Podiatric surgery

Podiatric surgery is a specialist field in the podiatry profession. Podiatric surgery is the surgical treatment of conditions affecting the foot, ankle and related lower extremity structures by accredited and qualified specialist podiatrists, as Dr. Chrzan. Podiatric surgery is designed to ensure continued functionality of the foot and ankle areas. Patients who complain of joint and ligament problems, as well as those with congenital deformities, are offered a plethora of surgical solutions that fix bones, muscles, and joints. Certain podiatric surgeons specialize in minimally invasive surgery, while others perform full reconstructions.


Kinds of podiatric surgeries:

Diabetic foot reconstruction

Diabetic foot reconstruction

Reconstruction for treatment of a diabetic foot is a surgery that corrects the damage caused by the complications of diabetes. The nerve damage and poor circulation in the feet are mostly caused by high blood sugar level. These complications can result in deformity and other foot problems like nerve damage and loss of sensation (it is also call neuropathy). About 60-70 % of people with diabetes have some form of neuropathy, some of them have no symptoms, others may have symptoms such as pain, tingling, numbness, and loss of feeling-in their feet.

Some patients can't feel when something has irritated or injured their foot. A small blister can progress into a serious infection. Disintegration of the bones and joints in the foot and ankle (also known as Charcot foot) is caused by poor circulation. If this pathological process continues unchecked, it could result in joint deformity, ulceration and/or serious infection, loss of function, and even amputation. If nonsurgical treatment is not effective, there are surgical alternatives to repair these problems.

Primary foot pathology

Primary foot pathology

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How to prepare for surgery?

  • You will need to call our surgical coordinator, Kathy @ 781-878-4517, to schedule your surgery.
  • Once your surgery is scheduled, a detailed letter will be mailed to you.
  • You will need to re-confirm your mailing address and insurance with our office and ensure any referral is in place.
  • You will need to sign the consent form and fill out the medication list and return to Kathy.
  • You will need to get pre-op clearance from your primary care physician [PCP]. When scheduling your appointment; be sure to let your PCP know that your appointment is for pre-op clearance.
  • You will be scheduled for an evaluation at the hospital, where you will be screened by an anesthesiologist. Diagnostic tests can also be performed, if they were not done by your PCP.
  • No matter what type of health insurance you have, the appropriate referrals and approvals must be in place prior to your surgery. Each insurance company and managed care company has its own protocol for pre-certification or pre-authorization. If the processing is not done properly the insurance carrier may deny or reduce coverage for medical services.
  • The pre-certification establishes the "medical necessity" of your surgery. However, insurance companies explicitly state that pre-certification does not provide any determination as to what benefits will actually be paid for the surgery. Benefits may not be paid if the insurance policy is not valid, or if the policy contains specific exclusions or limitations. For example, one limitation might be a specific dollar limit on treatments to certain parts of the body. Depending on the specifics of your insurance, co-payments and deductibles may also be applied to your benefits; you will be responsible for paying these amounts.
  • It is your responsibility to be aware of the benefits and limitations, if any, of your insurance coverage. Please look at the details of your policy or call your insurance company for confirmation of the coverage. You should write down the time and get the name of the person you talked with or get a reference number for that call.
    There is a $25.00 additional charge if you have any disability documentation to be filled out by Dr. Chrzan.

Day of Surgery

  • You must bring someone with you to drive you to and from the hospital.
  • When it is time for your procedure or surgery, you will meet the hospital staff who will take care of you throughout the procedure. They will double check your identity, allergies, procedure and basic health status.
  • Your family may wait for you in the Surgical Services Waiting Room.
  • After surgery, you will be taken to the Recovery Room, which is staffed by specially trained nurses.
  • Following a short stay in the Post Anesthesia Care Unit, you will go to the outpatient discharge area. Your family will be contacted at this time and will be able to rejoin you.
  • We make a call the next working day to check on how you are doing and follow you through the weekend.

Post-Operative Instructions

  • You must have an adult accompany you home upon your discharge from the surgery unit. You will not be discharged from the hospital if an escort is not present.
  • You will usually be discharged using crutches or a walker.
  • Prescriptions for pain medication(s) will be provided at the hospital. The use of the medication(s) will be reviewed with you (as well as with your escort, if desired) by the nurse prior to discharge.
  • A general post-operative instruction sheet will be provided, and the instructions will be reviewed by the nurse prior to discharge.
  • If a post-operative instruction sheet specific to your type of surgical procedure is provided, review those instructions carefully.
  • You will need to call and make a post-op appointment with Dr. Chrzan within ten (10) days.