Drs. Matthew McCabe and Robert Greenhagen recently published on an innovative approach to healing lower extremity ulcerations. The recent publication was in Podiatry Management and is pending submission to the Journal of the American Podiatric Medical Association (JAPMA).
You can read the Podiatry Management article here (WARNING: Graphic surgical images are present in the article)
Subtalar arthroscopy is increasing in popularity due to its less invasive nature with respect to open procedures and expanded indications. It may be used as a diagnostic or treatment procedure, or both. The surgery is performed through small incisions, by using a viewing instrument called an arthroscope. An arthroscope is a thin long tube with a camera attached, which helps your surgeon clearly view the surgical site on a monitor. The subtalar joint is a complex joint located below the ankle joint and is formed by the union of the heel (calcaneus) and the talus (ankle) bone. The subtalar joint allows side to side (inversion and eversion) movement of the foot. This joint can be injured with a sprain or fracture of the talus or calcaneus bones, causing pain and instability.
Because arthroscopy is less-invasive and traumatic than traditional surgery, it reduces the risk of infection and swelling and allows for significantly speedier healing and recovery. Most arthroscopic surgeries of the foot and ankle are performed on a same-day, outpatient basis.
Very few surgeons offer this treatment option due to the complexity of the procedure. The surgeons at the Foot and Ankle Center of Nebraska and Iowa are pioneers of subtalar arthroscopy and its emerging uses. The Foot and Ankle of Nebraska and Iowa's research on the use of subtalar arthroscopy have been published in the Journal of the American Podiatric Medical Association (JAPMA). You can also watch Drs. Robert Greenhagen and James Whelan discuss their research and the use of subtalar arthroscopy on a webinar for the American Society of Podiatric Surgeons. Click the ASPS logo to watch the webinar.
If you would like to see a video on how subtalar stability is assessed during surgery, click the image below.
For more information, call for a consultation with our podiatric surgeons call Foot and Ankle Center of Nebraska and Iowa today at 402-391-7575.
‘Tis the season for cold weather and ice related falls. When a person falls, the likely hood of an injury to the ankle is increased because the ankle can roll, twist, or turn in an awkward way.
If you fall and experience ankle pain it is best to seek medical advice as soon as possible. Take the fall seriously. Even if you are able to walk on the ankle, there may be an underlying problem. Ankle pain may be a sign of an ankle sprain or fracture. Continued use of the injured ankle, without medical advice, could lead to more complicated issues such as prolonged healing, arthritis, instability, and chronic pain. Instability is persistent discomfort and giving way of ankle due to stretched out or torn ligaments.
Ankle sprains are common and often times overlooked. However, not treating a sprained or injured ankle can lead to long term damage. For the best outcome from the injury, seek medical attention in a timely manner. Our team at the Foot and Ankle Center of Nebraska and Iowa can help get you moving after a fall.
If you are unable to obtain medical advice from a podiatrist, emergency room or urgent care facility, immediately after the fall, then rest your injured ankle. Try to limit body weight to the injury and use the “PRICE” method (protect, rest, ice, compression, elevation) until medical attention can be sought out.
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