Case Archive
Ref. # 19728

A Massachusetts woman underwent several surgeries on her left foot: a multi-osteotomy bunionectomy of the first MPJ; arthroplasties of the second and fifth digits; and head osteotomy of the third metatarsal. Several months later she underwent similar surgeries on the right foot. Two a half years later, she still suffered pain. A medQuest podiatrist found negligence in several areas. The osteotomy was not fixated, so the metatarsal drifted out of position and could not be repaired. The operative reports were apparently fabricated and did not reflect the surgeries performed. Additionally, there was a lack of informed consent.

Ref. # 64618

A Florida woman underwent surgery for plantar fascitis. One month later she underwent surgery for a heel spur. An additional surgery was subsequently performed. The patient developed RSD. A medQuest podiatrist opined the patient was negligently misdiagnosed: tarsal tunnel syndrome, not a heel spur, was causing the patient's problems. Consequently, incorrect surgery was performed. With appropriate assessment and treatment, the patient's subsequent surgeries and complications would have been avoided.

Ref. # 72048

A 66 year old diabetic Pennsylvania man underwent a right bunionectomy. Post-op, the patient complained of pain and the toe curled up. Five weeks later he was diagnosed with gouty arthritis. Two more weeks later the patient developed tibial sesamoiditis. Treatment consisted of injections and orthotics for seven months, after which the patient consulted an orthopedic surgeon. An MRI showed dorsiflexion deformity of the right hallux. A first MPJ arthrodesis with wire fixation was performed. A medQuest podiatrist found several deviations from the standard of care. The bunionectomy was the incorrect procedure for the patient. Moreover, it was performed negligently, as post-op X-rays indicated the flexor tendons were detached from their insertion on the proximal phalanx of the hallux. The attending podiatrist failed to reattach the tendon to the stump of the phalanx, which would have prevented the patient's untreatable sesamoiditis. Furthermore, there was: a failure to perform pre-op vascular testing on a diabetic patient; a diagnosis of gouty arthritis despite the lack of lab testing for same; and a failure to maintain operative notes. The patient's subsequent surgeries and complications were avoidable.

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