When a foot injury becomes more severe and persistent, patients turn to medical professionals to address their concerns. If your condition is severe, it’s likely that your doctor will recommend surgery to correct the issue.
While podiatrists are medically qualified to perform foot and ankle surgery, orthopedic surgeons have a more holistic understanding of the feet and legs. They have also undergone more extensive training and have greater experience with treating foot problems.
Resection of Haglund’s Deformity
Haglund’s deformity is a bony bump that develops on the back of the heel where the Achilles tendon attaches. It causes pain, especially when shoes rub against it. Over time, this can cause an enlarged bursa (a fluid-filled sac) to form and irritate the Achilles tendon.
A podiatrist can diagnose the condition by examining your feet and reviewing the results of X-rays or an MRI. Treatment may include shoe inserts and other non-surgical methods.
Surgery to remove the protruding bone and reduce pressure on the bursa and Achilles tendon may be recommended if nonsurgical treatments do not provide relief. Your doctor can perform the procedure using open or endoscopic techniques, depending on your specific needs. This surgery is usually performed under general anesthesia. Recovery is typically short.
Subtalar Fusion
The subtalar joint is where the ankle bone (talus) meets the heel bone (calcaneus). Surgery to permanently join these two bones together is called subtalar fusion or arthrodesis.
This is an open surgery and typically involves making a cut over the outer side of the foot, removing any deformed cartilage and repairing any other problems. The bone surfaces are roughened to encourage bleeding and then the joints are fixed together with screws. Bone graft is often used to increase the chances of success.
During recovery you will need to keep your leg elevated to control swelling. You may need pain medication for a few days and then the pain will gradually reduce as the operation heals. X-rays are taken regularly to monitor the healing.
LisFranc Ligament Repair
Lisfranc injuries involve damage to the middle foot. They can range from a strain, which may be treated by immobilizing the foot and keeping weight off it, to fractures and dislocations that require surgery to realign the bones of the midfoot. X-rays are used to diagnose these injuries, and sometimes MRI or CT scans are needed to see damage that doesn’t show up on standard X-rays. In surgery, screws and plates are inserted to hold the bones of the foot in proper anatomical position while they heal.부산족부정형외과
This procedure can reduce pain and prevent the bones of the foot from shifting out of place again in the future. This surgery also can restore the normal appearance of the top of the foot and toes.부산무지외반증
Proximal Osteotomy
The proximal osteotomy is an operation to cut and shorten the first metatarsal bone. This is a common surgery for severe hallux valgus deformities in which the intermetatarsal angle exceeds 15 degrees. The surgical procedure involves a combination of distal soft-tissue procedures and medial closing wedge osteotomy of the proximal phalanx of the first metatarsal. Once the osteotomy is performed the bone is stabilized with metal plates and screws.
This procedure is often performed in conjunction with other procedures to correct a bowed leg (pes varus). It can also be performed in patients who have ligament problems in the knee and are at risk of having their ACL reconstruction graft stretch out over time. X-rays are taken to determine the preoperative and postoperative IMA.
Lateral Column Lengthening
Surgical management of adult-acquired flatfoot deformity often includes the use of lateral column lengthening. This involves placing a bone wedge (either autograft or allograft) at the calcaneocuboid joint to help restore the medial longitudinal arch.
However, this procedure can result in lateral foot pain and a higher rate of specific complications, including painful hardware and sural nerve irritation. It can also lead to over correction, meaning the foot ends up in a less ideal position which could cause more symptoms.
During this procedure, your foot and ankle surgeon will make a cut on the outside of the heel bone (osteotomy). They will then insert a trapezoidal-shaped wedge of bone (graft) from either your hip (autograft) or a cadaver (allograft), which helps to lengthen the lateral column. The graft is then locked in place with screws or plates. Recovery from this type of surgery typically takes 6-10 weeks in a non-weight bearing cast or walker.