Dr. Zeetser Surgeon
5400 Balboa Boulevard, Suite 325
Encino, California 91316
(on the east side of Balboa Blvd, just south of the 101 freeway)
Telephone: (818) 907-6100
Fax: (866) 513-4995
Dr. Vladimir Zeetser is a board certified podiatric physician and surgeon specializing in reconstructive foot and ankle surgery. He is certified by the American Board of Podiatric Surgery both in Foot Surgery and Reconstructive Rearfoot and Ankle Surgery. His training includes advanced wound management and limb salvage and he has consistently achieved unparalleled results in healing problematic wounds. As an innovator and trendsetter in his field, he has been progressive in expanding aesthetic foot surgery and associated procedures to improve his patients' self-image while achieving among the highest functional outcomes and levels of patient satisfaction. Apparently unconventional in his practice approach, Dr. Zeetser believes that surgery should be minimally painful with a convenient and tolerable recovery, while producing the maximum results. He believes that the aesthetic result of any procedure is not a secondary consideration, but is just as important as the primary condition being corrected.
Feel free to explore this internet destination to become acquainted with the information and services available. Dr. Zeetser treats all aspects of foot and ankle structural disorders, including lower extremity muscular, neurological, vascular and skin conditions. During your consultation, Dr. Zeetser always performs a thorough evaluation, explains his findings in detail and creates a treatment plan tailored to your specific needs. With all of your options presented in an understandable manner, you participate equally in the decision making for the treatment of your complaint.
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.
When to Call a Doctor
Please seek immediate medical care if you experience:
- Persistent pain in your feet or ankles.
- Red, hot, swollen joints in the foot with severe pain and limping.
- Pain, redness or other noticeable change to your toenails.
- Pain, redness or other skin condition including severe cracking, scaling, or peeling.
- Blisters and/or sores on the feet or ankles.
- Signs of bacterial infection including: increased pain, redness, heat, red streaks extending from the affected area, discharge of pus.
- Fever of 100°F (37.78°C) or higher with no other cause.
- Symptoms that do not improve after two weeks of treatment with a non-prescription product.
Any of the above AND you are diabetic, have poor circulation, are taking Coumadin (or other anticoagulants) or have any other systemic condition that places you at increased risk for lower extremity complications.
Disclaimer - The content on this site is for informational purposes only. You are encouraged to perform your own research into common foot problems and treatments available. It is not intended for the purpose of self-diagnosis or treatment recommendations. Only a personalized consultation can appropriately address your specific concern. - Dr. Zeetser