Foot and ankle surgery

The Broström procedure – repair of damaged ligaments. To strengthen the stability of the foot or ankle, surgery is often not necessary – sometimes it is enough to regularly exercise to strengthen the ligaments and muscles. Still, if twisting reoccurs, it is advisable to surgically stabilize the side ligaments of the ankle by performing the Broström procedure. The purpose of this surgery is to prevent damage to the ligaments and shorten loose ligaments.

Arthroscopy of the ankle joint is a type of minimally invasive surgery is that is done through small, approximately 1 cm wide incisions in the ankle joint. During the procedure, your orthopaedic surgeon inserts 4 mm video camera lens with a very bright light beam into the knee joint, thus illuminating the otherwise completely dark space of the joint. Using optical magnification, the operating surgeon sees the internal space of the joint capsule on the screen. Surgery is performed through the small incisions.

Surgery performed using arthroscopy procedures is significantly less traumatic than the open surgery of knee joint; the recovery period is comparatively short and only minor scars are left after the surgery.

Arthroscopic surgery is performed, for example, to treat arthritis of the ankle, instability of the ankle, arthrofibrosis (the formation of scar tissues in the ankle joint), floating, torn off pieces of cartilage, bone or scar tissues in the fluid of the capsule of the joint, synovitis (inflammation of the synovial membrane of the ankle).

Arthrodesis or knitting together of the foot joints. The purpose of this surgery is to knit together the bones forming the joint. This provides a chance to reduce the pain and to improve the functionality of the joints for patients of osteoarthritis. After this surgery, the joint looses mobility. Surgery is performed if medical treatment and physiotherapy has not given results, the patient feels frequent pain and severe limitations of movement.

Cheilectomy of the big toe. If arthritis has affected the big toe, bone spurs may occur as a the result of the illness, seen as thickening of the bone, or an outgrowth that can cause pain while moving. The purpose of the surgery is to remove the outgrowth of the bone, thus releasing the big toe joint, restoring mobility and reducing the pain.

The majority of patients after the surgery does not experience new formation of bone spurs for at least 10 years, but in cases if osteoarthritis is rapidly progressing, the most effective solution is fusion of the big toe joint (the arthrodesis procedure).

Fusion of the big toe joint. The purpose of this surgery is to reduce chronic pain caused by osteoarthritis. During the surgery, cartilage of the joint is removed but bones forming the joint are linked together. The bones are fixed with a metallic plate and one or two screws. This eliminates the cause of the pain of osteoarthritis – the inflammation that occurs when the ends of worn-out bones enter into direct contact.

Endoprosthesis of the ankle joint and big toe. Over the course of the surgery, the damaged joint is replaced with an artificial prosthesis.

Hallux valgus or surgery of the first metatarsal bone. Bone deformation is a slow process and one way of dealing with it is to choose and wear comfortable shoes. Inflammation of the bone is treated with nonsteroidal anti-inflammatory medications. If the deformation is very severe, there are difficulties in wearing shoes and the bone regularly hurts and inflames, surgery can be the best solution.

The purpose of this surgery is to straighten the first metatarsal bone and to restore the necessary tension in tendons and ligaments that have become loose due to deformation. Possibilities of the surgery depend on the stage of deformation. In severe cases, endoprosthesis of the big toe joint can be implanted.

Flatfoot surgery. During the surgery, a special screw is inserted between the bones of the foot that further provides the correct arching of the foot. The main indicator for this surgery is pain and disturbed movements that can not be reduced with non-surgical means.

Morton’s neuroma surgery. The purpose of this surgery is to relieve compressed nerve of the foot. The surgery can be performed by expanding the space for the nerve of the foot or removing the thickened nerve.