#pieytobillo

When patients visit the clinic, they come in so that someone competent and trusted can help them with their complaints. In that conversation, listening comprises the key step in establishing their trust in you, and builds up their perception of your competence as the attending surgeon. The reality is that even if there are proper indications to operate, patients still refuse surgery for a multitude of valid reasons. This patient with symptomatic flatfoot, midfoot arthritis, and toe deformities did not want surgery in any form. We explain the benefits and limitations of doing no operation, and the patient is extremely happy with customized shoes to pad the dorsum, insoles to improve arch support, silicone toe covers/spacers to address the forefoot, and regular clinic visits. #orthopaedics #footandankle #flatfoot #midfootarthritis #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #elderly #radiology #hammertoe #trauma #couldbeworse #empathy #insole #customshoe #siliconetoecover (at Bacolod Foot and Ankle Clinic) https://www.instagram.com/p/BnJIeRJAyg7/?utm_source=ig_tumblr_share&igshid=1mwfrrbbskqf2

Swipe! In my practice, it is not uncommon to see patients presenting with multiple bumps and lesions. Involving many joints, these boggy masses are usually from tuberculosis and do very well managed medically. Here, we have a patient with multiple lesions on the leg presenting with night pain, allodynia, and there is neuralgia from mass effect as well as motor weakness in the anterior leg. There are enchondromas present elsewhere in the body but not shown here. (A) Hemangiomas are seen on coronal and sagittal MRI cuts, labelled 1, 2 and 3. The ultrasound slide is included showing tumor vascularity. (B) Inserting needles into the tumor and injecting a radio-opaque sclerosing agent for intralesional control. #maffuccisyndrome #orthopaedics #footandankle #hemangioma #legpain #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #elderly #radiology #tumor #vascularintervention #trauma #couldbeworse #empathy #fluoroscopy #pregabalin #paincontrol https://www.instagram.com/p/BnctChKgc-q/?utm_source=ig_tumblr_share&igshid=1604fste4a1ua

Swipe! Elderly woman, took a wrong step. Diabetic, osteoporotic, with end-stage renal disease, congestive heart failure, thyroid issues, but apparently a youthful teenager in spirit. (A) AO 44B3.1n transsyndesmotic fibula injury, Volkmann's fragment, Tillaux-Chaput fracture in ankle radiographs, resembling a pilon-like Ruedi-Allgower type I. (B) CT cuts in coronal, sagittal, and axial planes show articular involvement and die-punch component. (C) Immediate postoperative x-rays after multiple screw fixation. (D) One year after. (E) Five years after hardware removal. Every step counts. Doctors should take their patients forward. #orthopaedics #footandankle #ORIF #pilon #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #pedestrian #radiology #fracture #trauma #couldbeworse #empathy #seniorcitizen #millenial

I miss fixing leg deformities with an intramedullary device. I remember using a Küntscher nail for my first tibia done in residency. I cut it, bent it, and filed it myself. The implant easily passed through the proximal fragment only to engage the distal fragment’s medial cortex with its narrow slot. Something felt wrong and I stopped hammering the nail in. Fluoroscopy confirmed my error and we had to backslap the nail out, re-reduce the fracture and drive the implant back in. With newer nail generations, the relative procedural ease is dramatic. Here we have AO 42B3b and 4F2Aa injuries for a fragmentary wedge fracture of the tibial mid-diaphysis and simple transverse fracture of the fibular proximal shaft. Closed, reamed, antegrade intramedullary nailing of the tibia was performed using indirect reduction fixed with relative stability. A small gap was appreciated in the immediate postop xray and with progressive weightbearing, proceeded to break the most distal of two proximal screws at the nail border. Dynamization was done for us by the patient, but it didn’t help us in removing the retained threaded portion later on. This is a very basic case but it is meaningful in that patients always return to your clinic grateful for their mobility and return to activity. And that as you rise up to more sophisticated procedures, the basics always keep you rooted. #orthopaedics #footandankle #ORIF #lisfranc #patienthappy #aotrauma #pieytobillo #bacolodfootdoctor #firstloveistrauma #pedestrian #radiology #fracture #trauma #roadtrafficaccident #couldbeworse #vehicularcollision

First MTP Fusion for halluxvalgus 2.7/3.5 Variable Angled Locking Plate with Cannulated screw fixation after Concave and Convex reaming.

Y luego de un domingo para hacer ejercicios o una simple caminata, nunca olvidemos que las lesiones de tobillo son frecuentes y hay que tratarlas a tiempo. Saludos a mis amigos de @elcalvariorunners @caciquerunners y @ccscorre, ya pronto llega el evento esperado de @hipereventos y hay que estar 100% preparados. 🏃🏽‍♂️🏃🏽‍♀️🔥🇻🇪🔝 #drmaizo #lesionesdeldeporte #pieytobillo #esguincesdetobillo #caracascity #caracasrock2019 #carreracaracasrock #hipereventos (en Dr. Leopoldo Maizo - Cirugía de Cadera y Rodilla) https://www.instagram.com/p/B3AOqbTHmYk/?igshid=124zvx6mgkrd5

La planificación preoperatoria es un procedimiento para realizar la cirugía de una forma elegante y atraumática. Los objetivos de los cirujanos ortopédicos son lograr: definir el orden de la táctica quirúrgica en el procedimiento quirúrgico y determinar el final que tendrá la cirugía correctiva. Constituye un proceso de gran importancia porque un cirujano de excelencia debe estar suficientemente preparado antes de tomar la decisión de efectuar determinada operación. -// //- Preoperative planning is a procedure to perform surgery in an elegant and atraumatic way. The goals of orthopedic surgeons are to achieve: to define the order of surgical tactics in the surgical procedure and to determine the end of the corrective surgery. It is a very important process because an excellent surgeon must be sufficiently prepared before making the decision to perform a particular operation. #drmaizo #orthopedicsurgery #pieytobillo #cirugiadepie #footandankle #foot (en Dr. Leopoldo Maizo - Cirugía de Cadera y Rodilla) https://www.instagram.com/p/B2z1pUoHASH/?igshid=1fy7o53iqxdyk

Donde ocurre la acción, a donde el deportista siente la adrenalina, donde ocurre la lesión, allí también voy... Y esta vez con la familia de @elcalvariorunners , dándole unos tips y recomendaciones para mejorar el deporte y evitar lesiones. Hoy hablamos de pie y tobillo 10min, y las preguntas no paraban en este grupo tan dinámico y unido, y para concluir una carrera de 4K para calentar motores en El Calvario desde el Arco de La Confederación. Excelente experiencia. Pronto venimos con más y a toda Caracas. -//. //- Where the action takes place, where the athlete feels the adrenaline, where the injury occurs, there I also go... And this time with the @elcalvariorunners family, giving them some tips and recommendations to improve the sport and avoid injuries. Today we talk about foot and ankle 10min, and the questions did not stop in this group so dynamic and united, and to finish a 4K race to warm up engines at El Calvario from the Arc of the Confederation. Excellent experience. Soon we come with more and all Caracas. #drmaizo #orthopedicsurgery #traumatologia #running #pieytobillo #acorrer #traumatologoconlosatletas #elcalvario #caracas #lesionesdepie (en Escaleras El Calvario) https://www.instagram.com/p/B0pTqD-Hqcg/?igshid=7yzwqur0zhil