S. Blake Wallace, MD

01/02/2023

Happy New Year from our family to yours!

11/24/2022

College student vs Lime scooter didn’t end well… fixed him up with internal fixation for the comminuted intra-articular 4th metatarsal fracture, and percutaneous pinning for the 2nd and 3rd metatarsal fractures. Check out that fracture remodeling over the first year! X-rays are at injury, then postop 2 wks, 6 wks, 3 mo, 6 mo, 1 year. He’s walking with no pain and is cleared for full activity. Except no more motorized scootering…

11/15/2022

Another flatfoot reconstruction!

This woman in her 40s had progressive pain in her foot for several years, and it was flattening more than the other side. We diagnosed a chronic spring ligament tear and partial thickness tears in the posterior tibial tendon. Fixing a flatfoot often requires a combination of soft tissue repair and bony reconstruction. She had a spring ligament reconstruction, posterior tibial tendon advancement, and a cotton osteotomy to protect the repairs. These X-Rays show the difference before and after surgery. After 10 weeks, she is getting back into regular shoes and has minimal pain!

08/14/2022

This patient is a very active octogenarian who fell off a ladder and was told that he sprained his foot. He hobbled around on it for two weeks before coming to see me with a lisfranc fracture dislocation and significant fracture blisters.

In layman’s terms, he tried to rip his foot in half, breaking multiple bones and tearing most of the soft tissue attachments.

Given the significant displacement and soft tissue compromise, we opted to do a percutaneous reduction (no incisions bigger than 5mm) and fixed it with k wires. Those will be pulled out in clinic after 6-8 weeks. If he develops arthritis in those joints down the road, we can do a less invasive fusion since the bones are in the right zip code now.

Each patient has their own story and unique circumstances. Listening to them and tailoring the treatment plan to each patient is key to success.

07/26/2022

I love a good flat foot reconstruction!

For a patient with Progressive Collapsing Foot Deformity (the latest name for flatfoot), it’s important to address both the soft tissue and the bony alignment. No two feet are the same.

This patient had a spring ligament tear and posterior tibial tendonitis, so after nonoperative treatments failed to provide her adequate relief, we proceeded with surgery. Spring ligament reconstruction, FDL transfer, cotton osteotomy. No calcaneal osteotomy since her hindfoot was already in neutral.

05/13/2022

Not all 5th metatarsal base fractures are the same. This one looked a bit odd, so I got a CT scan which confirmed the fragment was rotated 90 degrees with a significant step off at the 5th TMT joint. Leaving this to heal in that position could lead to arthritis, so the patient and I decided to proceed with surgery to realign the bone and hold it there with a plate and screws 👌🏼

04/17/2022

“Why do you look for the living among the dead? He is not here; He has risen!” Luke 24:5-6. Happy Easter from our family!

04/02/2022

I don’t often have to come to the hospital to make rounds on the weekends - 90% or more of my patients go home the same day of surgery thanks to the latest anesthesia techniques (thanks ). But when I do have patients to see, I bring reinforcements! And bribe them with cookies. Works every time.

02/23/2022

I love a good before and after x-ray!

Ankle fractures come in many shapes and sizes. If you break one or more of the bones in your ankle, surgery may be required to straighten things out. For example, all three bony prominences are broken here ("tri-malleolar fracture"), but now they're fixed with plates and screws. The patient is making a great recovery.

If you think you may have broken your ankle, I'd love to help you out - whether surgery is needed or not. Call 972.250.5700 or visit my website (in bio) to make an appointment!

POSMC

S. Blake Wallace, M.D. was born and raised in Baton Rouge, Louisiana. He then graduated magna cm laude from Baylor University in 2011 and completed medical school at Baylor College of Medicine in 2015.

02/03/2022

Texas friends- be careful out there in this weather! The safest way to walk on ice is like a penguin. Black tie optional.

But if you saw this too late and already hurt yourself, our office is open and we would love to help you out!

Call 972.250.5700 or visit my website (in bio) to book an appointment!