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March 22, 2018

PR 03 20 18 v01

DANBURY, CT — The physicians at OrthoConnecticut have once again been honored with some of the country’s most prestigious awards. Castle Connolly Medical, Ltd., has recognized Dr. Andrew Bazos, Dr. Michael Brand, Dr. Joseph DiGiovanni, Dr. Ross Henshaw, Dr. John G. Lunt, and Dr. Robert Yaghoubian as Top Doctors for 2017. Castle Connolly’s Top Doctors awards are given to leaders who are nominated by their peers in an extensive survey process of thousands of American physicians each year. These Top Doctors' medical educations, training, hospital appointments, disciplinary histories—and much more—are screened by the Castle Connolly physician-led research team. Only those doctors who are among the very best in their specialties and in their communities are selected for inclusion. Doctors do not and cannot pay to be included in any Castle Connolly Guide or online directory.

In more good news, 10 OrthoConnecticut physicians were also among the winners of the 2018 Vitals Patients’ Choice awards. Vitals Patients’ Choice winners are chosen according to the overall rating a doctor receives from his or her patients for the calendar year. Awards are given for Compassionate Doctor, On-Time Physician, and Patient’s Choice. Dr. Angelo Ciminiello, Dr. Joseph DiGiovanni, Dr. James Dupuy, Dr. Ross Henshaw, Dr. Frank Hermantin, Dr. Phillip J. Mulieri, Dr. John E. Mullen, Dr. Randolph J. Sealey, Dr. Daniel Southern, and Dr. Robert Yaghoubian have all won Vitals Patients’ Choice awards for 2018. Dr. Ciminiello is now a 7-time Patients’ Choice honoree, and Dr. Mulieri is now an 8-time winner the Patients’ Choice award and a 7-time recipient of the Compassionate Doctor award.

For more information, or to make an appointment with any of the award-winning OrthoConnecticut physicians, please visit www.myorthoct.com or call 1.833.ORTHOCT (1.833.674628).

March 01, 2018

Lisa Cyr, OTD, OTR/L, CHT, of OrthoConnecticut | Hand Therapy will be participating in the April 2018 Mission of Guatemala Healing Hands Foundation. She also traveled on a similar mission in 2015.

The organization is now accepting donations for their upcoming mission in 2018. If you are interested in helping out please go to: www.guatemalahands.org/home.

January 17, 2018

Danbury, CT—We are happy to announce that Spine specialist Dr. Frank Hermantin is now available for patient appointments in our New Milford and Sharon offices. Beginning on Monday, February 5, 2018, Foot & Ankle specialist, Dr. Randolph Sealey will also begin seeing patients at the New Milford office. These additional office hours will complement their existing patient schedules at the practice’s Musculoskeletal Center of Excellence at 2 Riverview Drive in Danbury. The New Milford office is conveniently located at 131 Kent Rd in New Milford, and the Sharon office is centrally located in the northern part of the county at 50 Amenia Rd in Sharon.

Dr-Frank-HermantinDr. Frank Hermantin, a fellowship-trained spinal surgeon, specializes in minimally invasive back surgery, and performs more minimally invasive discectomies and outpatient spine surgeries than any other spine surgeon in the community. The majority of his patients, however, are treated nonsurgically. Dr Hermantin believes his most important job is to help patients regain all of their normal function without pain.

 

Dr-Randolph-SealeyDr Randolph Sealey is the only fellowship-trained orthopedic foot and ankle subspecialist in the greater Danbury area, and his experience ranges from simple hammer toe and bunion correction to complex tendon and deformity correction (such as in severe flat feet). Dr. Sealey also specializes in the revision of failed foot and ankle procedures and in the care of arthritic ankle and foot joints. Dr. Sealey is fluent in Spanish and will gladly conduct appointments for Spanish speaking patients.

For more information, or to make an appointment with Dr. Hermantin or Dr. Sealey in their new office locations, please visit myorthoct.com or call 203.797.1500.


About OrthoConnecticut
OrthoConnecticut is the region’s premier, multi-specialty orthopedic and pain management practice, helping patients regain mobility, lead active lives, and attain optimal well-being. 31 fellowship-trained, board-certified physicians offer patient care at 9 offices in Danbury, Darien, New Canaan, New Milford, Norwalk, Ridgefield, Sharon, Southbury, and Westport. The practice’s urgent care service, OrthoCare Express, is open 7 days a week for emergencies and is available in Danbury, Darien, Norwalk and Westport. To make an appointment with any of the practice’s specialists, or to learn more about OrthoCare Express, please visit myorthoct.com or call 203.797.1500.

November 03, 2017
dr sealey article

One of the injuries that I see increase in frequency during the winter months are foot and ankle fractures. Slippery conditions can trigger a fall, which is the usual cause of these injuries. Not only do falls occur during snowstorms or ice storms, but the snow or ice that gets left behind on sidewalks and parking lots will often result in twisting injuries around the foot and ankle that can lead to fractures. Winter sports such as skiing, snowboarding and ice skating also predispose patients to foot and ankle fractures. In fact, something called a "snowboarder's fracture" is a specific injury that occurs because of the position of the foot and ankle on a snowboard.

Foot and ankle fractures are some of the most debilitating injuries that we see in orthopedics. These injuries have both immediate and long-term effects. The majority of patients who sustain an ankle fracture will go on to develop ankle arthritis. The term arthritis means that there has been some damage or injury to the normal smooth cartilage in the joint. There are many conditions that can damage the joint surface, including an inflammatory problem (rheumatoid arthritis) or the long-term wear and tear of the joint (osteoarthritis). In the case of an ankle fracture, there is an acute and immediate traumatic event that leads to post-traumatic arthritis. This means that the patient will have some permanent mobility limitation and also some level of discomfort or achiness. While standing, the forces that ankles and feet experience can be up to 10 times the patient's body weight and this can lead to severe discomfort if arthritis develops in those joints.

There are many unique features about foot and ankle fractures that make them very different from fractures in other parts of the body. One very important thing to consider is which foot or ankle is fractured, because if it is your right side you will unable to drive for 2 to 3 months after the injury. Swelling can be a significant problem that may take up to a year to completely resolve. This not only leads to discomfort but may create some practical problems such as fitting into a normal shoe. Swelling can also lead to severe blisters that traumatize the skin around foot and ankle fractures. The blisters indicate that there has been severe injury to the skin, which can sometimes take several weeks to heal. Bruising is another feature that is very common around foot and ankle fractures—the result of bleeding from the bone that makes its way to the surface.

Seeing a specialist with experience in foot and ankle trauma is extremely important in order to have the best possible outcome after a serious injury. Any individual's treatment will depend on the severity and stability of their specific foot and ankle fracture. Most stable fractures are treated with a rigid cast, boot or shoe, and patients can begin walking immediately with some assistance. Some patients will need crutches, a walker or a cane first, until most of the pain resolves, and then, the treatment can continue in a fracture boot or shoe. Patients will usually benefit from physical therapy or a home exercise program after their fracture has healed since the period of immobilization will create atrophy.

If the fracture is unstable, however, it will require surgical treatment with orthopedic implants, such as plates and screws. A cast or splint will not be enough to keep an unstable fracture in the proper position for it to heal appropriately. Patients are often upset by the idea of surgery, but it will provide immediate stability to the bone and may allow for a more predictable recovery. Bones, on average, will take 6 to 8 weeks to heal; the timeframe for healing does not change with surgery but quicker movement is possible because of the stability provided by the hardware. Two emergencies that require surgery are an "open fracture" (in which there is an open wound or break in the skin near the site) and a joint that is dislocated along with a fracture. Open fractures lead to a high risk of infection and they need to be cleaned and stabilized immediately in the operating room. Patients also will need to take antibiotics to prevent infection. A dislocated joint must be put back in place, or "reduced," immediately and this is usually followed by surgery to keep the joint in position.

It is often important to wait for swelling to decrease before proceeding to foot and ankle surgery. It can be dangerous to operate on swollen tissues because this may lead to an infection around the incisions after surgery. It is not uncommon for a patient to have to wait 10 to 14 days after a fracture has occurred for the actual surgery to take place. Many times, x-rays are the only studies that we need before surgery, but occasionally a CT or MRI is necessary to plan the procedure.

Although foot and ankle fractures can have devastating implications on patients' immediate quality of life, it is possible to return to many of the activities they enjoyed once the injury is healed. There may be a "new normal" in terms of comfort level during weight-bearing activities, and it may be necessary to use an orthotic insert or an ankle brace for some activities.

There are some simple things that you can do to avoid foot and ankle fractures. Wearing appropriate footwear, such as winter boots with strong grip and ankle support, is a simple measure that can help you avoid injuries… avoiding unpaved walkways and surfaces without salt can also prevent slip-andfall events… and looking out for black ice during extremely cold temperatures is another step you can take to avoid injury.

About Dr. Randolph Sealey

Dr. Randolph Sealey, who is fluent in Spanish, specializes in the field of foot and ankle surgery and is the only fellowship-trained orthopedic foot and ankle subspecialist in the greater Danbury area. He completed his fellowship training and gained his ankle reconstructive surgery expertise at the world-renowned Institute for Foot and Ankle Reconstruction at Mercy Medical Center in Baltimore, Maryland. In 2008, he became the recipient of the prestigious Roger A. Mann Award, the highest clinical research honor given by the American Orthopaedic Foot and Ankle Society. He is Board-certified by the American Board of Orthopedic Surgery.

About OrthoConnecticut | Danbury Orthopedics

OrthoConnecticut I Danbury Orthopedics is the premier provider of orthopedic care in the region. Thirty-one fellowship-trained, Board-certified physicians provide care in nine office locations. The goal of the practice is to help patients regain mobility, lead active lives and attain optimal health. Offices are located in Danbury, Darien, New Canaan, New Milford, Norwalk, Ridgefield, Sharon, Southbury and Westport. To schedule an appointment with Dr. Sealey, or any of the physicians at OrthoConnecticut, please visit myorthoct.com or call (203) 797-1500.


Download article as pdf:

pdf(English) Keeping You Moving: Foot & Ankle Fractures

pdf(Español) Manteniendo su Movimiento: Fracturas de Pie y Tobillo

pdf(Português) Mantendo-se em Movimento: Fraturas nos Pés e Tornozelos