Elective Surgeries

 
 

Achilles

  • Haglunds Arthroscopic Debridement - Achilles insertional tendonitis is inflammation and pain at the insertion of the Achilles Tendon into the heel bone (calcaneus).  In severe cases, the tendon must be detached and reinserted with anchors.  In minor and moderate cases a minimally invasive approach can be used and the excess bone can be removed through an ankle arthroscopy. 

  • Haglunds Detachment Reattachment - In minor and moderate cases a minimally invasive approach can be used and the excess bone can be removed through an ankle arthroscopy.  In more severe cases, the tendon must be detached and reinserted with anchors.

  • Repair of Rupture - Many acute Achilles tendon ruptures can be treated non-operatively; however, in some cases operative repair is required.  You will speak with Dr. Desai to determine which treatment option is best for you. Haglunds Arthroscopic DebridementHaglunds Detachment Reattachment

Ankle Stability

Arthroscopy

  • Anterior Arthroscopy - Debridement - Ankle arthroscopy and debridement can be done for minor ankle arthritis or after scar tissue builds up after an ankle injury such as a sprain.

  • Anterior Arthroscopy - Microfracture - Ankle arthroscopy and microfracture is done for osteochondral lesions (cartilage injury) to the ankle.

  • Posterior Arthroscopy - Debridement - Ankle arthroscopy and debridement can be done for minor ankle arthritis or after scar tissue builds up after an ankle injury such as a sprain.  Accessory bones (such as os trigonium) can also be removed.

  • Posterior Arthroscopy - Microfracture - Posterior ankle arthroscopy and microfracture is done for osteochondral lesions (cartilage injury) in the posterior (back) of the ankle.

Bunion ( Hallux Valgus )

  • Chevron Osteotomy - Chevron osteotomy is one technique that is performed to correct minor bunion deformities (Hallux Valgus).

  • Lapidus Procedure - Lapidus fusion is one technique that is performed to correct moderate to severe bunion deformities (Hallux Valgus).  This involves changing the shape/angle of one of the joint in your midfoot to correct the bunion deformity.

  • Scarf Procedure - Scarf osteotomy is one technique that is performed to correct moderate to severe bunion deformities (Hallux Valgus).

Flatfoot

  • Flatfoot Correction - Correction of a flat foot is performed with various different operations in including: calcaneus (heel) osteotomy, fusion of the subtalar joint, tendon transfers or muscle lengthening.  There may be slight variations to the below protocol based on what exactly was done in surgery.

Forefoot

  • Cheilectomy - A cheilectomy is the removal of excess bone in patients with first MTP joint arthritis (Hallux Rigidus).  This operation is performed minimally invasively using a 1 cm incision.

  • CARTIVA® - CARTIVA® is a synthetic cartilage implant used to treated MTP joint arthritis (Hallux Rigidus).

  • Claw Toe Correction - Claw toes can be corrected by a number of different techniques which are usually determined intra-operatively.

  • Morton's Neuroma - Excision of the Morton’s neuroma aims to decrease pain and discomfort from the neuroma between the toes.

  • Rheumatoid Foot Correction - Patients with severe deformity from rheumatoid arthritis are best treated with a formal “Rheumatoid Forefoot Reconstruction” which involves fusion of the first MTP joint, and correction of claw toes.

Fusion

  • Arthroscopic Ankle Fusion - Ankle fusions are performed for end-stage ankle arthritis.  The most common cause of ankle arthritis is a previous ankle injury or fracture.   Dr. Desai most commonly performs his operation arthroscopically (minimally invasive).

  • Open Ankle Approach Fusion - Dr. Desai most commonly performs his operation arthroscopically (minimally invasive).  In some situations, if this not possible, an open approach is used.

  • Double Fusion - Double fusion is done for arthritis of the subtalar joint (joint below the ankle) and the talonavicular joint OR in cases of severe flat foot deformity.  Both joints are fused with a combination of plates and screws to straighten the foot and ankle.

  • First MTP Joint Fusion - Fusion of the first MTP joint is performed for two main reasons:  The most common is first MTP joint arthritis (Hallux Rigidus).  The other scenario is for a severe bunion deformity (Hallux Valgus) that cannot be corrected with traditional bunion operations.

  • Midfoot/Lisfranc Fusion - “Lisfranc” is a term used to describe the midfoot joints. Midfoot fusions are performed for two main reasons: Arthritis of the midfoot and fracture or dislocations of the midfoot.

  • Subtalar Joint Fusion - Subtalar fusion is done for arthritis of the subtalar joint.

Peroneal Tendon

  • Peroneal Tendon Repair - Peroneal tendon tears can occur with many different mechanisms, such as during a common ankle sprain. Peroneal tendon tears can be repaired with sutures.

  • Peroneal Tendon Subluxation Surgery - Peroneal tendon subluxation refers to the peroneal tendons (tendons behind the fibula) dislocating around the fibula. Peroneal tendon subluxation is corrected by changing the shape of one ankle bone (fibula) and repairing the covering of the peroneal tendons.

Plantar Fibroma

  • Fibroma Resection - Plantar fibromas are benign masses on the bottom of your foot which can be very painful.  These can be resected to decrease pain.

Tarsal

  • Midfoot/Lisfranc Fusion - “Lisfranc” is a term used to describe the midfoot joints. Midfoot fusions are performed for two main reasons: Arthritis of the midfoot and fracture or dislocations of the midfoot.

  • Subtalar Joint Fusion - Subtalar fusion is done for arthritis of the subtalar joint.

Total Ankle Replacement

  • Total Ankle Replacement - Total ankle replacements are performed for end-stage ankle arthritis.  The most common cause of ankle arthritis is a previous ankle injury or fracture. Ankle replacement involves replacing the ankle joint with metal and plastic.

Hardware Removal

  • Hardware Removal - In some cases after surgery, the hardware needs to be removed due to irritation under the skin. Usually this will occur one year after the surgery.