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Dr. Jeff's Foot & Ankle Blog

Lisfranc’s fracture and fixation questions
Lisfranc’s fracture and fixation questions

Lisfranc fractures - when is the most appropriate time to Closed reduction Lisfranc fractureremove the fixation?

Most foot and ankle surgeons will agree that there’s a need to remove fixation, particularly screw fixation, prior to failure of the fixation by weight-bearing. Once broken, internal fixation is almost impossible to remo...

What’s in your toe box?
What’s in your toe box?

The shape of the toe box – add that to length and width next time you go shoe shopping.

toe box

I saw a young man who came into the clinic this week with a sore ingrown toenail. His family doctor had placed him on antibiotics and referred him to us for correction of the nail.  But there was a problem.  T...

Turf Toe of the IP Joint
Turf Toe of the IP Joint

Great toe injuries post 1st mpj fusionx-ray 1st mpj fusion

I saw an interesting case of turf toe this week.  The patient was a 63 y/o female who underwent 1st mpj fusion for stage 4 hallux limitus in 2007.  The fusion was a success and the patient went on to be quite active in sports.

The patient presented to my offi...

Carbon Graphite Shoe Inserts – can I use a single insert or are they better as a pair?
Carbon Graphite Shoe Inserts – can I use a single insert or are they better as a pair?

How do carbon graphite insoles affect gait?Gait analysis

Part 1 – Legs and levers

A common question that we hear from customers is whether a carbon graphite shoe insole can be used as a single shoe solution or should they purchase as a pair to balance gait. Does a single carbon graphite insert effect gait in ...

Treat Hallux Limitus with a Morton's Extension
Treat Hallux Limitus with a Morton's Extension

What is a Morton's Extension?

Thomas George Morton (1835-1903) was a clinical professor and surgeon at The Pennsylvania Hospital.  He was an active surgeon during The Civil War and founding director of several hospitals in the Philadelphia area.  As a pioneer of surgical techniques, he is accredite...