8 results match your criteria: "Kaiser San Francisco Medical Center. Electronic address: Jmfoot@aol.com.[Affiliation]"
Epilogue: One Job.
Clin Podiatr Med Surg
January 2024
Department of Orthopaedic Surgery, Foot and Ankle Surgery, Kaiser Permanente Medical Center, San Francisco, CA, USA; Kaiser Foundation Hospital, 450 6th Avenue, San Francisco, CA 94118, USA. Electronic address:
In this article I reflect on almost 40 years of clinical practice. I remember the first day like it was yesterday, and I remember the last day, but the in between represents my soul, a soul that has been shaped by countless experiences. Some of these experiences were immediately impactful and left an indelible mark on my soul, but most of them were memorable only for a fleeting moment, soon to be forgotten.
View Article and Find Full Text PDFTakedown of Painful Ankle Arthrodesis to Total Ankle Arthroplasty: A Case Series of 77 Patients.
J Foot Ankle Surg
April 2021
Private Practice, Southern Arizona Orthopedics, Tucson, AZ.
Article Synopsis
- Conversion of painful ankle arthrodesis to total ankle arthroplasty can restore motion and improve functional outcomes, as shown in a study with the largest cohort and longest follow-up to date.
- The study analyzed 77 patients over an average follow-up of 8.3 years, reporting a high implant retention rate of 88% and a failure rate of 14%, with most failures requiring either total ankle replacement or revision.
- Patients generally experienced improved scores on pain and function assessments post-surgery, though those requiring further revisions reported less satisfaction, indicating that conversion is an effective option for enhancing patient experiences.
Takedown of Ankle Arthrodesis With Insufficient Fibula: Surgical Technique and Intermediate-Term Follow-Up.
J Foot Ankle Surg
September 2018
Third-Year Postgraduate Resident, Division of Podiatric Surgery, Department of Orthopedics, Swedish Medical Center-First Hill Campus, Seattle, WA.
Conversion of ankle arthrodesis to total ankle arthroplasty has recently gained popularity. However, technical challenges are present when treating patients without a sufficient fibular buttress. We describe a technique for restoration of an adequate fibular buttress using an iliac crest bone graft or malleolar relocation.
View Article and Find Full Text PDFTotal Ankle Replacement with Severe Valgus Deformity: Technique and Surgical Strategy.
J Foot Ankle Surg
November 2017
Third-Year Resident, Division of Podiatric Surgery, Department of Orthopedic, Swedish Medical Center-First Hill Campus, Seattle, WA.
Correction of severe valgus deformity of the foot and ankle with ankle replacement is challenging. We describe the controversies and specific issues of surgical management and provide a detailed surgical strategy for management of this common deformity. A reliable technique for deltoid reconstruction is also described and illustrated in detail.
View Article and Find Full Text PDFThe Neglected Achilles Tendon Rupture Repaired With Allograft: A Review of 14 Cases.
J Foot Ankle Surg
July 2017
Chief, Foot and Ankle Surgery, Kaiser San Francisco Medical Center. Electronic address:
Various surgical techniques have been reported for the repair of neglected Achilles tendon ruptures, including V-Y advancements, synthetic augmentations, and collagen implants. The use of an Achilles tendon allograft allows bridging of large defects without donor site morbidity, with a relative ease of technique and adequate graft availability. The present retrospective report focused on the outcomes of a series of 14 patients with neglected ruptures treated with an Achilles tendon allograft.
View Article and Find Full Text PDFTalolisthesis in end stage ankle arthrosis.
Foot Ankle Surg
September 2016
Attending Staff, Minor and James Medical Clinic 515 Minor Avenue, Suite 24 Seattle, WA 98122. Electronic address:
Article Synopsis
- The study examined sagittal displacement in end stage ankle arthritis using the tibiotalar ratio (TTR), revealing a higher mean TTR in arthritis patients compared to normal ankles.
- Eighteen percent of patients experienced anterior and posterior displacement, while forty-four percent maintained normal alignment.
- Predictive factors for abnormal TTR included the angles of the distal tibia and talar tilt, indicating that joint structure and ligament health play significant roles in this condition.
Combined Total Ankle Arthroplasty With Posterior Tibial Tendon Transfer for End-Stage Cavovarus Deformity.
J Foot Ankle Surg
August 2017
Attending Surgeon, Division of Podiatric Surgery, Department of Orthopedics, Swedish Medical Center-First Hill Campus, Seattle, WA.
Posterior tibial tendon transfer has been described to reduce and balance the cavovarus deformity in those patients who receive a total ankle replacement for end-stage arthritis. In this article, we discuss the indications and provide a detailed description of the technique for this powerful procedure. Case examples that demonstrate the utility of the procedure are provided.
View Article and Find Full Text PDFArticular congruency of the Salto Talaris total ankle prosthesis.
Foot Ankle Surg
September 2015
Kaiser Permanente, San Francisco, CA, United States. Electronic address:
Article Synopsis
- The Salto-Talaris polyethylene surface was designed to restrict excessive motion while allowing some movement; this study investigates the contact characteristics between the polyethylene and talar components during various functional positions.
- Researchers scanned and digitally modeled the prosthesis to evaluate how the surfaces interacted during simulated walking by testing 15 different alignments of the components.
- The findings showed limited surface contact between the components, indicating uneven load distribution and potential concerns with increased contact pressures due to the incongruity of the surfaces.