Foot and Ankle Specialists
Conroe, Texas   Woodlands, Texas   Hunstville, Texas   Montgomery, Texas

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Special Procedures

Bunionectomy

Most bunions are corrected by moving the displaced bone back to a normal position. This usually requires the bone to be "fixed" in place with a pin or screw traditionally made of metal.

Dr. Reed no longer uses metal pins or screws for the correction of bunions unless requested. Instead, he uses absorbable pins made from freeze-dried bone. The pin or screw is inserted, performs its fixation function, then is actually integrated into the surrounding bone. There is no need for removal.

Metal has its drawbacks such as infection, loosening, metal fatigue, and weakening of the bone. Pins and screws made from freeze-dried bone do not have these complications. Dr. Reed has been using the pins since 1998 and has published a manuscript about the pin in the Journal of Foot and Ankle Surgery.

Neuroma

Dr. Reed has refined the technique of neuroma excision to reduce the rate of recurrence from 10-15% to near 0%. Neuromas are enlargements or entrapments of a nerve which cause pain the ball of the foot usually between the second and third, or third and fourth toes.

When neuromas are excised using the traditional method, something called a "stump", neuroma can result at the tip of the nerve that was cut. If this occurs, the surgeon must again perform surgery to remove the stump. This occurs about 10-15% of the time. Dr. Reed uses a technique that essentially eliminates this problem. The bad nerve is removed and the stump is then implanted in a muscle to stop it from regrowing into a stump neuroma. Dr. Reed has been using this technique since 1996. Similar techniques are also used by neurosurgeons in other areas of the body.

Sprained Ankles

Some people have weak ankles that frequently collapse causing severe pain on the outside of the ankle. This condition can become chronic and is usually caused by a traumatic sprain that may not have been adequately treated when it first occurred. This then leads to an unstable ankle that seems "weak". Sometimes arthritis occurs as a result of the unstable ankle.

Dr. Reed uses an innovative technique to repair the torn ligaments that cause the ankle to become unstable. If not repaired during the initial traumatic event, these torn ligaments can atrophy (waste away). Without these ligaments being available for repair, surgeons have tried a variety of procedures (such as tendon transfers) to stabilize the ankle. Most of these have significant complications. Dr. Reed's technique actually replaces the torn ligament using freeze-dried tissue which is very similar to real ligament. There is no need to destroy tendons in an attempt to stabilize the ankle.

Dr. Reed has been using this surgical technique for over five years. He has also published a manuscript about the technique in the Journal of Foot and Ankle Surgery.
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