Foot and Ankle Surgery
Anatomy of the foot and ankle is exceptionally complex. Your lower extremities are constantly placed under extreme forces, especially compared to other parts of the body, making injury or complications of your foot, ankle or lower leg more likely. In some cases, ailments of the foot and ankle are not successfully treated by conservative, non-surgical options. In these instances, foot or ankle surgery may be the best route. The goal of any surgical procedure is to gain or restore proper function and biomechanics to enable safe, pain free ambulation. Typical foot and ankle pathology which may be amendable to surgery includes congenital and acquired deformities, trauma, or acute and chronic injuries. This is broken down into three anatomical categories.
Surgery of the forefoot aims at the region from the toes back to the “ball of the foot” and the beginning of the arch. Common procedures include:
- Repair of hammer toes and bunions
- Arthritic joint repair and replacement
- Decompression and excision of neuromas
- Removal of painful bone spurs responsible for corns, and calluses
- Repair of fractures and lacerated tendons
Mid and Rearfoot surgery
Surgery of the mid and rearfoot includes the region of the foot from the forefoot back and up to the ankle. Common procedures may include:
- Treatment of fractures
- Repair of ruptured and lacerated tendons
- Flatfoot and high arch correction
- Excision of various soft tissue tumors and cysts, including fibroma, and ganglion cysts
- Plantar fasciotomies for treatment of recalcitrant plantar fasciitis
- Achilles tendon repair
- Resection of tarsal coalitions
- Arthritic joint resection and fusion.
- Decompression of entrapped nerves, such as the tarsal tunnel
Ankle surgery is extremely common and may be very rewarding for patients. Ankle surgery aims to repair both acute and chronic pathologies of the ankle, and many times, may be combined with procedures performed in the foot. Common procedures may include:
- Ankle fracture repair
- Ankle arthroscopy
- Lateral and medial ankle ligament repair
- Treatment of osteochondral lesions
- Ankle joint replacement
- Ankle joint fusions
- Ankle syndesmotic repair
The complex anatomy of the foot and ankle, combined with the extreme forces which are applied upon weight bearing make this area of the body difficult to treat. When conservative, non-surgical measures fail, surgery may be beneficial. It is important to have a trustworthy, well trained foot and ankle surgeon performing your operation.
Surgery is another ideal option to repair an ankle sprain, which is a stretching or tearing of a ligament. An ankle sprain is a common injury and occurs when you fall or suddenly twist the ankle joint or when you land your foot in an awkward position. Sprains can cause pain, swelling, tenderness, bruising, and stiffness, numbness in the toes, and an inability to walk or bear weight on the ankle, resulting in instability of the ankle. Surgical intervention to reconstruct the injured ligament may be considered in patients with a high degree of instability and for those who failed to respond to non-surgical treatments.