Global Podiatry Partners, Inc

07/20/2024

Heel spurs 🦴 are a common ailment that can cause suffering for active and inactive people.
Here’s a spur being removed using minimalist, pain free techniques 💥
Call 📞 to schedule a consultation today!

06/03/2021

32 yo female golf cart trauma, closed fracture dislocation. No medical history. No CT. What would you do different?

03/24/2021

Doctors stand up against hate crimes

After recent attacks on Asian Americans, activists are taking action.

11/11/2020

58 yo previous workman comp male patient, no DM, presented after developing sore to outside right foot. His previous surgeon retired. He presents with a hind foot varus as well and only pain is at the sore outside foot. What would you do?

09/01/2020

Traumatic Open fracture dislocation of navicular, calcaneus - what would you do? (Staged details)

07/20/2020

Opinions on Canine Total ankles 😳 - not total ankles made of canine bone but total ankles FOR canine (dogs)

06/29/2020

Did you know your toenails actually grow faster during hot weather?

06/25/2020

Your feet have a total of 52 bones! That means your feet make up 25% of the bones in your body.

06/22/2020

Do your child's shoes "Make the grade?"

06/11/2020

Did you know these??

06/04/2020

How will you take care of your body this week?

06/02/2020

Thank you for saving lives and servicing our community!

05/28/2020

Pronation is the normal movement of the foot that is necessary in order for the foot to absorb the shock of ground impact, and also to adapt to uneven terrain. During the movement described as pronation, the foot rolls inwards slightly towards the midline of the body. Visit our website to learn more!

05/25/2020

What's your foot type?

05/24/2020

A 37 year old male sustained a Hawkins III talar neck fracture dislocation 2/2 dirt bike accident. MOI axial load with rapid ankle DF. Patient underwent open reduction with ex-fix and medial mal osteotomy followed by definitive ORIF with mini-fragment 2.0mm straight plates laterally due to comminution with bone graft and perc AP screw.

Reduction sequence
Closed reduction was unsuccessful with DF and eversion of the hindfoot with hip/knee flexion. An external fixator was then placed to obtain axial traction. Second, a shanz pin was placed percutaneously over the anteromedial ankle into the non-articular talar body. Again this was unsuccessful. Lastly, an anteromedial incision was made between PT and TA and a medial mal osteotomy was performed. This allowed clearance of the talar body from posterior tibial plafond. Definitive fixation was performed through duel anteromedial and anterolateral incisions 6 days later.

Key points:

Acute
Reduction can be very challenging
Medial mal osteotomy may be needed
Rule out concomitant injuries (spine, knee, etc)
Watch for NV compromise and compartment syndrome
Lateral talar neck bone stronger than medial

Long term
AVN (high for Hawkins III/IV)
Post-traumatic DJD (STJ >AJ)
Talar body collapse
Varus malunion (comminuted medial talar neck-avoid compression in this scenario)

Any other pearls on reduction/comments?

05/17/2020

66 yo M with diabetes and severe neuropathy presented to ER after 3 days of swelling and pain without open wounds. What’s the next steps for this patient?

05/14/2020

Wash your hands frequently. This is without a doubt the most crucial thing you can do to minimize your risk of contracting the coronavirus disease. And not just a quick rinse – wash your hands with soap for at least 20 to 30 seconds any chance you get – especially after being in public or traveling via public transport.

05/14/2020

44 yo f without medical history fell off her bicycle. No open injury. What would you do?

05/12/2020

Covid19 r/o DM hind foot ulcer with multi-drug resistant organisms homeless M has sepsis. What do you do?

03/19/2020

One of my last cases before the surgery centers and hospitals shut down elective cases in Indy. 2nd & 3rd MCJ DJD with 1st ray instability and equinus (of course 😉). 1st, 2nd & 3rd MCJs arthrodesis using trephine resection method for 2nd & 3rd MCJs (important tip is to stay inside the cortices when coring our the joints). Instead of harvesting autograft from the calcaneus, I used allograft soaked in BMAC, and trephined the grafts from the larger allograft. Fixation is with Paragon 28 plates and screws. Lis Franc’s arthrodesis can be challenging, but this approach makes the procedure much easier. Using allograft eliminates potential harvest site complications. X-rays and clinical photos are one week post operative. Pleased with the results thus far. @ Westfield, Indiana

02/26/2020

Difficult case:
27 yo m.
Had attempted ankle fusion in Guatemala 6 months ago. Now with partial / mal Union .....
1. Revise & fuse?
2. Take down and convert to TAR?

Dilemma. Young patient. We know there is better function with the TAR, but we also know his activities will be limited and revisions sown the road will be required. With fusion in such a young guy we can predict future issues with remote joints and less functionality now. what would you do?

02/22/2020

ORIF vs Arthrodesis?

02/11/2020

For those interested in external fixation mini fellowship overseas.

02/11/2020

Have bad feet and want to be on TV? You’re in luck America 🇺🇸

Calling all bunions!