Pedro E. Cosculluela, MD is a specialist in the treatment of lower extremity issues. He is a board certified orthopedic surgeon who sub-specialized in the treatment of foot and ankle conditions. This includes all problems of the lower extremity from the knee down. His approach to care ranes from non-operative care to operative reconstruction with the goal of maximizing the patient's ability to return to all of their activities.
1 Ankle Fractures
Ankle fractures are complex injuries that require a wide ranging approach based on the highly variable configuration of these fractures. Our physicians are well versed in the non-operative and operative management of these fractures having taken care of thousands of ankle fractures over their careers. Our approach centers on the maintenance and/or restoration of the normal anatomy of the ankle in order to get patients back to their active lifestyles.
2 Foot Fractures
Fractures of the foot commonly lead to limited motion of the joints and post-traumatic arthritis. Our physician has taken care of a wide range of fractures of the foot and are experts in the care of:
Calcaneus fractures
Talus fractures
Navicular fractures
Lisfranc fracture dislocations
Our goal is to get our patients back to their pre-injury level of activities.
3 Sports Medicine
Whether you are coming in for evaluation of an ankle sprain or have chronic pain resulting from a cartilage lesion in the ankle, our physician is well trained in the treatment of all cartilage and ligamentous injuries to the foot and ankle. This includes:
Treatment of ankle sprains
Treatment of Achilles tendonitis
Treatment of peroneal tendonitis
Ligament reconstructions of the foot and ankle
Repair of Achilles tendon ruptures
Tendon transfers about the foot and ankle
Ankle arthroscopy
Microfracture of osteochondral lesions
Osteochondral allograft transplantation
4 Complex Reconstruction and Limb Lengthening
When traumatic or surgical events go wrong, patients commonly end up with problems that are more difficult to treat. These include:
Failed fusions
Failed ankle replacements
Post-traumatic deformities
Bone loss or leg length issues
Our physician is trained in the treatment of these more complicated orthopedic problems and are commonly referred patients by other orthopedic surgeon in town for higher level care.
5 Advancing Foot and Ankle Care
Dr. Cosculluela is interested in the improvement and advancement of our specialty. As such, he is involved in studies, consults for orthopedic implant companies and is involved in the development of techniques and implants for the care of foot and ankle conditions. Dr. Cosculluela is actively involved in medical education with resident and medical student training. He is also involved in our American Orthopedic Foot and Ankle Society and are commonly asked to participate in educational courses, publications and presentations.
6 Ankle Replacement/Fusion
Ankle replacement has become the go-to treatment in the care of arthritis of the ankle joint. Over the years, our techniques have improved and have become more reproducible. In addition, there are many implant options that allow us to properly address the arthritis to maximize the life of the replacement. Dr. Cosculluela is well versed and certified in the different techniques and implants that are currently available.
7 Arthritis of the Foot
A source of chronic and constant pain, arthritis of the foot comes in many different flavors. Our physician is an expert in the care of hindfoot and midfoot arthritis. Although most patients with arthritis of the foot joints typically choose surgical intervention, out approach typically starts with shoe wear modifications and orthotics (shoe inserts).
8 Bunions and Hammertoes
Pain and deformities of the toes are common. These most commonly arise from shoe wear choices, but can also be related to injury to the supporting structures/ligaments of the toes. Regardless of the cause, Dr. Cosculluela is well trained in:
Simple bunionectomies
Percutaneous bunionectomy
Lapidus bunionectomies
Lapiplasty
Hammertoe correction
Repair of the plantar plate
Correction of the cross-over toe
Fusion of the big toe for arthritis
9 Physical Therapy
Our physician has worked closely with certified physical therapist to develop evidence-based protocols to get our patients moving. Protocols are available for:
Ankle sprains
Ankle fractures
Calcaneus fractures
Ankle replacement
Achilles tendonitis/Achilles tendon repair
Peroneal tendonitis/reconstruction
Ankle ligament reconstruction
Ankle, hindfoot and midfoot fusions
Forefoot reconstructions
Ankle arthroscopy
OCD microfracture and allograft transplantation
Plantar fasciitis