Wound Care and Healing Symposium in San Diego
April 9, 2017
Dr. Tyson Green, director of the CHRISTUS St. Patrick Podiatric and Surgical Residency Program, and Dr. Jared Gremillion, first-year resident with the program, attended the Symposium on Advanced Wound Care Spring and Wound Healing Society Spring meeting in San Diego this week. This is the largest and most respected interdisciplinary wound care event in the country. The doctors presented research on the benefits of LUNA microflourescence angiography in amputation planning and wound
Dr. Tyson Green Represents Louisiana in Washington D.C.
April 4, 2017
Pictured with Dr. Green are Louisiana Senator Bill Cassidy, Representative Ralph Abraham and Dr. Cassie Hudson, along with his father Tom Green who was also on Capitol Hill representing the Veteran’s Coalition of Louisiana.
Dr. Green has been appointed to the American Podiatric Medical Association’s legislative committee addressing healthcare reform and other related issues. He was in Washington D C. last week representing Louisiana at the House of Delegates as well as lobbying on Capitol Hill. He serves on the presidential appointed governance task force and the resolutions committee for the American Podiatric Medical Association, and is the only delegate from the state of Louisiana. Dr. Green and other members of his group met with all of Louisiana’s congressmen discussing issues that pertain to healthcare and most of the focus being on access of healthcare for our veterans.
National Match Day
March 20, 2017
Today was National Match Day, the day when residency programs across the country and prospective residents find out if they found a match. We are excited to introduce our next resident, Megan Herring. Megan grew up in Carlisle, Arkansas, and earned her undergraduate degree from the University of Arkansas. She will graduate on June 2 from the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science with a Doctorate in Podiatric Medicine. We can't wait to welcome her to our program and to Southwest Louisiana!
Annual American College of Foot and Ankle Surgeons Scientific Conference
March 2, 2017
Dr. Tyson Green presenting at the annual American College of Foot and Ankle Surgeons Scientific Conference, attended by nearly 2000 surgeons and affiliated healthcare specialists this week. Dr. Green spoke in different sessions, on several different topics this year, including Achilles' tendon issues, heel fractures and ankle cartilage disease. Dr. Kalieb Pourciau with CFO is also attending the conference, along with Dr. Matthew McCabe McCabe and Dr. Jared Gremillion, 2nd- and 1st-year residents with the CHRISTUS St. Patrick Podiatric Medicine & Surgical Resident Program.
Great Strides in Ankle Replacement
July 19, 2016
Like arthritis in any joint, ankle arthritis causes pain, stiffness and swelling. However, the symptoms are often more severe in the ankle because it is the smallest weight-bearing joint. In order to walk, the small surface area of the ankle joint must absorb the body’s entire weight – exponentially more pounds per square inch. If the joint is arthritic, each step can be excruciating.
Foot and ankle surgeons at CHRISTUS St. Patrick Hospital are now offering new hope for people suffering from this debilitating condition. A new generation of ankle replacement, the Infinity system is restoring pain-free mobility for local patients.
Dr. Tyson Green with Imperial Health’s Center for Orthopaedics explains that ankle arthritis often occurs after an injury, but can also result from other conditions such as degenerative joint disease, rheumatoid arthritis, ankle instability, and more. Whatever the cause, the result is chronic inflammation and degeneration of the cartilage which make up the cushioning in the joint. “This is very painful, and the condition is permanent; cartilage does not grow back,” says Dr. Green.
Conservative treatment for ankle arthritis includes bracing, orthotics, anti-inflammatory and pain medications, cortisone injections and activity modifications. If these conservative treatment approaches don’t provide relief, ankle fusion was the only surgical option. “In an ankle fusion, the bones making up the ankle joint are fused together to form one bone, resulting in no motion at the joint, and therefore no pain. The down side however is the same – no motion – which leads to altered gait and problems in other joints, and difficulty walking on hills or other surfaces, etc. While ankle fusion remains a good choice for certain patients, there is finally a viable alternative for many – total ankle joint replacement.”
Dr. Green says ankle replacements have been around for decades, but until now, have provided unacceptable results. “The smaller size and increased load on the ankle, as well as more complicated range of motion and difficulty to access surgically, make the design of an implant very challenging. The early designs were so bad that even though we were trained in the procedures, Dr. Kalieb Pourciau and I would not even consider using them for our patients.”
The new Infinity system offers dramatic improvements, including the only patient-specific, customized CT-guided ankle replacement technology. “The combination of better materials with advanced design technology give us an ankle replacement that reproduces more normal ankle motion and helps the joint resist wear over time,” says Dr. Green.
The Infinity’s instrumentation was designed in such a way that the implant could be placed more accurately in the joint, a process that is improved by the CT-guided system. This improved precision results in a significant reduction in operative time under anesthesia, which decreases the risk of complications.
The ankle replacement procedure itself takes approximately two hours, with a two-to-three-day hospital stay. Once discharged, patients remain non-weight bearing in a splint, cast or boot for six weeks. Then they will begin bearing weight in the boot and attending physical therapy for the necessary amount of time.
Dr. Green says the majority of patients who undergo ankle replacement report an immediate decrease in pain which lasts indefinitely. Most also report an increase in range of motion and improved function. They typically return to light forms of exercise such as walking, hiking, golf, cycling, low intensity weight training, yoga and swimming.
Traditionally, ankle implants were not recommended for patients younger than 50 and above 250 pounds. However, Dr. Green says the improvement in the technology available with the Infinity is for expanded indications. “We also consider the patient’s overall health, desired post-operative activity level and occupation. The decision to have this surgery is one we discuss and make together with the patient.”
Dr. Tyson Green Named to APWCA Board of Directors
July 7th, 2016
Dr. Tyson Green, foot and ankle specialist with Center for Orthopaedics, an affiliate of Imperial Health, was recently named to the board of directors for the American Professional Wound Care Association (APWCA), a non-profit medical association for medical providers involved in prevention, treatment and pain management of non-healing wounds.
Dr. Green is originally from Lafayette, Louisiana and received his undergraduate degree in Biochemistry from Louisiana State University. He earned his Doctor of Podiatric Medicine degree from Temple University School of Podiatric Medicine in Philadelphia, Pennsylvania. He completed a three-year residency in Podiatric Medicine and Surgery at Scott & White Memorial Hospital – University of Texas A&M Health Science Center in Temple, Texas. He is board certified in foot and ankle surgery by the American Board of Foot and Ankle Surgery. He serves on the legislative committee for the American Podiatric Medical Association and represents Louisiana at the House of Delegates in Washington, D.C. annually. He is a fellow in the American College of Foot and Ankle Surgeons and also serves on the board of the Louisiana Podiatric Medicine Association. He lectures both nationally and internationally on various topics and is well respected as a leader in his field. Dr. Green is the program director for the CHRISTUS St. Patrick Podiatric Medicine and Surgical Residency.
Dr. Jared Gremillion Chosen for CHRISTUS Podiatric Residency Program
March 25th, 2016
Foot and ankle specialist Jared Gremillion, DPM, will be joining the CHRISTUS St. Patrick Hospital Podiatric Medicine and Surgical Residency Program, which is a partnership with Imperial Health’s Center for Orthopaedics. He will be the second doctor entering the program, which began last year, and he will begin in July.
Southwest Louisiana is home for Dr. Gremillion, who is originally from Sulphur. He has 11 years of experience in the healthcare field. He began working as an Emergency Room tech at West Calcasieu Cameron Hospital after high school, while earning a B.S. in Biology from McNeese State University. During his undergraduate studies, he also completed a surgical research internship at Uniformed Services University Health Science Center in Bethesda, Maryland. After completing his degree in 2009, he began working as a medical assistant for Dr. Tyson Green, foot and ankle specialist at Center for Orthopaedics, where he became passionate about the podiatric specialty and decided to continue his medical education.
Dr. Gremillion recently completed a four-year Doctor of Podiatric Medicine (DPM) degree at the Arizona School of Podiatric Medicine of Midwestern University in Glendale, Arizona. He is a member of the American Podiatric Medical Association, American College of Foot and Ankle Surgeons, and the Academy of Physicians for Wound Healing.
"We are very proud of Dr. Gremillion and pleased to have him back as a part of our medical community,” says Dr. Tyson Green, who serves as the residency program director. "He will be a huge asset to our team.”
The residency is a three-year, surgically oriented program in which Dr. Gremillion will focus on foot and ankle surgery and comprehensive podiatric medicine. Dr. Gremillion will receive intense training in CHRISTUS St. Patrick’s operating rooms as well as at Imperial Calcasieu Surgical Center. He will also gain extensive direct patient-care experience in the areas of wound care, diabetic care, and podiatric research and will receive podiatric and orthopedic experience, including clinical and practice management in the hospital and office settings. Dr. Gremillion will also rotate in various specialties at CHRISTUS St. Patrick Hospital including emergency medicine, internal medicine, general surgery, pediatrics and radiology. In addition, he will complete rotations through LSU Health Science Center in New Orleans and the University of Texas Southwestern Medical Center in Dallas, which will give him advanced surgical and enhanced research experience in the field of podiatric medicine.
Because the residency is in collaboration with the Imperial Health Center for Orthopaedics (CFO), and the region’s largest musculoskeletal group, Dr. Gremillion will have the opportunity to work closely with experienced orthopaedic surgeons and specialists, and he will also work within the group’s Sports Medicine Program, which provides services to McNeese State University and 14 area high schools
Dr. Matthew McCabe Chosen as First Podiatric Medicine and Surgical Resident
July 27th, 2015
Foot and ankle specialist Matthew McCabe, DPM, has been selected as the first resident for the CHRISTUS St. Patrick Hospital Podiatric Medicine and Surgical Residency Program, which is a partnership with Imperial Health. He begins work with the program in July.
Originally from Littleton, Colorado, Dr. McCabe received his undergraduate degree in Exercise Science from Utah State University and earned his Doctor of Podiatric Medicine degree from Scholl College of Podiatric Medicine in Chicago, Illinois. Dr. McCabe is a member of the American College of Foot and Ankle Surgeons, the American Podiatric Medical Student Association, the American Society of Podiatric Surgeons, the American Academy of Podiatric Practice Management, and the American Academy of Podiatric Sports Medicine. Dr. McCabe also has volunteer experience in community organizations and the Podiatry field, and has his private pilot license.
The residency is a three-year, surgically oriented program in which Dr. McCabe will focus on foot and ankle surgery and comprehensive podiatric medicine. As a podiatric resident, Dr. McCabe, will receive intense training in CHRISTUS St. Patrick’s operating rooms as well as at Imperial Calcasieu Surgical Center and West Calcasieu Cameron Hospital. Dr. McCabe will also gain extensive direct patient-care experience in the areas of wound care, diabetic care, and podiatric research and will receive podiatric and orthopedic experience, including clinical and practice management in the hospital and office settings. Dr. McCabe will also rotate in various specialties at CHRISTUS St. Patrick Hospital including emergency medicine, internal medicine, general surgery, pediatrics and radiology. In addition, Dr. McCabe will complete rotations through LSU Health Science Center in New Orleans and the University of Texas Southwestern Medical Center in Dallas, which will give him advanced surgical and enhanced research experience in the field of podiatric medicine.
Because the residency is part of a Center for Orthopaedics (CFO), an affiliate of Imperial Health and the region’s largest musculoskeletal group, Dr. McCabe will have the opportunity to work closely with experienced orthopaedic surgeons and specialists, and he will also work within the group’s Sports Medicine Program, which provides services to McNeese State University and 14 area high schools.
Tyson Green, DPM
Phone: (337) 721-7285
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