Common Foot

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Common Foot Ankle Surgery

• Dr. Lee Kaufman Dr. Donald Pelto

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Hallux Valgus / Bunion Deformity

• A structural (bony) deformity where the
  metatarsal bones spread apart causing a prominent
  bone to protrude on the inside of the foot.
• A progressive deformity.
• May be treated conservatively, but usually
  requires surgical correction if pain persists.

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Hallux Valgus / Bunion Deformity
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Bunion prior to correction
Hallux Valgus / Bunion Deformity
Bunion after correction
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Severe Hallux Valgus / Bunion Deformity
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Severe Hallux Valgus / Bunion Deformity
Dislocated sesamoid bone
Bones drifting apart
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Severe Hallux Valgus / Bunion Deformity
Cut in bone and fixation with wires
Cut in bone and fixation with screws
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Bunion Surgery
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Bunion Surgery
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Tailors Bunion / Bunionette

• Bony deformity which is located on the outside
  part of the foot.
• The bump, bunionette or Tailors Bunion, can
  become very painful due to shoe irritation.
• Tailors bunions may be treated conservatively.
  Surgical correction may be necessary.

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Tailors Bunion / Bunionette
Note prominent 5th metatarsal head with swelling
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Tailors Bunion / Bunionette
Prior to Correction
After Correction
Note Bowing of the Metatarsal
Note Straight Metatarsal
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Hammertoe Deformity

• Contracted or abnormal position of the toes,
  which may be flexible or rigid in nature.
• Usually caused by weakened muscles of the foot.
• May cause pain due to irritation from other toes.
  The pain may be exasperated by tight fitting
  shoes.
• Hammertoes are often accompanied by a corn or
  callous.

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Hammertoe Deformity
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Hammertoe Deformity
Toe prior to surgery
Toe after surgery
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Hammertoe
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Hallux Rigidus

• Osteoarthritis of the big toe joint usually
  associated with pain and restricted motion.
• May be caused by injury or repetitive joint
  damage due to a biomechanical / structural
  problem of the foot.
• Chronic wear and tear causes a wearing out of the
  cartilage at the joint and bone spurs to form.

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Hallux Rigidus of the Big Toe Joint
Note bone spur formation
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Hallux Rigidus of the Big Toe Joint
Note joint space narrowing and bone spur
formation at the joint margins
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Hallux Fusion
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Pediatric Flatfoot

• A progressive deformity of the subtalar joint of
  the foot.
• Usually hereditary and can be observed in parents
  fee.
• Can predispose to pain as grows and caused by
  hypermobility of foot.

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Pediatric Flat Foot
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Foot Fractures

• Usually caused by trauma or injury while active.
  Most common areas of injury include the
  metatarsals and sesamoids.
• Can many times be treated conservatively or with
  surgical intervention.

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Bone Fractures
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Arthritis

• Osteoarthritis of the foot can cause much pain
  and many times these joints are less painful if
  movement to them is stopped.
• This can be accomplished with surgical fusion of
  the affected joints so they will not move anymore.

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Fusion
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Fusion
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Thank You, For more information please contact
sites below www.internationalfootcare.com