Harvard Orthopaedic Foot and Ankle Surgeon. Minimally invasive surgery. Total Ankle Replacement. Views are my own, not medical advice. #MIS. #TAR 🏳️‍🌈 Ally

Boston, MA
Joined May 2019
This is how a total ankle replacement is performed in case anyone is interested. This is the @strykerfa #InBone implant with prophecy guide jigs. #orthotwitter #anklereplacement #arthritis
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AOFAS Advanced Foot & Ankle Virtual Course 2024 - Course Chair Christopher Miller, MD - YouTube youtube.com/watch?v=qpVB21DK…
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AOFAS ADVANCED COURSE THIS WEEK!!! Register for some excellent foot and ankle learning. Truly world class speakers that cover difficult cases, revisions and complications! #orthotwitter aofas.org/education/meetings…
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#MIS TTC fusion technique tip: correcting valgus deformity. chronic neuropathic ankle fx. The lateral plafond had been eroded and prevented reduction. Severe neuropathy to mid calf. A1c 10. Limb threatening condition and progressive deformity in ex fix. #orthotwitter 1/n
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The answer here was a medial mal osteotomy, above the level of the medial mal fracture. By angling obliquely we were able to let the medial plafond shift out of the way and the talus then sat nicely under and inline with the tibia. Now ready for the nail! 4/4
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Coming soon: confirming joint prep MIS! #BurrTime
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More #MIS teaching here. So you’ve done a MIS bunion, but still need a little bit more? Maybe a lateral release? But how do you do it? #orthotwitter Here is what I do. I use a 6400 beaver blade. 1. Mark the dorsal lateral joint. 1/n
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7. Once the release is compete the lateral sesamoid should not move when the toe is gently pulled into varus. also, when you dorsiflex the ankle the toe should stay straight and not pull laterally. 7/n
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8. when doing the release I will strap the toe for 4 weeks and then place a custom putty splint for 1-2 months to maintain alignment and let the ligaments scar in the new position. The picture shows a 2nd toe splint but you can make a custom bunion spacer 8/8
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#MIS 1st ray dorsiflexion osteotomy is safe and effective for correcting first ray plantarflexion in setting of cavus foot deformities. #orthotwitter @AOFAS_Journals @AOFAS @grecmip
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