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Foot and ankle surgeries address a wide variety of foot problems, including:
  • Arthritis and joint disease
  • Benign and malignant tumors
  • Birth deformities
  • Bunions
  • Calluses and warts
  • Corns and hammertoes
  • Flatfeet
  • Heel or toe spurs
  • Ingrown toenails
  • Neuromas (chronic inflamed and scarred nerve tissue)
  • Sprains and fractures
Many kinds of foot surgeries require you to have your foot immobilized after the procedures with such things as a bandage, splint, surgical shoe, cast, or open sandal. Most surgeons will encourage post-operative exercise of the foot and legs to speed recovery. After sufficient healing time, most patients can resume wearing their usual footwear.
In addition, many patients need additional therapy or treatments after surgery in order to aid in the healing and recovery process. These may include physiotherapy, orthotic devices (foot supports), and special footwear.

Achilles Surgery
Surgery to repair a torn (ruptured) Achilles tendon involves making an incision or cut in the back of the leg above the heel to access the torn tendon. The tendon is then sewn back together. Surgery may be delayed for about one week after the rupture to let the swelling go down.

After surgery, a cast or walking boot is usually worn for six to 12 weeks. At first, the cast or boot is positioned to keep the foot pointed downward as the tendon heals. The cast or boot is then adjusted gradually to put the foot in a neutral position (not pointing up or down).

Specific gentle exercises (restricted motion) after surgery can shorten the time needed in rehabilitation.

Ankle Surgery
Chronic ankle pain may be caused by a number of different problems. Surgery for the ankle can include stabilizing the ankle ligaments, removing painful spurs, removing inflamed joint tissue, and a number of other procedures to help decrease pain and deformity.

Arthritis Sugery
Patients who develop painful arthritis in various joints of the foot may eventually require surgery. Sometimes joints may be "cleaned up" with surgical procedures to remove spurs and realign joints. There are cases when joints must be fused surgically to reduce chronic pain and allow for a more stable foot. Joint implants in the foot and ankle are used less frequently than other parts of the body because of the large amount of stress that is placed on these small joints with every step.

Arthroscopy
Arthroscopic surgery on the foot and ankle may be prescribed to confirm a diagnosis or perform a surgical procedure within a joint. The procedure uses a small instrument and other devices that penetrate the skin without causing major traumatic surgery.

Tiny cameras often are used during arthroscopic surgery to help the surgeon accurately find the area on which to operate. Arthroscopy reduces the risk of infection and swelling, and healing times as well. 

Bunion Surgery
There are many different types of bunion surgery. In general, bunion surgery calls for an incision in the top or side of the big toe joint and removal or realignment of soft tissue bone to relieve pain and restore normal alignment to the joint. The surgeon may insert tiny wires, screws, or plates to stabilize a severely deformed joint.

Corn Removal
Removal of corns is typically performed during an office visit. During the procedure, the corn is trimmed by shaving the dead layers of skin off with a scalpel. People with poor circulation or eyesight are discouraged from performing this kind of procedure themselves.

Cyst Removal
Ganglion masses, or cysts, are normally removed through surgery. Most cyst removal surgeries are performed on an outpatient basis. Contact our office to have this procedure performed.

During the procedure, the cyst is dissected from the surrounding soft tissues and removed. The recovery period depends on the location of the ganglion and the amount of dissection required during surgery. In many cases, patients receive a splint or below-the-knee cast. The surgeon may require the patient to use crutches for several days to up to three weeks. This level of protection may be necessary if the ganglion is near the ankle joint.

Possible complications from cyst removal surgery include infection, excessive swelling, and nerve damage.

Flat Foot Correction
Adult acquired flatfoot or posterior tibial tendon dysfunction usually leads to a gradual loss of the arch. The posterior tibial muscle is a deep muscle in the back of the calf and has a long tendon that extends from above the ankle and attaches into several sites around the arch of the foot. The muscle acts like a stirrup on the inside of the foot to help support the arch. The posterior tibial muscle stabilizes the arch and creates a rigid platform for walking and running. If the posterior tibial tendon becomes damaged or tears, the arch loses its stability and as a result, collapses, causing a flatfoot.

Surgery is often performed to give the patient a more functional and stable foot. Several procedures may be required to correct a flatfoot deformity.

Surgical treatment can include the following kinds of procedures, depending on the severity of the problem:
  • Removal of inflammatory tissue and repair of the posterior tibial tendon
  • Isolated bone fusion procedures, bone grafts, and/or repositioning bones through cuts called osteotomies
  • Fusion procedures such as a triple or double arthrodesis, in which two or three major bones in the back of the foot are joined with screws or pins
Heel Surgery
Many conditions can affect the rear part of the foot and ankle. Two common conditions can cause pain to the bottom of the heel and lead to surgical intervention: plantar fasciitis (an inflammation of a fibrous band of tissue in the bottom of the foot that extends from the heel bone to the toes) and heel spurs (often the result of stress on the muscles and fascia of the foot).

There are many causes of heel pain and most cases can be effectively treated without surgery. Chronic heel pain, however, may eventually require surgery.

Metatarsal Surgery
Painful calluses on the ball of the foot are caused by an abnormal alignment of the metatarsal bones. There are five metatarsal bones in each foot, each consisting of the long bones behind each toe. The metatarsal bone behind the big toe is called the first metatarsal, and so on.

The most common metatarsal surgery is preformed on the first metatarsal for the correction of bunions. Surgery on the second through fifth metatarsal bones is performed infrequently, and is usually done to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. Patients with rheumatoid arthritis may also need metatarsal surgery.

During surgery, the metatarsal bone is cut just behind the toe. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. Following the surgery, the patient's foot may be placed in a cast.

In some instances, a surgeon will also cut out the painful callous on the bottom of the foot, but most prefer to do the procedure in an outpatient setting.

Nerve Surgery
Painful calluses on the ball of the foot are caused by an abnormal alignment of the metatarsal bones. There are five metatarsal bones in each foot, each consisting of the long bones behind each toe. The metatarsal bone behind the big toe is called the first metatarsal, and so on.

The most common metatarsal surgery is preformed on the first metatarsal for the correction of bunions. Surgery on the second through fifth metatarsal bones is performed infrequently, and is usually done to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. Patients with rheumatoid arthritis may also need metatarsal surgery.

During surgery, the metatarsal bone is cut just behind the toe. Generally, the bone is cut all the way through, and then manually raised and held in its corrected position with a metal pin or screw. Following the surgery, the patient's foot may be placed in a cast.

In some instances, a surgeon will also cut out the painful callous on the bottom of the foot, but most prefer to do the procedure in an outpatient setting.

Toe Surgery
There are many kinds of toe problems requiring surgery. These include removal of:
  • Bone spurs, an overgrowth of bone under the toenail plate, causing nail deformity and pain
  • Bunions, an enlargement of the bone and tissue around the joint of the big toe
  • Hammertoes, which are frequently caused by an imbalance in the tendon or joints of the toes
  • Neuromas, an irritation of a nerve between the third and fourth toes

 

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