Foot & Ankle Deformity

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The Paley Institute is proud to offer world-class foot and ankle care, from two renowned physicians: Dr. Bradley Lamm, Chief of Foot & Ankle Surgery, and Dr. Christina Schilero, Foot & Ankle Surgeon.

Dr. Lamm     Dr. Schilero

 

We specialize in a new technique called joint distraction that uses external fixation to preserve the ankle and toe joints. This technique delays the need for joint fusion or joint replacement procedures. We also use growth hormone injections to restore the joint cartilage. Our physicians developed the multiplier method for predicting adult foot length and adult foot height, which is a simple and accurate method for predicting foot dimensions and discrepancies at skeletal maturity. We are known for our ability to correct unique and challenging cases of foot and ankle deformities. Drs. Lamm and Schilero have vast knowledge in external and internal fixation for correction of deformities.

Dr. Lamm developed a minimally invasive surgical procedure to correct the malpositioned diabetic foot (re-creating a fallen arch), as well as a minimally invasive method for lengthening metatarsals and toes, which preserves toe motion and foot function. He also has established and currently directs the first podiatric fellowship in foot and ankle deformity correction. Dr. Lamm continues to advance the field of foot and ankle surgery with his innovative research efforts, which have focused on functional outcomes after surgery. His current research concentrates on the advancement of computer-assisted surgery and stem cells.

Dr. Schilero recently completed a specialized fellowship with Dr. Paley and performs advanced treatments for a wide range of foot and ankle conditions. She also specializes in an innovative approach to complex wound care.

Conditions Treated

We have extensive experience in treating a variety of complicated congenital and developmental foot and ankle deformities in children and adults. He specializes in the treatment of the following:

  • Diabetic foot deformities
    • Charcot joint disease, malpositioned diabetic foot, non-healing wound, peripheral neuropathy, life-/limb-threatening infection and, when absolutely necessary, amputation
  • Forefoot deformities
    • Bunion, Tailor's bunion (fifth toe bunion), hallux limitus/rigidus (arthritis of the great toe), hammer toe, claw toe, long/short toe, neuroma, ganglion, ingrown toenail, toenail deformity, wart and painful callus
  • Hindfoot deformities
    • Heel spur, plantar fasciitis, nerve entrapment (tarsal tunnel), posterior tendon dysfunction, flatfoot, high arch, heel pain, recurrent ankle sprain, equinus (tight heel cord), and Achilles tendonitis or rupture
  • Ankle disorders
    • Ankle joint arthritis, unstable/weak ankle, tendonitis, osteochondral lesions and avascular necrosis
  • Pediatric conditions
    • Clubfoot, tarsal coalition, metatarsus adductus, flatfoot, high arch, calcaneal valgus, toe-in/toe-out, vertical talus, syndactyly (webbing or fusion of toes) and polydactyly (presence of more than five toes)
  • Athletic injuries
    • Ankle sprain, foot/ankle fracture, stress fracture, shin splints, joint dislocation, muscle tear, athlete's foot, contusion, and laceration
  • Post-traumatic foot and ankle deformities
    • Malunion
  • Bone healing problems
    • Delayed union, nonunion and problem fracture
  • Bone defects, bone infections, and joint infections
    • Osteomyelitis and septic arthritis
  • Bone length discrepancies
    • Digital, metatarsal, heel and leg lengthening
  • Arthritis
    • Gouty arthritis, rheumatoid arthritis, and osteoarthritis
  • Other foot and ankle conditions
    • Charcot Marie Tooth disease, soft tissue tumors, skin lesions, abscesses and avascular necrosis

In the News

Dr. Lamm on the Doctors
Dr. Lamm on the television show, The Doctors

Dr. Lamm is known all across the world for his expertise in treating foot and ankle deformities. He has been featured on a number of news segments, including the television show The Doctors to discuss foot and toe lengthening. He was voted "Top Doctor" in Baltimore Magazine numerous times.

Dr. Lamm on Lengthening Toes

Dr. Lamm on "The Doctors"

Patient Cases

Check out some of our dramatic before and after case studies.

Patient with Brachymetatarsia

Brachymetarsia Before and After

Patient with Brachymetatarsia affecting multiple toes

Brachymetatarsia Before and After

Brachymetatarsia Before and After

Brachymetatarsia Before and After

Research

Throughout his career, Dr. Lamm has been dedicated to research. Through publications, lectures, tutorials, and a fellowship program, Dr. Lamm is committed to advancing understanding of orthopedics. He has been awarded numerous grants, published medical research in national and international journals on foot and ankle research, and has lectured at dozens of medical conferences. He has over 75 book chapters and peer-reviewed research articles.

Dr. Lamm currently serves as the editor of the Research Section of the Journal of Foot & Ankle Surgery.

Fellowship

Dr. Lamm's Fellowship
Dr. Lamm's Fellowship

 

During this one-year position, the fellow will develop an in-depth understanding of the pathophysiologic, clinical, radiographic, and musculoskeletal evaluation of foot and ankle deformities. This fellow will learn the principles and techniques required for the management of musculoskeletal foot and ankle deformities, including nonoperative treatment, preoperative planning and assessment, surgical decision making, and postoperative management and rehabilitation.

Inpatient and outpatient responsibilities will be assigned. The fellow will master the surgical skills necessary to perform accurate foot and ankle deformity correction procedures. The procedures that the fellow will participate in include, but are not limited to, the following:

  • Application and removal of internal and external fixation
  • Osteotomies
  • Nerve decompressions
  • Malunion and nonunion repair
  • Bone lengthening
  • Fusion
  • Fracture repair
  • Bone and joint infection
  • Deformity correction
  • Revision surgery
  • Total ankle joint replacement

The fellow will be supervised directly by Dr. Lamm. The fellow's performance will be reviewed every two months, and goals will be set to improve the fellow's education.

The academic component of the fellowship emphasizes a scholarly approach to clinical problem solving, analysis of foot and ankle deformity correction, and research. The fellow will participate in research meetings at the Paley Institute, surgical teaching conferences, and journal club meetings. The fellow will also complete a research project and will submit this research to the American College of Foot and Ankle Surgeons (ACFAS) to be considered for presentation at the annual ACFAS meeting.

To apply, please send the following materials to:

Bradley M. Lamm, DPM, FACFAS

Foot & Ankle Center

Paley Institute

901 45th Street

Kimmel Building

West Palm Beach, FL 33407

blamm@paleyinstitute.org

www.paleyinstitute.org

561.844.5255