Foot Surgeons Prineville OR

Local resource for foot surgeons in Prineville. Includes detailed information on local clinics that provide access to foot surgery, as well as advice and content on podiatrists and maintaining healthy feet.

Ronald William Sproat, MD
(541) 447-1008
1251 NE Elm St
Prineville, OR
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1972

Data Provided By:
Thomas Ross Scherer
(541) 447-1008
1251 Ne Elm Street
Prineville, OR
Specialty
General Surgery

Data Provided By:
Jana M Jaderborg
(541) 322-5753
236 Nw Kingwood Ave
Redmond, OR
Specialty
General Surgery

Data Provided By:
George B Peat, MD FACS
3821 SW Tommy Armour Ln
Redmond, OR
Gender
Male
Education
Medical School: Pittsburgh
Graduation Year: 1968

Data Provided By:
Stephen B Archer
(541) 322-5753
236 Nw Kingwood Ave
Redmond, OR
Specialty
General Surgery

Data Provided By:
Thomas Ross Scherer, DO
(541) 447-6263
1103 NE Elm St
Prineville, OR
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1983

Data Provided By:
Ronald William Sproat
(541) 447-1008
1251 Ne Elm St
Prineville, OR
Specialty
General Surgery

Data Provided By:
George Tsungju Tsai, MD
(541) 548-7761
1523 NW Canal Blvd Ste 200
Redmond, OR
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1994

Data Provided By:
Stephen Barry Archer, MD
236 NW Kingwood Ave Ste A
Redmond, OR
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1991

Data Provided By:
Marinus H Koning, MD
(503) 322-5753
236 NW Kingwood Ave
Redmond, OR
Gender
Male
Education
Medical School: Vrije Univ, Fac Der Geneeskunde, Amsterdam, Netherlands
Graduation Year: 1969

Data Provided By:
Data Provided By:

Keeping Up With the Latest in Foot and Ankle Surgery

In an effort to help orthopedic surgeons keep up with the latest research, the authors of this specialty update present a summary of evidence related to foot and ankle surgery. More than a dozen of the most common problems are presented including ankle fractures, calcaneal (heel bone) fractures, chronic ankle instability, ankle joint replacement, ankle fusion, diabetes-related problems, tendon problems, bunions, impingement problems, foot deformities, and amputations.

By reviewing all studies published in the last year on foot and ankle surgeries and summarizing presentations made at orthopedic meetings, the information presented hits the high points of what's new. Surgeons reading this summary can then decide if they need to delve deeper into the literature for themselves.

When it comes to trauma resulting in ankle fractures, MRIs and arthroscopy now make it possible to see that the joint surface is often damaged with more severe ankle fractures. Surgeons must be on the look out for lesions of the articular surface of the joint. Sometimes the force is enough to break off bits of cartilage and bone leaving them inside the joint as a loose body. The surgeon must look for, find, and remove these fragments.

Severe ankle fractures may require open reduction and internal fixation (ORIF). An open incision is made; the fracture site is realigned; and metal plates, pins, and/or screws are used to stabilize (hold) everything together. This type of fixation works well with few complications. Problems occur most often in patients with diabetes and poor circulation. Surgeons are advised to keep a close eye on these patients during the post-operative period to prevent infections and the need for amputation.

And a final note on ankle fractures in particular. Surgeons often debate the need to cast or immobilize the ankle after surgery versus having the patient move the ankle early in order to keep joint mobile. So far, it looks like early motion is better but has some risks. Early motion helps prevent blood clots but seems to increase the risk of wound infection. The surgeon should strive for early mobility but make the decision based on each patient's individual characteristics and risk factors.

As for calcaneal (heel bone) fractures, there's enough evidence now to show that these patients end up with painful arthritis and foot deformities. Can these be prevented? Are they the result of the type of treatment (surgery vs. nonoperative care) provided in the first place? All evidence points to a better end-result when open reduction and internal fixation (ORIF) is later followed by fusion of the joint.

Efforts are being made to place screws percutaneously (through the skin without an open incision) for the fixation of calcaneal fractures. Using titanium screws instead of metal plates seems to work well and reduces the risk of wound infection.

Severe ankle pain following repeated ankle sprains or caused by traumatic arthritis that ...

Click here to read the rest of this article from eOrthopod.com