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Find a Encino Podiatrist at Practice Vladimir Zeetser, DPM on ZocDoc

Advanced Modified Mini-TightRope Bunion Surgery

The treatment of hallux valgus deformity includes the assessment of the hallux valgus angle, the intermetatarsal angle and the contribution of an interphalageus deformity. Additionally, there must be an assessment of the presence or absence of arthritic involvement of both the first metatarsocuneiform joint and the first metatarsophalangeal joint. Other considerations are the orientation of the distal metatarsal articular angle and the orientation and stability of the first metatarsocuneiform joint.

Various methods have been described to correct the intermetatarsal angle. Soft tissue correction can be achieved by suturing the lateral capsule of the first metatarsal to the medial capsule of the second metatarsal, incorporating the intervening, previously released adductor tendon. A loss of reduction can occur due to the forces that oppose the suture repair as well as the possibility that poor tissue quality can contribute to a loss of reduction.

In the presence of more rigid deformities the intermetatarsal angle is reduced by using a distal or proximal osteotomy of the first metatarsal. Such osteotomies can be tec hnically challenging. A rather daunting list of consequences and potential complications include delayed union, malunion, nonunion, excessive shortening of the first metatarsal, avascular necrosis, hardware failure and prolonged protected ambulation.

The Mini TightRope is useful as an alternative and adjunct method for reduction of the intermetatarsal angle. A FiberWire® and button construct is placed across (distally or proximally) the first and second metatarsals. As the FiberWire is tightened, the intermetatarsal angle is reduced to a normal angle (less than 9-11°) The suture tied over the lateral button maintains a secure reduction of the intermetatarsal angle. Used alone or in conjunction with the distal soft tissue intermetatarsal repair, this technique affords a greater degree of strength and security than can be achieved with the soft tissue repair alone. Additionally, the Mini TightRope System provides a more technically straightforward method of reducing and maintaining the intermetatarsal angle than with conventional osteotomies while avoiding the complications associated with osteotomies.


Aesthetic Foot Surgery   Because everyone deserves beautiful feet!!
Let's face it, image is important and cosmetic surgery is here to stay. With television shows idolizing young hip plastic surgeons and reality shows chronicling patient experiences, it is clear that people are obsessed with beauty and glamour. Beautification of the feet has arrived and now being beautiful from head to toe has a new meaning!

Aesthetic foot surgery can be performed strictly for cosmetic reasons, but the benefit is twofold. Besides an increase in the attractiveness of the foot, function is generally improved and/or restored. Conservative care should be considered, but often is impractical and temporary with aesthetic surgery being the best definitive option. A more innovative and refined approach, using new modifications to time tested procedures coupled with the latest in technology is what sets aesthetic foot surgery apart. This typically leads to quicker and more ambulatory recovery periods, generally improved cosmetic appearance with minimal scarring and minimal pain. All procedures are done on an outpatient basis with the patient going home and usually being able to walk the same day.

Meticulous dissection and incision placement can be learned. An eye for aesthetics and attention to detail cannot. Anyone can claim to perform aesthetic foot surgery, but only few can succeed. Dr. Zeetser is at the forefront of innovative and progressive surgical procedures that can effectively correct a variety of conditions using state of the art implants and the latest techniques.

Cosmetic foot surgery has become much more popular over the past several years and for the best outcome, it is important to be evaluated by a qualified surgeon. Physicians who debunk it do so because they achieve less than optimal results. Don't be a bad cosmetic foot surgery statistic. To obtain an aesthetic and functional result, call Dr. Zeetser for a surgical consultation. Regain your self-confidence!

Note: All surgical procedures anywhere on the body carry some degree of risk and you are encouraged to use all sources available to you to research your condition and treatment options. However, Dr. Zeetser has done everything possible to refine his procedures to avoid the most common complications and pain. Conscious sedation with local anesthesia rather than general or spinal anesthesia removes the majority of the risk. Patient's wake up pain free and feeling as though they had a restful nap and are unlikely to experience headaches, nausea, vomiting or throat pain, common to general anesthesia.

Procedures To Consider:

Advanced Modified Mini-TightRope Bunion Surgery

Aesthetic Toe Shortening

Aesthetic Toe Lengthening

Aesthetic Toe Debulking "Toe-tuck"

Aesthetic Hammertoe Correction

Aesthetic Fifth Toe Correction

Aesthetic Bunion Correction

Plantar Fat Pad Augmentation for High Heeled Shoes

Botox injections for excessive foot sweating

Sclerotherapy for Varicose and Spider veins



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Aesthetic Foot Video Clip