Florida Orthopedic Foot & Ankle Center

Foot and Ankle Specialists located in Sarasota, FL, Parrish, FL, & Arcadia, FL.

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Experience the FLOFAC difference

What sets Florida Orthopedic Foot & Ankle Center apart from other practices in the area?
We offer individualized, state of the art compassionate treatment. 


Shockwave Therapy now offered in the office for pain relief!

About Practice

At Florida Orthopedic Foot & Ankle Center (FLOFAC), the team of board-certified specialists care for men, women and children in and around Sarasota, Florida and strive to provide the best foot, ankle and leg care on the Gulf Coast. From routine foot care to state-of-the-art total ankle replacement, their patients receive individualized, compassionate care in an office equipped with the most innovative technologies in lower extremity surgery.

Founder Dr. James Cottom, FACFAS and his team provide treatment for a full range of foot and ankle conditions and ailments. The fellowship-trained team cares for sprains, strains, fractures, sports injuries, and trauma injuries of the foot, ankle and leg.

Along with traditional podiatry services, the FLOFAC team provides cutting-edge regenerative treatments like platelet rich plasma and stem cell therapy. The doctors specialize in trauma and reconstructive surgery, offering a variety of advanced arthroscopic procedures, joint replacements, ligament and tendon repairs, and deformity correction surgeries.

With an inviting, family-friendly environment, and a practice that treats its patients’ time with as much respect as their own, it's time to schedule with the team at Florida Orthopedic Foot & Ankle Center.

Dr. Cottom Trained on the latest Total Ankle Replacement system available in the United States by Professor Beat Hintermann MD, the designer of the implant and world renowned orthopedic foot and ankle surgeon.

BALTIMORE, Nov. 8, 2017 /PRNewswire/ -- DT MedTech, LLC (DTM) today announced that the Hintermann Series H2™ Total Ankle Replacement System has received 510(k) clearance from the U.S. Food and Drug Administration (FDA).


The Hintermann Series H2™ is a semi-constrained, total ankle replacement prosthesis developed by Prof. Beat Hintermann, a world-renowned foot and ankle surgeon based in Liestal, Switzerland. The Hintermann Series H2™ Total Ankle Replacement System is indicated for use with bone cement to treat ankle arthritis in either primary or revision surgery of ankle joints damaged by systemic arthritis of the ankle (e.g., rheumatoid arthritis, hemochromatosis), primary arthritis (e.g., degenerative disease), and secondary arthritis (e.g., post-traumatic, avascular necrosis). The Hintermann Series H2™ is also indicated for patients with a failed total ankle replacement or non-union/mal-union of the ankle arthrodesis, provided that sufficient bone stock is present. The Intellectual Property of the Hintermann Series H2™ is protected by numerous patents with additional patents pending.

DTM continues to market and distribute its Hintermann Series H3™ mobile-bearing Total Ankle Replacement System outside of the United States in over 30 countries. The Hintermann Series H3™ is a substantiated leader for the international ankle replacement market with more than 17 years of proven clinical efficacy outside of the United States.

Prof. Beat Hintermann, developer of the Hintermann Series™ Total Ankle Systems, stated, "I am looking forward to adding the H2 as a semi-constrained option for my patients alongside the H3* mobile-bearing prosthesis. With the addition of the new H2 prosthesis, I will be able to expand my indications and patient selection for total ankle replacements."

Dr. Cottom is the only foot and ankle fellowship trained surgeon who has completed this training in Florida.  “I feel this implant could be a game changer in ankle arthroplasty and I am fortunate to have been trained by one of the world’s leading foot and ankle surgeons.  I am extremely excited to be able to offer this new technology with my patients in Sarasota, FL.”

Dr. Hintermann going through the surgical technique and case examples (Right).  Dr. Hintermann training Dr. Cottom on the implantation of the H2 total ankle (Left).



Florida Orthopedic Foot & Ankle Center (FLOFAC) shines at the American College of Foot & Ankle Surgeons 77th Annual Meeting in New Orleans, LA

Dr. Cottom spent February 13-17, 2019 in New Orleans, LA at the 77th Annual American College of Foot & Ankle Surgeons annual meeting.  This is the annual meeting where over 2,000 foot and ankle surgeons from around the world attend to learn the latest on advanced non-surgical and surgical options to treat patients. He was given the honor of giving lectures on Endoscopic Plantar Fascia Debridement, treatment options for chronic lateral ankle instability as well as complications of total ankle replacement.  In addition, FLOFAC presented 5 research posters and one oral manuscript at this premeire meeting for foot and ankle surgeons.  Several of Dr. Cottom’s past fellows gave lectures and presented their research at this meeting demonstrating FLOFAC’s commitment to research and obtaining the best possible functional outcomes for patients.

Dr. Cottom’s Talks included:

Complications of Total Ankle Replacement / Medial Malleolar Fractures.

American College of Foot & Ankle Surgeons 77th Annual Meeting.  February 16, 2019.  New Orleans, LA.

Cadence Total Ankle Case Studies.  February 15, 2019.  New Orleans, LA

Do We Need to Repair the CFL?  American College of Foot & Ankle Surgeons 77th Annual Meeting.  February 15, 2019.  New Orleans, LA.

Endoscopic Plantar Fascia Debridement.  American College of Foot & Ankle Surgeons 77th Annual Meeting.  February, 14 2019.  New Orleans, LA.

Regenerative Medicine in the Lower Extremity.  February 13, 2019.  New Orleans, LA.


FLOFAC Oral and Poster Research at the ACFAS Meeting:

The Relationship Between Polyethylene Insert Size and Complications in Total Ankle Replacement

American College of Foot & Ankle Surgeons 77th Annual Scientific Meeting.

Oral Manuscript Competition

February 2019.  New Orleans, LA


  Age Related Outcomes in Total Ankle Arthroplasty

American College of Foot & Ankle Surgeons 77th Annual Scientific Meeting.

Poster Competition

February 2019.  New Orleans, LA


Relationships between Diabetes Mellitus and Complications in Total Ankle Arthroplasty

American College of Foot & Ankle Surgeons 77th Annual Scientific Meeting.

Poster Competition

February 2019.  New Orleans, LA

Evaluation of BMI with an All Inside Arthroscopic Brostrom Procedure.

American College of Foot & Ankle Surgeons 77th Annual Scientific Meeting.

Poster Competition

February 2019.  New Orleans, LA


The Effect of Tobacco Use on Total Ankle Arthroplasty

American College of Foot & Ankle Surgeons 76th Annual Scientific Meeting.

Poster Competition

February 2019.  New Orleans, LA


Treatment of Lisfranc Injuries using Interosseous Suture Button:  A Retrospective Review of 104 Cases.

American College of Foot & Ankle Surgeons 76th Annual Scientific Meeting.

Poster Competiton

February 2019.  New Orleans, LA

Dr. Cottom on the podium speaking on Chronic Lateral Ankle Instability at the ACFAS 77th Annual Surgical Meeting in New Orleans, LA.

Dr. Cottom Attends Masters Total Ankle Replacement Course in Liestal, Switzerland

Dr. James Cottom attended a two-day intensive course on advanced total ankle replacement in Liestal, Switzerland.  This meeting was attended by orthopedic surgeons from all over the world and was organized by Prof. Beat Hintermann.  Dr. Cottom was the only surgeon from the United States to attend this prestigious event.  The course concentrated on advanced treatment options with total ankles, revision implant cases and correction of major deformities of the lower extremity and the impact on total ankle replacement.  This was truly a once in a lifetime opportunity and Dr. Cottom is proud to bring back the techniques he learned and be able to offer these to his patients in the United States. 


What we offer


Florida Orthopedic Foot & Ankle Center Invests in New Technology That Allows Patients Same-Day Outpatient Diagnosis and Treatment

Sarasota, FL.  11-22-19.

Dr. James M Cottom and Florida Orthopedic Foot & Ankle Center has invested in a new arthroscopic technology that allows patients to have same-day diagnosis and minimally invasive surgery.

Surgeons at the facility are using the NanoScope™ visualization system. A needle-sized, 1.9 mm chip-on-the-tip scope inserted under local anesthesia. It aids in diagnosing conditions such as arthritis and cartilage injuries, and can even facilitate orthopedic or endoscopic procedures in joints such as the shoulder, knee, elbow, wrist and ankle.

Dr. Cottom performed the first NanoScope procedure in October 2019 on a professional baseball player. The NanoScope allowed Dr. Cottom to visualize and repair a torn plantar fascia in the office.

“We are excited to use this new platform, which not only facilitates the most innovative treatments for our patients, but also allows them to be a partner in their own medical care,” said Dr. Cottom. “With the NanoScope, we can show our patients real-time images of their pathology and act quickly and precisely to address joint issues that impact their quality of life without having to wait for an MRI or operating room.”

The NanoScope™ visualization system, developed and manufactured by Arthrex, combines leading-edge technology in imaging sensors, LED light, and image management to allow surgeons to perform minimally invasive arthroscopy and guide injections in tighter joint spaces which have previously been difficult to visualize. The NanoScope system allows for high-resolution visualization in a doctor’s office under local anesthesia.

Patients who meet the criteria for the use of technology may receive treatment for debridement for cartilage repair procedures; debridement of foot and ankle arthritis; Achilles, peroneal and posterior tibial tendon debridement; and biologic augmentation of joints and tendons using platelet rich plasma and other regenerative augments.

“Florida Orthopedic Foot & Ankle Center has long been a leader in using innovative techniques to deliver the most advanced care to our patients to improve their experience and outcomes,” said Dr. Cottom “This technology allows us to continue to treat our patients better.”


We accept most public and private insurance plans. We also offer special pricing for cash-paying patients for most procedures.

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Words from our patients

  • Google

    "I went with Dr. Cottom because he took the time to explain every aspect and possible outcomes - of my ankle replacements."

    Bob K.
  • Google

    "James Cottom is a great doctor. He has operated on my two Achilles Tendons and now they are better than they were originally. I recommend Dr. Cottom completely."

    David G.
  • Google

    "Dr. Cottom has provided excellent medical service to my family over the past three years. Scheduling appointments has been easy with minimal waiting."

  • Google

    "Dr. Cottom's office is great! Dr. Cottom was very nice and explained everything to me. The office was very nice. I would recommend anyone to see him."

    Luis E.
  • Google

    "Dr. Cottom and the staff accommodated my time and needs. Very satisfied with the bed side manner and efficiency of my care!"

    Petrine C.
  • facebook

    "Dr. Cottom and his team are simply amazing!! I was referred there and have been under great orthopedic care with them."

    Charity M.
  • Healthgrades

    "Dr. Cottom was very caring, spending time with my family to understand what was going be replaced and what to expect for recovery time."

    Barbara V.
  • Healthgrades

    "I went today to Florida Orthopedic Foot and Ankle on Bee Ridge and everyone was so nice, from the front desk to the doctors."

    Connie S.
  • Healthgrades

    "My experience with Dr. Cottom has been nothing but exceptional. I have been through a total of five ankle surgeries... I would without a doubt recommend him!!"

    Nina K.
  • Vitals

    "They saw me on the same day I called because I had a painful toe. It turned out to be fractured. I was very grateful he saw me that day."

    Verified Patient