The Doctors of Foot & Ankle Associates strive to be leaders in the field of foot and ankle surgery. They share the knowledge they have gained through research with their colleagues at conferences, meetings, and through publication.

Here are just a few of the many presentations the doctors of Foot & Ankle Associates have submitted during the past years.
Use of Equine Pericardium in Tendon and Ligament Repair.
John G. Fleischli, DPM, FACFAS; Terese J. Laughlin, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2011 Annual Scientific Conference of American College of Foot & Ankle Surgeons;
Ft. Lauderdale, FL March 9-12, 2011.
Read the Summary
Tendon and ligamentous injuries to the lower extremity are common, yet there remains no consensus regarding treatment. Once conservative efforts fail, surgical intervention is warranted and a multitude of techniques have been described.

While primary repair can vary in technique depending on the anatomic location of the injury, augmentation of these repairs with a collagen based product is gaining in popularity. Various type of collagen have been described, with none demonstrating absolute superiority.

Collagen products are derived from a variety of sources, including equine pericardium.
See the Presentation Poster.

Read the Journal Article.
Parallel Fixation Method with Early Weight Bearing Following Lapidus Arthrodesis.
John G. Fleischli, DPM, FACFAS; Terese J. Laughlin, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2011 Annual Scientific Conference of American College of Foot & Ankle Surgeons;
Ft. Lauderdale, FL March 9-12, 2011.
Read the Summary
The treatment of hallux abducto-valgus deformity (HAV) is common among practitioners treating the lower extremity. The goal of treatment, regardless of surgical procedure, is to correct the deformity and reduce pain. First metatarsal-cuneiform arthrodesis (Lapidus Arthrodesis) is popular for the correction of hallux valgus deformity. Traditional fixation techniques require prolonged periods of non weight bearing including suture, Kirschner wires, screws, and plates.

Screw fixation is an important component of the 1st metatarsal-cuneiform arthrodesis, and can be considered the standard of care. Screw fixation offers good bone-to-bone contact with interfragmental compression and primary bone healing.

See the Presentation Poster.
Osteochondral Allograft for Treatment of Cartilage Defects of the Metatarsal Head
John G. Fleischli, DPM, FACFAS; Terese J. Laughlin, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2010 American College of Foot & Ankle Surgeons: Annual Meeting;
February 2010
2009 American Podiatric Medical Association Annual Scientific Meeting;
July 2009
Read the Summary
The treatment of hallux abducto-valgus deformity is a common among practitioners treating the lower extremity. While many methods of surgery have been described for the treatment of hallux abducto-valgus deformity , the 1st metatarsal osteotomy remains the most popular. The use of fixation, especially screw fixation, in first metatarsal osteotomies is commonplace and can be considered the standard of care. Screw fixation offers good bone-to-bone contact with interfragmental compression, allows early range of motion and primary bone healing.

While many types and styles of screws remain available, headless compression varieties have gained in popularity.

See the Presentation Poster.
Fully Threaded Headless Compression Screw for Fixation of First Metatarsal Osteotomies: A Retrospective Review.
John G. Fleischli, DPM, FACFAS; Terese J. Laughlin, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2008 American College of Foot & Ankle Surgeons: Annual Meeting;
February 2008
Read the Summary
The treatment of hallux abducto-valgus deformity is a common among practitioners treating the lower extremity. While many methods of surgery have been described for the treatment of hallux abducto-valgus deformity , the 1st metatarsal osteotomy remains the most popular. The use of fixation, especially screw fixation, in first metatarsal osteotomies is commonplace and can be considered the standard of care. Screw fixation offers good bone-to-bone contact with interfragmental compression, allows early range of motion and primary bone healing.

While many types and styles of screws remain available, headless compression varieties have gained in popularity.

See the Presentation Poster.
UNITE™ Biomatrix Advanced Collagen Wound Dressing In the Treatment of the Neuropathic Wound.
John G. Fleischli, DPM, FACFAS; Terese J. Laughlin, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2007 Diabetic Limb Salvage Conference;
September 2007
Read the Summary
Neuropathic wounds require aggressive treatment to speed healing and avoid associated morbidity and amputation. The treatments should include control of infection and adequate offloading of the wound.

Over 800,000 new neuropathic foot ulcerations are reported yearly.

Neuropathic ulcerations remain the most common cause of non-traumatic lower extremity amputations. The mortality rate following diabetic limb amputations remains between 40-70% within 5 years following surgery.

See the Presentation Poster.
Preliminary Results of a Pilot Study Evaluating the Use of a Novel Stabilized Collagen Wound Dressing for the Management of Plantar Neuropathic Foot Ulcers.
John G. Fleischli, DPM, FACFAS; Jeffery W. Fleischli, DPM, FACFAS
2007 American College of Foot and Ankle Surgeons Annual Meeting;
March 2007
Read the Summary
The Unite™ Biomatrix is a Type 1 collagen wound dressings manufactured and distributed by Pegasus Biologics. Derived from equine pericardium, the collagen is inherently strong and undergoes novel processing methods. After decellularization, the collagen is stabilized to resist premature enzymatic degradation and then sterilized without the use of ethylene oxide or gamma irradiation.

The result is a safe, biocompatible, off-the-shelf collagen dressing that has shown promise in difficult to heal chronic wounds.

See the Presentation Poster.


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