In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss a case involving a severe Achilles tendon injury in a young athlete. They highlight the importance of having backups for backups when relying on imaging, as MRIs can sometimes be misleading. Dr. Dauphinee and Dr. Hussain explain the surgical procedure they performed, including the use of a cadaveric calcaneal Achilles graft. They also discuss the post-operative care and rehabilitation process.

Quotes

• "When tamping the bone you can use screws, wires, staples, plates, but I think the most common is a single screw.” -Dr. Raafae Hussain

• “The moral of the story from a surgeon's standpoint is, MRIs can lie to you Have a backup for your backup.” -Dr. Damien Dauphinee

Top Takeaways:

• Cadaveric Achilles grafts can be a viable option to bridge extensive gaps.
• Encouraging interdisciplinary learning through real-life cases is vital for medical professionals' growth and preparedness for complex surgeries.

What You Will Learn:

• Postoperative care involves lengthier immobilization and physical therapy when using cadaveric grafts, highlighting the need for tailored recovery protocols.
• MRIs can sometimes provide misleading information; it's important to be prepared with multiple treatment plans.
• Proper fixation using screws and consideration for nerve location, such as sural nerves, is crucial during Achilles tendon surgery.

Resources:

Visit our website: https://thepoddoctors.com/

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, cover the intricacies and surgical treatment of fibular nerve release, a crucial procedure for patients experiencing various complications often associated with nerve entrapments in the lower limbs. They discuss the nitty-gritty of podiatric surgery, specifically the peroneal, or technically the fibular nerve, and its susceptibility to injury or entrapment. Doctors Dauphine and Hussein then discuss the surgical nuances of nerve release, providing critical insights into how such procedures substantially improve patient outcomes.

Quotes

• "Nerve flossing is a really great technique. We'll get folks into the physical therapists and have them start nerve-flossing as quickly as we can. Usually, right after we get the stitches out at two weeks.” -Dr. Raafae Hussain

• “You've got to always keep in mind that when patients are complaining of burning, stabbing, shooting pain, tightness at nighttime, that is nerve-related pain for sure.” -Dr. Damien Dauphinee

Top Takeaways:

• Fibular nerve release is improving patient outcomes, with modern technology playing a pivotal role.
• Detailed nerve anatomy understanding and careful surgical techniques are essential for the successful treatment of the fibular nerve and its branches.
• The surgical approach to decompressing the fibular nerve involves meticulous dissection
• Diagnostic blocks are a helpful tool in identifying specific nerve entrapments that could contribute to conditions like restless leg syndrome (RLS).
• Nerve flossing is crucial to prevent adhesions and maintain nerve health.

What You Will Learn:

• Surgical procedures to address nerve entrapment
• Using diagnostic blocks as a tool
• How the application of protective materials like umbilical cord tissue prevent scarring and promote healing
• Postoperative care that encourages movement

Resources:

Visit our website: https://thepoddoctors.com/

In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss bunion surgery and its various outcomes, especially focusing on revision bunionectomy. They explore the numerous techniques to correct bunions, emphasizing the importance of matching the surgical approach to the patient's specific condition. The doctors also suggest that one solution does not fit all, and the choice of procedure can greatly impact long-term satisfaction and functionality. They also suggest personalized surgical plans, which are crucial for achieving the best outcomes in foot and ankle health.

Quotes

• "The difference between doing an open versus MIS is minimally incisional surgery. The benefit is that you don't have a long incision.” -Dr. Raafae Hussain

• “Most bunion surgeries that fail, are a failure of the choice of the bunionectomy.” -Dr. Damien Dauphinee

Top Takeaways:

• The success of bunion surgeries largely depends on selecting the proper procedure that aligns with the patient's degree of deformity and clinical presentation.
• The Lapidus Bunionectomy: among other techniques, is becoming increasingly popular for treating severe and hypermobile bunions
• Minimally invasive surgeries (MIS) for bunions require careful patient selection, with ideal candidates being young, healthy, and free of complicating factors like smoking or diabetes.
• Revision bunion surgeries are sometimes the consequence of an initial procedure that did not sufficiently address all aspects of the deformity
• Fusion of the big toe joint can be a highly effective solution for long-term relief in patients with recurring bunions or persistent joint breakdown.

What You Will Learn:

• Different options for revision bunion surgery
• Common complications and concerns
• Patient Selection Criteria for MIS Bone Healing
• How to Choose the Right Bunion Surgery and Surgeon

Resources:

Visit our website: https://thepoddoctors.com/