Two weeks ago I performed an excision of a very large dermatofibroma of the foot. Due to the size of the lesion I had to cover the void with an allograft. The allograft was made in the lab from human skin and is quite expensive. Obviously, I was watching the progress of this patient quite closely [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: Comments Off
I used to use a lot of On-Q Pain Pumps from I-Flow. The pain pumps were used to supply a slow, regulated dose of Marcaine to a surgical site. Neat idea. Use of the On-Q pumps really did cut down on the use of post-op narcotics. Depending upon the size of the reservoir used, there [...]
tags: Foot and ankle surgery, Pain managment author: Dr. Jeffrey Oster comments: No Comments
Pigmented villonodular synovitis (PVS) is a benign tumor found primarily in the knee, and less commonly in the ankle, hip and elbow. PVS, also called a giant cell tumor, has an unknown etiology. PVS proliferates within the synovial lining of joints and tendon sheaths. The distinctive color of PVS is due to hemosiderin deposits. Hemosiderin is [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: No Comments
Mononeuropathy (mononeuritis) is the term used to describe pain that is limited to one specific nerve. We usually associate mononeuritis with trauma. Another more common term for mononeuritis is CRPS (type 2) or complex regional pain syndrome.
In cases of mononeuritis that have failed to respond to conservative care, selective transection of the nerve may be indicated. Transection [...]
tags: Foot and ankle surgery, Pain managment author: Dr. Jeffrey Oster comments: No Comments
I attended a CME course over the weekend and one of the lecturers had some interesting comments regarding the medical device industry. He stated that he thought that many trends within the field of foot and ankle surgery were actually drive by medical device manufacturers. That’s a pretty bold statement. But you know, I think [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: 1 Comment
Cam walkers. I’m sure you’ve seen them. Cam walkers are the removable casts that are used as a step down cast following foot and ankle surgery. The real beauty of a cam walker is two fold. First, the rocker sole on the cam walker really does a great job in off-loading the forefoot. And I [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: No Comments
As a young doctor, the Hoffman, or what some doctors call a Hoffman-Clayton procedure seem so darned aggressive. I was often reluctant to recommend a Hoffman procedure due based upon the assumption that the procedure was a joint destructive procedure. Over the course of my career though, I’ve seen the Hoffman procedure make a significant [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: No Comments
I saw a fellow this morning for heel pain. Clinical and x-ray finding were consistent with plantar fasciitis, right heel. But there was a problem with that diagnosis. The problem was that we had performed an endoscopic plantar fasciotomy on the same foot 5 years ago. Had the plantar fasciitis returned? It sure did seem that way.
Plantar [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: No Comments
I just saw a young girl in the office today who was in for her first post-op visit following surgery performed 3 days ago. She’s a stoic young gal, but I think I could honestly say that this was her first time having elective surgery. Granted, she’s a mother of 2 children, but still, this is the [...]
tags: Foot and ankle surgery, Pain managment author: Dr. Jeffrey Oster comments: No Comments
One of the tools I use to gauge how well I do my job is to listen to post-op patients and their comments regarding how well they’re doing with their recovery. For most patients, their surgical experience is a first time experience. This means that they have no previous surgical experience with  which they can compare. So it’s [...]
tags: Foot and ankle surgery author: Dr. Jeffrey Oster comments: No Comments