Shasta Ortho Foot & Ankle Institute

Shasta Ortho Foot & Ankle Institute Led by Foot and Ankle Surgeon, Dr. Jason Nowak, the Shasta Ortho Foot & Ankle Institute includes a team of foot and ankle specialists in Redding.

Ultramarathon events demand strength, endurance, and resilient foot and ankle mechanics.Our very own Dr. Garret Strand r...
01/10/2026

Ultramarathon events demand strength, endurance, and resilient foot and ankle mechanics.

Our very own Dr. Garret Strand recently completed the Rat Race Sea to Summit ultramarathon in Scotland, placing 48th out of 439 participants. An impressive finish in a challenging international field.

These real-world endurance challenges highlight the role of injury prevention, and recovery in maintaining long-term mobility.

More insights from future Foot & Ankle Institute Adventure Series events coming soon.

Two examples of what “seem to be” straightforward ankles with some important considerations during workup and intraopera...
12/21/2025

Two examples of what “seem to be” straightforward ankles with some important considerations during workup and intraoperative decision making.

Case 1-Prior nonoperative mid shaft tib/fib with subsequent TKA. Bowing of the tibia should not be ignored if considering a PSI approach. If the alignment is based off of the distal tibia, a re**us stemmed implant appearing congruous within the medullary canal of the tibia can result in malalignment with the mechanical axis of the tibia (MAT).
The tibial stem in this example is parallel to the MAT, although appears to be headed slightly lateral toward tibial cortex. Proximal tib/fib radiographs are imperative intraoperatively.

Case 2- Valgus ankle performed in a single stage without deltoid ligamentous augmentation. Long leg alignment views were taken preoperatively and this was performed in a single stage given the deformity at the hindfoot was equivalent to that of the ankle per our algorithm.
The deformity is reduced to neutral and a wire is placed to hold the ankle at a neutral position. This is fashioned anteriorly to avoid convergence during entry of the peck drill.

Some considerations-Soft tissue tension is truly gauged intraoperatively and standard instrumentation can allow for varying degrees of bone resection (ie. Resecting more bone for a “tight” ankle and less for a “loose” ankle”). We prefer standard instrumentation for these reasons.

Key takeaway-never ignore proximal chain kinetics.

Address

1255 Liberty Street
Redding, CA
96001

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

+15302462467

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