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Surgical Portfolio

Real cases, real X-rays — before, during, and after. Every film here is from a procedure performed by Dr. Panchal.

Dr. Nikul Panchal, DPM, FACFAS — Fellowship-Trained Surgeon

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Anyone can say “expert surgeon.” X-rays don’t exaggerate. This portfolio shows the kind of work Dr. Panchal performs and teaches — from everyday bunion correction to complex trauma and limb-salvage reconstruction — in the most honest format there is: the before and after films themselves.

All images are de-identified and shared with patient consent for education. Every case is different — nothing on this page is a guarantee of results. Click any film to enlarge it.

Lapidus-type realignment

Bunion & Midfoot Correction

A drifted first metatarsal is the root of a bunion. These weight-bearing films show the deformity before surgery and the corrected, stabilized alignment after — the prominence is gone because the bone is back where it belongs.

Before — the first metatarsal drifted outward, forming the bunion
Before — the first metatarsal drifted outward, forming the bunion
After — alignment restored with low-profile plate fixation
After — alignment restored with low-profile plate fixation
After — corrected first ray, healed fusion
After — corrected first ray, healed fusion
Weight-bearing AP view of the corrected forefoot
Weight-bearing AP view of the corrected forefoot
Lateral view — restored arch alignment
Lateral view — restored arch alignment
Lateral view of the midfoot after correction
Lateral view of the midfoot after correction
Lateral weight-bearing film at follow-up
Lateral weight-bearing film at follow-up
Pilon fracture — staged repair

Complex Ankle Fracture Reconstruction

High-energy pilon fractures shatter the weight-bearing surface of the ankle. Repair is staged: an external frame protects the soft tissue first, then the joint surface is rebuilt with anatomic plate-and-screw fixation.

At presentation — the fractured distal tibia
At presentation — the fractured distal tibia
Injury film — fracture lines through the tibia
Injury film — fracture lines through the tibia
Injury film — a second view of the fracture pattern
Injury film — a second view of the fracture pattern
Stage one — external fixation protects the soft tissue
Stage one — external fixation protects the soft tissue
Lateral view during staged treatment
Lateral view during staged treatment
Definitive fixation — the joint surface rebuilt
Definitive fixation — the joint surface rebuilt
Plate-and-screw construct restoring alignment
Plate-and-screw construct restoring alignment
Final fixation — anatomic reduction, AP view
Final fixation — anatomic reduction, AP view
Final fixation — lateral view
Final fixation — lateral view
Intraoperative fluoroscopy confirming reduction
Intraoperative fluoroscopy confirming reduction
Intraoperative fluoroscopy — hardware position verified
Intraoperative fluoroscopy — hardware position verified
Rebuilding feet others would amputate

Limb Salvage & Reconstruction

In staged limb-salvage reconstruction, infected or dead bone is removed, the space is held stable, and new bone is grown in its place. These films are from teaching cases Dr. Panchal presents to surgical colleagues.

Staged reconstruction — comparison films
Staged reconstruction — comparison films
Lateral view with stabilizing fixation in place
Lateral view with stabilizing fixation in place
External fixation holding alignment during healing
External fixation holding alignment during healing
Follow-up lateral film of the reconstructed foot
Follow-up lateral film of the reconstructed foot
Cross-sectional imaging guiding the reconstruction
Cross-sectional imaging guiding the reconstruction

The next good result could be yours

An exam and weight-bearing X-rays tell us exactly what your foot needs — usually in a single visit.

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