Our facility was designed with one objective: to give each patient the ultimate experience in same day surgical procedures with unrivaled quality of care. Methodist Keller Surgery Center is fully equipped with state-of-the-art technology to perform a number of procedures.
Specialties & Procedures
Modern Foot and Ankle Surgery
Modern foot and ankle surgery has advanced significantly, focusing on minimally invasive techniques, patient-specific instrumentation, and reconstructive procedures to improve outcomes and reduce recovery times.
Bunion surgery shouldn’t be ruled by the idea that one procedure fixes all bunions. The appropriate surgical options for this common forefoot deformity must be specific for each patient’s anatomy and situation. The surgeons at Methodist Surgery Center - Advanced Foot and Joint Care have performed thousands of successful bunion procedures in their careers.
Minimally Invasive Surgery (MIS) is now widely used for conditions like bunions, hammertoes, and ankle arthritis. These techniques involve smaller incisions, less soft tissue disruption, and faster recovery. For example, minimally invasive bunion correction and ankle arthroscopy allow for diagnosis and treatment of joint issues with quicker return to activity.
Reconstructive Surgery addresses complex deformities such as flatfoot, Charcot foot, severe fractures, and post-traumatic arthritis. Procedures include tendon transfers, bone realignment, joint fusions, and ligament reconstruction. At centers like Methodist Surgery Center - Advanced Foot and Joint Care, surgeons use advanced methods like patient-specific instrumentation and 3D printing to plan and execute precise reconstructions.
Ankle Replacement (Arthroplasty) is increasingly used as an alternative to fusion, especially for patients with advanced arthritis. Surgeons at Methodist Surgery Center - Advanced Foot and Joint Care are using the latest CT based systems for providing patient specific guides and templates to assist in providing precision total joint replacement options.
Modern foot and ankle surgery emphasizes personalized, evidence-based care with a strong focus on restoring function and quality of life.
Peripheral Nerve Surgery
Peripheral nerve surgery is a specialized form of surgical specialty care focused on diagnosing and treating conditions that affect the peripheral nerves, which are the nerves outside the brain and spinal cord. These surgeries are performed to repair nerve injuries, remove tumors, relieve nerve compression, or restore function to damaged nerves. The goal is often to reduce pain, restore sensation, or improve muscle control in the affected areas.
Common conditions in this category of nerve care are:
Interdigital Neuritis (aka Morton’s Neuroma)
This condition occurs when the common digital nerves in the forefoot are irritated by a ligament. The patient experiences burning, tingling, and buzzing sensations, often combined with numbness, in the ball of the foot and the middle three toes. Traditional surgical treatment has relied upon surgical excision of the nerve. Nerve excision is unnecessary most of the time and nerve decompression, much like carpal tunnel surgery, can relieve pain and restore sensation. Avoiding nerve excision can avoid “stump neuroma” formation which is a common complaint in a rather large percentage of patients that have undergone nerve excision.
Peripheral nerve surgeons at the Methodist Surgery Center - Advanced Foot and Joint Care have special interest and training in nerve preservation options like the MEND procedure which is an endoscopic nerve decompression designed to help relieve pain and restore sensation in these cases without the need for excising the nerve.
Tarsal Tunnel Syndrome
This condition can cause burning and tingling pain and numbness in the heel, arch and forefoot. The condition is caused by compression on the tibial nerve in the tunnel on the side of the ankle or often at the portal into the foot called the “porta pedis”. Surgeons can address this condition by releasing the tunnel and any choke points along the course of the nerve. Surgeons often wrap the tibial nerve with placental based tissues to protect the nerve from scarring in poorly and to encourage healing of the nerve tissue.
“Slimmer’s Palsy”
This condition causes burning, tingling and numbness at the front and side of the calf down to the top of the foot and at times can even cause “drop foot” symptoms where the patient has weakness pulling their foot up, impairing gait. It is often associated with rapid and extreme weight loss which has become more common with bariatric (weight loss) surgical procedures and new GLP-1 medications like Ozempic. The rapid and significant weight loss degrades the fat pad protecting the common fibular (peroneal) nerve at the side of the knee creating a compression point. This can be addressed with a simple 30 minute out-patient surgery to decompress the nerve and free it up from the compression points.
Iatrogenic Nerve Injuries
Iatrogenic Nerve Injuries happen during other surgical procedures. These injuries are often one of the risks of surgery but can cause debilitating pain. Sural nerve injuries are common after ankle fracture repair as the nerve can be severed or get caught in scar tissue from the surgery. The superficial fibular and deep fibular nerves are at risk during ankle replacement and ankle fusion surgeries causing neuritic pain (burning, tingling and buzzing). These nerves can be decompressed, repaired or eliminated depending on what is best for each individual patient. The peripheral nerve surgeons at the Methodist Surgery Center - Advanced Foot and Joint Care can help diagnose these issues with diagnostic nerve blocks with local anesthetic to help isolate which nerves are the true pain generators. A plan can then be developed for repair of the nerve or in some cases denervation where the nerve is excised and techniques used to help prevent the nerve from becoming a painful stump neuroma.
