DECISION MAKING Indications Contraindications Pre-operative Consult Medical Clearance Surgical Consent Post-operative Care Rehabilitation

TYPES OF SURGERY Biopsies Excisions Grafting Nail Surgery Forefoot Rearfoot Reconstructive Tendon Procedures Trauma Ankle Procedure

BIOPSIES/EXCISIONS Nail Plate Skin Lesions Pigmented Lesions Keloids Soft Tissue Masses Tumors Granulomas Fibromas Neuromas Muscle Biopsy Bone Biopsy

GRAFTING Skin Grafting Split Thickness Full Thickness Bone Grafting

NAIL SURGERY Indications/Contraindications Nail Avulsions Wedge Resection Nail Matrixectomies

COMMON FOREFOOT SURGERY Nail Surgery Neurectomy Hallux Deformities Hallux Valgus Hallux Limitus Toe Deformities Hammertoes

FOREFOOT SURGERY Indications/Contraindications Hallux Valgus (Bunion) Capsule/Tendon Balance Phalangeal Osteotomy Metatarsal Osteotomy Head Midshaft Base Hallux Varus Hallux Limitus/Rigidus Chilectomy Arthroplasty Arthrodesis Wedge Ostetomy

TOE DEFORMITIES Indications/Contraindications Hammertoe/Mallet Toe/Claw Toe Soft tissue release Arthroplasty Arthrodesis Special Deformities Dorsal Dislocation with Hammertoe Crossover Toe 5 th Digit Cock-up deformity Congenital varus (Curly Toe) Tailor’s Bunion/Bunionette Capsule/Tendon Balance Osteotomy

REARFOOT SURGERY Indications/Contraindications Soft Tissue Procedures Plantar Fascia Release Nerve Decompression Tarsal Tunnel Release Achilles Tendon Repair Lengthening Calcaneal Ostectomy and Osteotomy Arthrodesis Isolated joint Arthrodesis Subtalar Arthrodesis Triple Arthrodesis

TENDON PROCEDURES Indications/Contraindicatio ns Posterior Tibial Tendon Dysfunction Chronic Ligament Instability

TRAUMA Indications/Contrindications Fractures Forefoot Sesamoids Phalanges Metatarsals 5 th Metatarsal Midfoot LisFranc Injury Navicular/Cuboid Rearfoot Talus Calcaneus Incision & Drainage Compartment Syndrome Amputation Ankle Fractures Pilon Fractures

SPECIAL PROCEDURES Reconstruction Brachymetatarsia Rheumatoid Foot Tarsal Coalition Charcot Foot Scope Procedures Endoscopic Neurolysis Endoscopic Plantar Fasciotomy Ankle Arthroscopy

SURGERY GOALS Prevent Infection Reduction of Pain Reduction of Deformity Return to Function

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