Specailizing in complex foot ankle and leg surgery

Our office is unique in that we are focused on a handful of challenging conditions. Dealing with Charcot Joint is one of those and we dedicate most of our time to the condition affecting the foot and the ankle. Click here to learn more.

ARTHRITIS

Arthritis is a very general term, many times is can simply be degeneration of cartilage after a particular injury or in other cases the loss of cartilage from a chronic disease such as rheumatoid arthritis. We cover some techniques - fusions were the damage is severe of cartilage repair where possible.

COMPLEX WOUNDS

We specialize in healing of difficult wounds , heel and diabetic foot pressure wounds. We always address the root case of the wound as well as close the wound as quickly as possible. We use the patients own skin to achieve this and try to avoid any fake skin grafts. We are one of only a few surgeons in the country that specializes in skin graft and plastic surgery rotational and free flaps and microsurgery in the foot.

EQUINUS

Equinus is the contracture of a joint- in this case the ankle joint. There are many reasons for this but ultimately what happens in the inability to place the heel on the ground properly when walking and loss of range of motion of joint. There are many surgical releases we perform as well as physical therapy and nonsurgical treatments.

FLATFOOT

Flatfeet can be congenital : developed from birth or acquired in older age where tendons weaken and allow the arch to collapse. we perform surgical reconstruction of the foot using both minimal incision implants as well as complete surgical reconstruction to recreate fallen arches in pes planus flatfoot condition.

BRACHYMETATARSIA

We specialize in Brachymetatarsia and Brachymet surgical treatment with external fixation and one step lengthening. Our technique is minimal incision. Short fourth toe surgery with tendon repair and minimal incision scar surgery. Click here to learn a bunch more.

REVISION SURGERY

Revision surgery is a difficult undertaking, dealing with bone malunion malpositioning, failure to heal and excessive scarring. We provide both surgical and nonsurgical correction of these potentially severe complications including infection and nonhealing surgical wounds.

CLUBFOOT

Clubfoot deformity is challenging but very rewarding in terms of how visible the changes to a patient’s life are like. Casting is usually performed when a baby is born with clubfoot and works very well. Our focus is the untreated clubfoot or one that recurred later in life.

DROPFOOT

Dropfoot is also called foot drop. This condition can severely affect a persons daily activity and with strokes and blood clots on the rise we are seeing this condition more often than ever before. We perform tendon transfer and nerve regeneration techniques with minimal incision to correct this deformity and correct walking gait patterns.

TARSAL TUNNEL SYNDROME

Dr. Gitlin specializes in nerve repair and decompression surgery as well as nonsurgical treatment with minimal incision for delicate nerve surgery. The technique used was developed by Dr. Gitlin and has been used since 2005. We perform tarsal tunnel and anterior decompression as well as diabetic neuropathy nerve release.

CHARCOT MARIE TOOTH

Charcot-marie-tooth affects the ankles in a way that weakens certain tendons and allows other tendons to deform the foot. Usually the patient ends up with a high arch foot ( cavus foot) and a weakness of walking muscles. The reconstructive surgery is very specialized and a number of different factors must be addressed at the same time the foot is realigned.

NON UNION

Nonunion is what we call when bones do not heal, delayed union is a term used when the bones are not healing as fast as they should. Malunion is where they healed in the wrong position. And finally an infected nonunion is exactly that - and a clinically challenging situation.

BUNION

Bunion correction surgery is very common and many times performed with hammertoe repair as needed. There are many procedures a surgeon can choose from click here to learn about many of the popular repair techniques. Minimal incision techniques are possible with todays instruments.

OSTEOMYELITIS

Osteomyelitis is bone infection, surgery or trauma complications can cause this, sometimes diabetic foot wounds can also cause bacteria to reach a bone. There are many different treatment from surgery to antibiotics. Patients need to be cared for by someone who specializes in this specifically.

ADULT ACQUIRED FLATFOOT

Children can be born with flat feet, but there are a significant amount of people who can develop if later in life. There are nonsurgical and surgical techniques that might be used to treat this condition. This does need to be addressed since if not treated ankle arthritis can develop quickly.

TARSAL COALITION

When joints are forming each cell is assigned what it will be, sometimes cartilage or sometimes bone. In some cases this programming can have an error and the bones will connect in an area where they should not. This is a coalition and is common in certain joints in the foot. Click here for a full explanation of treatments.

PERONEAL TENDON

The peroneal tendon is on the outside of the ankle and its main function is to pull the foot outward. It is common to injure this tendon during an ankle sprain (twisting your ankle). here we cover acute injuries, chronic tears and how this is addressed.

CAVUS HIGH ARCH FOOT

The arch of the foot comes in many shapes. Some are low arches that we call flat feet, others can be higher than the average, this is referred to as a cavus foot type. An excessively high arch can put pressure on the bottom of a patients foot and cause significant discomfort.

COMMON PERONEAL NERVE

Common peroneal nerve is the most often injured nerve in the body. It lies just past the knee on the outside of the leg. It sends signals to the leg that lets it dorsiflex and allows us to walk. It also gives feeling to the outside of the leg and foot. Damage to this nerve can be debilitating and create walking difficulty.

POSTERIOR TIBIAL TENDON

The posterior tibial tendon is on the inside of the foot and its main function is to pull the foot towards the other foot and to help hold up the arch. It can deal with a significant amount of stress but can also be easily injured for most common acute and chronic injuries.

ACHILLES TENDON

Here we cover most conditions of the achilles tendon and were it is attached at the heel bone. We cover heel spur and haglunds deformity as well as partial and complete achilles tears. Surgical procedures are explained here in detail, click the link below for more information.

VASCULAR BONE

This is a technique of bone surgery that can increase blood flow to a limb that had peripheral vascular disease. This procedure is often referred to as transverse tibial bone transport.

FAT GRAFT TRANSFER

There are certain situations where the fat padding is gone from the bottom of the foot. In some cases this can cause pain in other situations this can case foot ulceration. We use a modified technique to transfer fat cells to pad these areas.

ANTERIOR TIBIAL TENDON

Injuries to the anterior tibial tendon are not so common but i wanted to address this here. This tendon in on top of the foot and its main function is to help pull the foot up an inward. Tears of this tendon need to be repaired in most cases since the patients foot can lose function and become deformed if not done.

EXTERNAL FIXATION

External Fixation is a device applied to a limb that works like a scaffold on a building to hold things together while the body heals itself. Ilizarov was the name of its inventor. Of course thats a very simple explanation; its much more than that, click here to read all about it.

ANTERIOR TARSAL TUNNEL

When a nerve travels around a joint, the body gives it a little more protection by placing it into a tunnel. Sometimes these tunnels become irritated and this can damage the nerves. One such tunnel exists at the front of the ankle, and a pinched nerve here can create pain especially on weight bearing.

LIMB LENGTHENING

In the 1950s the science behind bone lengthening was described. Any bone in a skeleton could be made longer or wider through a certain kind of surgical procedure. We use these techniques to fix deformities in the legs. We can make feet longer and make people taller as well.

3940 Radio Road, Unit 104, Naples, Florida 34104 ‍ ‍239 - 465-0311

330 West 58 street , unit 610, New York City , New York 10019 ‍ ‍212 -372-0991

Serving patients from FLORIDA , the NEW YORK and tristate area, NAPLES, FORT MYERS, BONITA SPRINGS, MIAMI, FORT LAUDERDALE, TAMPA

FAILED BUNION SURGERY

Complications can occur in any surgical procedure. The bunionectomy has specific issues that can occur including recurrence the bunion, joint stiffness and delayed healing. If you are dealing with a postoperative issue click the link above to see some possible causes and how we fix them.

Fort Lauderdale, Florida

COMING SOON

Below are links to other conditions we have extensive experience with and more information for your knowledge, click on title to learn more:

Serving patients from FLORIDA , the NEW YORK and tristate area, NAPLES, FORT MYERS, BONITA SPRINGS, MIAMI, FORT LAUDERDALE, TAMPA

Copyright 2002 David Gitlin DPM. Ai Directory