Foot & Ankle Surgery

Foot & Ankle Specialist

We are Open and COVID-19 compliant for the safety of our patients and employees. Questions about WCH Podiatry Services? Phone: 928-668-5506

As a Doctor of Podiatric Medicine; Dr. Tanner Moore specializes in all aspects of podiatric care, including foot and ankle surgery. Some of these techniques include minimally invasive procedures, arthroscopic surgery, and total ankle replacement.

What is a Foot & Ankle Surgeon? [1]

Foot and ankle surgeons are the surgical specialists of the podiatric profession. They provide complete medical and surgical care for a variety of conditions that affect people of every age.

What education has a foot and ankle surgeon received?[2]

After completing undergraduate education, the foot and ankle surgeon completes the four-year curriculum at an accredited podiatric medical school, graduating with the degree of Doctor of Podiatric Medicine (DPM). Although identical in length to programs at medical schools for osteopathic doctors (DOs) and medical doctors (MDs), and covering basic and clinical sciences, the podiatric medical school curriculum also provides intensive focus on conditions of the foot and ankle.

Once the foot and ankle surgeon graduates from podiatric medical school, they enter a postgraduate residency in podiatric medicine and surgery approved by the Council on Podiatric Medical Education. These residencies are similar to, and are often integrated with, residencies for MDs and DOs, and provide training in general medicine, general surgery and surgical specialties. The critical difference is the higher volume of cases and time focused on the foot and ankle in residency programs for podiatric surgeons. Currently, the majority of podiatric residency programs are three years in length.


 Wickenburg Community Hospital Surgical Center | Foot & Ankle Surgery

Dr. Tanner Moore is a doctor of podiatric medicine at Wickenburg Community Hospital Surgical Clinic in Wickenburg, Arizona.  Dr. Moore’s approach begins with conservative treatment of foot and ankle conditions. He diagnoses problems and treats the whole foot and ankle — for both surgical and non-surgical cases. However, when surgery is required, Dr. Moore uses the latest research and surgical techniques to provide treatment for residents and snow-birds alike in Wickenburg, AZ, and surrounding communities. Dr. Moore is available to treat patients full-time Monday through Friday at Wickenburg Community Hospital Surgical Clinic, with on-call night and weekend emergency care in Wickenburg, AZ.

Surgery is performed in the office or on-campus at Wickenburg Community Hospital Surgical Center. Currently, all patients referred for surgery receive rapid COVID-19 testing as part of the pre-surgery checklist.   

In addition to treating all standard foot and ankle conditions, such as ingrown toenails and bunions, our practice also provides:

  • Extensive preventive and advanced surgical foot care for diabetic patients.
  • Orthopedic podiatry services
  • Foot, ankle and toe fracture care
  • On-campus diagnostic imaging
  • On-campus vascular diagnostics to test circulation
  • Pre-operative, operative, and post-operative management of podiatric surgery patients for a broad spectrum of conditions, including those which may require elective in-patient or emergency surgical treatment.
  • Regenerative medicine therapy

Four Common Podiatry Conditions Where Surgery is an Option 
surgical treatment

Surprisingly, many patients do not associate the word surgery with the word podiatry. There seems to be a misconception of sorts that podiatrists treat conditions of the foot and ankle only with non-invasive or minimally invasive methods, such as orthotic footwear, trimming of callouses, applying paddings, injections of cortisone, or regenerative medicine therapy.

While more conservative methods of treatment are always the first line of defense when it comes to managing a condition sometimes surgery becomes the only option to effectively correct the problem.

Here are four conditions in which surgery is a viable option for treatment:

BUNIONS

Bunions are bony bumps that form at the base of the big toe, typically forcing the big toe to point toward the second toe. When other treatments have failed for relieving pain such as wearing wider, boxy shoes or bunion cushions a bunionectomy may be in order.

There are four approaches to a bunionectomy:

  1. Osteotomy: The bones around the big toe joint are precisely cut, and the toe is realigned into its normal position
  2. Exostectomy: Removal of the bunion from the joint with or without a realigning of the toe by balancing the soft tissues.
  3. Arthrodesis: Fusing the damaged joint with metal plates or screws to fix the deformity
  4. Arthroplasty: Removing the joint and replacing it with a state-of-the-art implant or allowing fibrocartilage to naturally replace the joint. During the arthroplasty, the bunion is usually realigned as well.

FLATFEET

Flatfeet (the plural or flatfoot) is a condition in which the arches on the inside of the feet become flattened, making it painful to walk, run, and participate in daily activities. Flatfeet may be the result of stress, age, accidents, and injury. It may also be the case that the patient never developed arches during childhood, usually due to genetics.

When a patient has painful flat feet, a podiatrist may first recommend stretching exercises, orthotic inserts, or wearing more supportive shoes. If pain persists, a combination of procedures to improve the alignment of the foot may be performed to correct the problem.

Surgical techniques include:

  • Double or triple arthrodesis: Fusion of the joints to give the foot stability and correct arthritis that may have formed within the joints (double or triple refers to the number of joints that are fused)
  • Lateral column lengthening: A portion of the heel bone is cut, and a wedge is inserted into the opening to lengthen the bone and rotate the foot back from an outward-facing position
  • Medial calcaneal osteotomy: The heel is realigned and fixed in place using metal plates or screws
  • Arthroereisis: A removable implant is inserted into the foot to elevate the talus on the calcaneus (heel bone) preventing outward protrusion of the ankle and flattening of the arch.

HAMMERTOES

A hammertoe is an abnormal bend in the toe that usually occurs in the second or third and fourth or fifth toes. The abnormal bend is the result of an imbalance within the muscles, ligaments or tendons that hold the toe in the right position.

If the toe is flexible, it may be recommended that footwear with more room be worn. Splints can be prescribed as well as certain exercises performed to stretch out the problematic tissue. Should that not correct the problem, surgical procedures may be suggested depending on the flexibility of the toe.

For a flexible hammertoe, a procedure in which the tendons are rerouted from the bottom of the toe to the top to pull the joint into a straight position may be performed. It is also possible that a tenotomy (a release of the tendon), performed through a small incision will fix a flexible hammertoe.

For a rigid or semi-rigid hammertoe, there are two surgical options:

  1. Joint resection: The end of the “knuckle” bone is removed to allow the toe to straighten and pins are sometimes temporarily inserted to keep the toe in place.
  2. Fusion surgery: The ends of the bone are cut and pins, screws or other implants are inserted temporarily or permanently until the bone ends heal and fuse together.

HEEL SPURS

Heel spurs are bony projections that form along the weight-bearing edges of the heel bone, where the plantar fascia attaches to the calcaneus. Heel spurs usually develop as a result of flattening of the arch leading to tension on the heel.

It is not usually the spurs that cause pain and discomfort, but they are a sign of a mechanical problem with the foot. The pain arises from the attachment area of the plantar fascia. Usually over-the-counter and prescription medication, injections of cortisone, physical therapy, extracorporeal shockwave therapy (EPAT) or change in footwear as well as utilization of inserts are effective in relieving the pain of heel spur syndrome. However, heel spurs syndrome that will not resolve with conservative care may require surgical intervention.

Surgical techniques include:

  • Plantar fascia release: Cutting a section of the ligament that connects the heel bone to the toes to release tension and restore mobility usually done with the guidance of an endoscope a thin, flexible tube with a camera at its tip that is slipped through a small incision in the heel. The surgeon utilizes tiny tools to cut the Removal of the spur itself is not necessary unless it is fractured, angled towards the ground or present on the back of the heel and interfering with shoes.
  • Spur removal: Guided by an endoscope a thin, flexible tube with a camera at its tip that is slipped through a small incision in the heel, the surgeon utilizes tiny tools to remove the spur itself

While there are many innovative surgical solutions for these and other foot and ankle conditions, treatment is always dependent on the patient’s specific diagnosis and recommended treatment plan.


References: [1,2] American College of Foot and Ankle surgeons, https://www.foothealthfacts.org/what-is-a-foot-and-ankle-surgeon

Meet Dr. Tanner Moore, DMP | Foot & Ankle Specialist | Foot & Ankle Surgeon

Looking for top-notch medical care for your feet or not sure if you need to see a podiatrist? You have come to the right place.  Tanner Moore, DPM specializes in all aspects of foot and ankle care including fractures, bunions, plantar fasciitis, corn and callus problems, diabetic management, sports medicine, and wound care. In addition, Dr. Tanner Moore specializes in conditions that require foot and ankle surgery. A graduate of Brigham Young University with a BS in Exercise Science, Dr. Moore earned a medical degree at the California School of Podiatric Medicine and then went on to complete his podiatric residency at Intermountain Medical Center, Utah.  Dr. Moore is highly specialized with advanced education and training in podiatric care and treatment modalities to address foot and ankle problems to get you back on your feet and doing what you love.  Dr. Moore`s approach always begins with conservative treatment of foot and ankle conditions, he diagnoses problems and treats the whole foot and ankle — for both surgical and non-surgical cases. 

Concerns With Foot Health? Schedule an Appointment with Dr. Moore: 928-668-5506

This information is meant to be informative but not prescriptive. Their purpose is to provide information on diseases and processes rather than dictate a specific form of diagnosis or treatment. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician after all the circumstances are presented by the individual patient. 

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