Orthopedic & Podiatric Surgery

As a general rule, surgery is considered a last resort. At Premier Podiatry & Orthopedics, our specialists will always prioritize non-surgical therapies to help you heal and get back to doing what you love, whenever it is possible to do so.

But the truth is that sometimes a surgical procedure truly is the best available option for your situation—either because conservative treatments have failed, or they simply cannot provide you with the healing and restoration of movement required to live your best life.

When that happens, trust the team at Premier Podiatry & Orthopedics to provide you with exceptional care. Our highly skilled foot, ankle, and orthopedic surgeons have extensively trained in a wide variety of surgical techniques (including many advanced and sophisticated procedures) in order to provide the best outcomes for our patients.

    Podiatric Surgery

    Our podiatrists perform a wide variety of foot and ankle surgical procedures in order to restore proper alignment and function to the lower limbs. Procedures we are able to perform include, but are not limited to:

    • Reconstructive surgery for bunions, hammertoes, flat arches, and other foot deformities
    • Arthroscopic surgery of the foot and ankle
    • Total ankle replacement surgery
    • Micro-neurovascular surgery for damaged nerves and blood vessels
    • Diabetic limb salvage
    • Foot and ankle sports injury surgery

    Orthopedic Surgery

    Orthopedics is a branch of medicine involving all aspects of care for the musculoskeletal system, including bones, joints, muscles, and connective tissues. Our orthopedic surgeon, Dr. Scott Fujii, is a sports injury expert with extensive training in multiple surgical procedures, including:

    • Meniscus tear surgery
    • Knee ligament repair
    • Joint preservation surgery (including autologous chondrocyte implantation) to repair or restore damaged cartilage
    • Both partial and total joint replacement (including knees, hips, and shoulders) when cartilage repair is not possible
    • Repair of traumatic injuries throughout the body to bone, tendons, and ligaments

      Preparing for Surgery

      Some of the considerations you need to keep in mind when preparing for a foot, ankle, or orthopedic surgery include:

      • Scheduling time off from work. You need time both for your procedure and the recovery process, so make sure you let your employer know. We will, of course, discuss expected and potential timelines with you before your procedure.
      • Following instructions about when to eat (or not) before surgery. This depends on whether anesthesia is going to be used, and what kind is administered.
      • Wearing loose-fitting clothing. Comfortable clothing isn’t always the most stylish, but you’ll be glad you opted for loose-fitting clothes when you put them back on over the surgical site.
      • Arranging a ride home. Usually necessary following any procedure where anesthesia is used, or when the specific surgical procedure impairs safe operation of a motor vehicle.
      • Making plans for childcare. If you have children living at home, especially younger ones, you may need to ask your spouse or family members to help with childcare.

      Post-Operative Care and Recovery

      The actual procedure is, of course, an important part of the whole process, but you do not want to underestimate the importance of post-surgical care. This stage is essential for your safety and optimal recovery.

      We will provide specific postoperative instructions, and your ability to heal correctly will depend on you following them. Some general considerations include:

      • Rest. You will need to give your body the chance to perform its natural healing processes after the procedure.
      • Medication. The pain-relieving properties of medicine certainly play a role, but the anti-inflammatory ones can be immensely helpful to your recovery as well.
      • Restricted movement. We may recommend you limit how much you move the affected area for at least a certain period.
      • Assistive devices. Braces, casts, or other devices may be prescribed to help you protect and keep weight off the surgery site, but still allow you to be mobile.
      • Physical therapy. Stretching and strengthening exercises are essential for making sure your movement is as natural as possible as you recover.
      • Hygienic practices. It is essential that you keep any insertion points clean to reduce your infection risk.
      • Follow-up appointments. We will schedule follow-up appointments to monitor your progress and ensure everything is mending like it should.

      When you need a surgical procedure to put your pain behind you, Premier Podiatry & Orthopedics is here to help. Call our office at 916-961-3434 for more information or to schedule your appointment today.


      From the start of our experience with Premier Podiatry, we were treated with utmost respect for our time, and received personable service. My daughter is an athlete and Dr. Ripp defused a very tense, anxious situation with humor, explaining things to her in a very understandable manner and tried his hardest to keep her out of the operating room with injections. It didn’t work, we were headed to surgery, but again every appointment we were emailed amazing notes in case we forgot anything mentioned, taken care of as they explained every step of the process. The office staff are smiling, caring and friendly people! The dr’s here are wonderful, relatable, funny and truly care to heal you back to your “normal”. Please don’t hesitate, call them today-you will be happy to have found such a wonderful practice! Bonus-they send you great monthly articles too!!

      – Carrie M.

      Dr Betesh is an amazing Surgeon. All of the staff is always very welcoming & knowledgeable when you have a question about your care. It’s been a great experience, for something (foot surgery) that may not be the most pleasant otherwise- They do make it easier.

      I have dealt with many facets of healthcare and many offices. This is one if the very free that I felt I should take a moment to write the review.

      – Suzanne S

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      Carmichael Office

      6620 Coyle Avenue,
      Suite 202
      Carmichael, CA 95608

      Roseville Office

      576 N Sunrise Avenue,
      Suite 230
      Roseville, CA 95661

      Folsom Office

      1580 Creekside Drive,
      Suite 100 & 110
      Folsom, CA 95630

      Phone: 916-961-3434

      Text: 279-800-4542

      Fax: 916-961-0540

      Hours: Monday - Friday, 8am-5pm

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