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Foot & Ankle Condition Specialists in Louisville, KY & Surrounding Areas

Foot & Ankle Surgical Procedures

  • Achilles Tendon Repair
  • Ankle Replacement
  • Ankle Arthroscopy
  • Arthrodesis of the foot and ankle (fusion)
  • Triple Arthrodesis
  • Metatarsal Osteotomy
  • Bunion / Hallux Valgus Correction
  • Hammer Toe Repair
  • Turf Toe Reconstruction / Sesamoidectomy
  • Flatfoot Reconstruction
  • Ankle Ligament Reconstruction
  • Cartilage Restoration / Preservation
  • Ankle / Foot Deformity Correction
  • Peroneal Tendon Repair / Reconstruction
  • Ankle / Foot Fracture Repair

Foot Specialists

Video Resources

Related Articles

Athlete’s Foot Can Affect Anyone

It might start as just a tingling sensation near one toe, then progress into a nagging itch. Or, you may notice a scaly, red rash. These are common signs of athlete’s foot (tinea pedis). Causes Athlete’s foot is a fungal infection of the skin. In fact, it’s the most common one. Athlete’s foot most often appears between the toes. Athlete’s...

Stretching Exercises for Heel Pain

Arch Roll In the morning, before you walk across the floor, place your foot on a golf ball, rolling pin, or similar object. Roll your foot from your heel to your arch and then to your toes. Roll back and forth for approximately five minutes, then alternate feet. This will help stretch your plantar fascia (tendon) and alleviate pain.  ...

Plantar Fasciitis Instructions

Ice Your Heel for 20-30 Minutes Once Daily Apply an ice pack to your heel, on for five minutes, off for one minute, for a total of 20-30 minutes. Never apply ice directly to your skin; wear a sock or use a towel instead. Perform These Stretching Exercises Four Times Each Day Standing Calf Stretch Brace your hands against a...

Tenosynovitis

[ten” o-sin” o-vi’ tis] Inflammation of a tendon and its sheath, usually seen in the hands and wrists or feet and ankles. It is often the result of intense and continued use, as with pianists and typists. It is painful and may temporarily disable the affected part. Rheumatoid and other types of arthritis frequently involve tendon sheaths. A less common...

Benefits of Visiting A Podiatrist for Diabetic Foot Care

If you have diabetes, taking good care of your feet is the cornerstone of living well. For this reason, your healthcare team should include an experienced podiatrist. You can find the specialized expertise you need at Louisville Orthopaedic Clinic in Louisville, Kentucky. Our outstanding team of orthopedic specialists includes Dr. Dawn M. Michels, a board-certified doctor of podiatric medicine (DPM)...

Use of Large Allografts for Hindfoot and Ankle Fusion

Allografts, or tissues transplanted between different members of the same species, actually have their historical background in antiquity. Cosmas and Damian are considered the patron saints of al-lograft surgery. They were twin brothers and physicians credited with the third century grafting of a deceased Ethiopian's leg to one of their patients whose leg had ulcerated.

Triple Arthrodesis of the Foot With Autogenous Bone Grafting

This videotape covers the technique for triple arthrodesis of the foot using autogenous bone graft. We will start with preoperative planning using a skeletal model of the foot, some preoperative clinical assessment, and preoperative review of the patient's radiographs.

Tibiotalocalcaneal Arthrodesis with Intramedullary Fixation

The authors of this paper describe their technique for accomplishing this form of ankle and hindfoot arthrodesis with an intramedullary ankle fusion nail, and conclude that intramedullary nailing is a solid method of fixation for tibiotalocalcaneal arthrodesis in the appropriately selected patients.

Tibiotalocalcaneal Arthrodesis “Techniques in Orthopaedics”

Since the end of the 19th century, arthrodesis has been an accepted treatment for painful arthritis of the ankle and subtalar joints.3 For the purpose of this and other orthopaedic articles, surgical fusion of the ankle (tibiotalar) and subtalar (talocalcaneal) joints at the same operative sitting is termed tibiotalocalcaneal arthrodesis.

Tibiotalocalcaneal and Pantalar Arthrodesis Foot and Ankle Clinics

Since the report by Albert in 1882, arthrodesis has been an accepted treatment for painful arthritis of the ankle and subtalar joints.3For the purpose of this and other orthopaedic articles, surgical fusion of the ankle (tibiotalar) and subtalar (talocalcaneal) joints at the same operative sitting will be termed tibiotalocalcaneal arthrodesis.

The Use of a Second Generation Intramedullary Nail in Fixation of Difficult Ankle and Hindfoot Arthrodeses

The goals of ankle and hindfoot arthrodesis are the relief of pain and deformity and the development of a solid fusion. Since the end of the 19th Century, arthrodesis has been an accepted treatment for painful arthritis of the ankle and subtalar joints.

The Management of Ankle and Pantalar Arthritis

Primary osteoarthrosis, formerly known as degenerative joint disease, is characterized by loss of joint cartilage and hypertrophy of bone. Osteoarthrosis is a term used to de-emphasize the inflammatory component of this disorder when it was formerly described as osteoarthritis or hypertrophic arthritis.

The Ankle Sprain That Won’t Get Better

With springtime in Louisville upon us, the primary care physician and the orthopaedist alike can expect to see more than his or her fair share of ankle sprains. This is an injury that of course occurs year round, but seems to occur much more frequently this time of year.

Subtalar Joint Reconstruction

The single axis subtalar joint is a hinge joining the talus and calcaneus that allows adaptation of the foot on uneven ground. This joint modifies the forces of ambulation imposed on the rest of the skeleton and influences the performance of the more distal foot articulations as well.

Relief for “The General” Offensive Lineman Suffers Ankle Fracture and Dislocation

As sports medicine physicians we are occasionally reminded that football is a contact sport. The majority of time that I spent on the sidelines with the Manual football team over the last nine years, I have been treating sprains, strains, and possible concussions, but around once a season we have a significant injury which occurs.

Reconstruction of Multiplanar Ankle and Hindfoot Deformity with Intramedullary Techniques

The goal of ankle and hindfoot reconstruction should always be to address the presenting concerns of the patient and the deformity, as well as to achieve a stable, functional and plantigrade foot. These goals are accomplished by appropriate preoperative patient assessment and planning, as well as by employing meticulous intraoperative technique and aftercare.

Press Release

When pain treatments fail, patients who have worn away the cartilage between their ankle bones have limited options. While total knee replacements are quite common, total ankle replacements are not, primarily because they only last 5 – 7 years.

Plantar Fasciitis

lantar fasciitis is inflammation of the sole of the foot. Located just under the skin is a layer of tough tissue called fascia. The fascia in the arch of the foot is exposed to all of the wear and tear that the foot experiences. It often starts very gradually, with mild pain that may be felt along the inside of the heel bone and in the arch of the foot.

Juvenile and Adolescent Hallus Valgus

The development of a hallux valgus deformity in children and adolescents is actually an uncommon entity. Most of these occurrences can be treated nonoperatively. Surgery is often deferred until skeletal maturity because of historically high recurrence rates and inconsistent results.

Plantar Fasciitis Hallux Rigidus

Hallux rigidus is a “stiff big toe joint”. Patients with this condition, which is a form of arthritis, often report that it feels as if they have to force their big toe to bend at the joint when “toeing off” from the ground while walking. Often times, hallux rigidus results in the joint becoming completely rigid.

Foot and Ankle Frequently Asked Questions

The term bunion refers to a fairly common foot deformity composed of prominence of the medial forefoot that is associated with lateral deviation and sometimes rotation of the great toe toward the lesser toes.

Emerging Technology in the Treatment of Plantar Fascitiis and Lateral Epicondylitis

Chronic proximal plantar fasciitis is an extremely common clinical entity seen in the practice of many medical and surgical disciplines. Resolution of this painful condition can be accomplished in 95% of cases with nonoperative care, the cornerstone of which is an aggressive heel cord and plantar fascial stretching regimen.

Distal (Non-Chevron) Metatarsal and Proximal Phalanx Osteotomies

Distal osteotomies of the first metatarsal will usually only achieve satisfactory correction of a first intermetatarsal angle if it is less than or equal to about 15 degrees. One would have to imply different techniques for deformities with angles greater than this.

Patient and Family Instructions for Care of the Diabetic Foot

Inspect feet daily watching for blisters, cracks, calluses, inflamed areas, fungus infection, signs of shoe pressure, and signs of injury such as cuts, bruises, and skin breakdown between the toes. Wash feet daily with mild soap in tepid water and a soft brush.

Current Therapy in Foot and Ankle Surgery

The single-axis subtalar joint is a hinge joining the talus and calcaneus. This joint allows the human foot to readily adapt to uneven terrain, modifies the forces of ambulation imposed upon the rest of the skeleton, and influences the performance of the more distal foot articulations as well.

Controversies in Foot and Ankle Trauma: Fractures of the Proximal Fifth Metatarsal

With regard to fractures of the proximal diaphysis of the fifth metatarsal, controversies exist regarding the importance of the acuity or chronicity of prodromal symptoms, the incidence and potential cause of delayed unions and nonunions of this portion of the bone, as well as determining the most optimal method of treatment.

Calcaneus Fractures: Delayed Treatment

Delayed problems after calcaneus fracture can result from inadequate or inappropriate initial treatment. There may be problems after certain calcaneus fractures, however, regardless of the initial treatment, even if it is the most optimal.

Bunions: A Common Foot and Ankle Problem, Especially If You Are “Dancing With the Stars”

There is a lot of confusion and misrepresentation about bunions in the world today, especially because this is such a common physical malady. The term bunion refers to a prominence at the inside aspect of the forefoot near the base of the big toe. The term bunion actually refers only to a prominence here, and the correct medical term is hallux valgus.

Bunions

A bunion is an enlargement and malalignment of the joint at the base of the big toe. The joint where the bunion occurs is the first metatarsophalangeal joint (MTP joint). When bunions develop and change the way the joint flexes, this not only alters the way we walk, but also affects they way the body’s weight is distributed on the feet.

Ankle Sprains

A sprained ankle is a common injury that can happen when you take part in sports and physical activities. It can also happen when you simply step on an uneven surface, or step down at an angle. The ligaments of the ankle hold the ankle bone and joints in position.

Ankle And Pantalar Arthrodesis

While the title of this chapter involves arthrodesis - the intentional fusion of a joint - as a form of reconstruction, this chapter will address not only surgical technique, but nonoperative methods of care as well.
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Louisville Orthopaedic Clinic

4130 Dutchman's Lane,
Suite 300,Louisville 40207
(502) 897-1794

Louisville Orthopaedic Clinic

1425 State St.,
,New Albany 47150
(812) 920-0408

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Louisville Orthopaedic Clinic
4130 Dutchman's Lane
Suite 300
Louisville, KY 40207
(502) 897-1794

Fax: (502) 897-3852
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Louisville Orthopaedic Clinic
1425 State St.
New Albany, IN 47150
(812) 920-0408

Fax: (502) 897-3852
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