18145 US Highway 18 Ste A,
Apple Valley, CA
| Common Procedures | ||
| Fellowship Trained in Bone Deformity
Correction, Lengthening, and
Traumatology at the World’s
Largest Orthopedic Hospital
(RISC RTO) Internationally Trained Podiatric Surgeon
Common procedures performed: Diabetic Limb Salvage: Reconstructive surgery on the bone deformity of the foot and ankle Ulcer treatment Preservation of the leg Diabetic Limb education in preventing an amputation Charcot foot reconstruction Treatment of osteomyelitis Trauma to the Ankle and Foot: Surgical correction of all severe acute ankle and foot fractures including motor vehicle accidents. Reconstruction of the poorly aligned foot and ankle secondary to chronic traumatic injuries Pediatric Surgery Treatment of clubfoot, in toeing gait, spastic toe walkers and pediatric flat foot reconstruction Forefoot Surgery: Bunions, hammertoes, infected ingrown toenails Plastic Surgery: Skin grafts, and flaps to cover wound defects Neurosurgery to the Foot and Ankle: Tarsal tunnel decompression, neuroma resection, neuroplasty, and internal and external neurolysis using microsurgery techniques Sports Medicine: Treatment of the athlete including turf toe, metatarsalgia, shin splints Achilles tendon rupture, ankle and foot sprains and treatment of other tendons and ligaments of the foot and ankle. Arthroscopic surgery of the foot and ankle including laser surgery Arthrodiastasis: The use of the Ilizarov method for ankle and foot distraction to help delay the fusion of the ankle and other joints. This method can allow the patient to preserve the joint without the need for arthrodesis or joint replacement until a later time enabling the patient to ambulate with diminished pain up to 5 years. Bone lengthening and deformity correction:: Bones can be lengthened and corrected in any plane to correct any deformity by the use of the Ilizarov Method, whereby bone and other tissue can regenerate over time by the process of transosseous osteosynthesis. Special Surgery {Ankle Arthrodiastasis}: Alternative surgical treatment for severe painful arthritis at the ankle joint other than fusion or total joint replacement. Ankle Arthrodiastasis: Arthro = Joint Diastasis = Distraction Dr. Singh is a Board Certified Reconstructive Foot and Ankle Surgeon, with Fellowship Training in Bone Deformity Correction, Bone Lengthening and Traumatology from the World’s Largest Orthopedic Hospital: Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopedics (www.ilizarov.ru). He has noticed that many people who are very active physically may have some form of traumatic injury to the ankle joint. Over time severe pain from arthritis may set in resulting in a crippling disease. This can severely limit one’s active life style. Traditional treatments of the severe arthritis of the ankle joint include fusion or total joint replacement. In many patients, either choice is not a viable option. Many patients do not want an artificial joint or be limited by fusion. If the joint can be preserved and the pain removed allowing for more motion, wouldn’t you rather have that type of surgery instead of having the joint artificially replaced or fused? Ankle Arthrodiastasis is an alternative, highly specialized, surgical treatment in which the ankle joint can be distracted using a multiplaner Ilizarov circular frame. The patient wears the frame for 12 weeks and can ambulate with the frame within two to three days. The surgical procedure includes cleaning the joint by Arthroscopy or minimal invasion. Then a circular frame is applied and the joint is distracted. By distracting the joint for 12 wks, abnormal mechanical stress and pressures can be reduced enabling damaged tissue, ie chondrocytes to heal. Also, early ambulation with the frame on results in an increase in hydrostatic pressure due to the flexibility of the frame. Thus, by reducing the abnormal mechanical stress and increasing the hydrostatic pressure, fusion or joint replacement of the ankle may be delayed for many years. In an active person who does not want the ankle fused or replaced by an artificial joint, ankle arthrodiastasis is the best choice. Note that this surgical procedure is technically demanding and should only be performed by those surgeons trained in the Ilizarov Method. Arthrodiastasis can also be employed at the great toe as well. Many
athletes and sports enthusiasts have damaged cartilage at
the first metatarsal phalangeal joint (the great toe). Traditional
treatment includes fusion or joint replacement.
Arthrodiastasis can also be utilized in these patients to
help prevent fusion or If you are an active individual who does not want fusion or total joint
replacement, you should consider an arthrodiastasis type
of procedure. For more information of this type of procedure,
please contact Dr. Singh and staff. |
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