Bunions and hammertoes are common conditions that cause physical deformities in the feet as a result of muscle disorders, injury, arthritis, abnormal walking habits or other factors. A bunion is an abnormal bony bump that develops at the base of the big toe, leading to swelling and pain. Hammertoes refers to a crooked, deviated or contracted toe, as well as an abnormal "v"-shaped bending of the little toes.
Treatment of bunions and hammertoes depends on the severity of the condition, but may range from changing shoes and applying ice to performing physical therapy and even surgery for severe cases. Surgery for bunions and hammertoes aims to relieve pain, inflammation, stiffness and physical deformity.
In the event of surgery, a small section of bone is removed from the foot through techniques such as arthroplasty, bunionectomy or arthrodesis. Metal screws, pins or plates may be used to hold the toe in position while it heals. Your doctor will determine the best treatment option for you after a thorough evaluation of your condition.
Recovery from bunion surgery depends on the complexity of the procedure. Some people will be able to walk on their foot immediately after surgery, while others may need to use crutches or a cane and may not be able to walk for a few weeks or longer. It is important to keep your dressing clean and dry to ensure proper healing. Most patients require the use of orthotics after bunion surgery in order to maintain stability and correction and also to support the correction for the long term.
Most bunion procedures are performed on an outpatient basis under local anesthesia. General anesthesia may be used in certain situations depending on the complexity of the procedure and the preference of the patient. Complications from bunion surgery are rare but may include infection, recurring bunion or nerve damage.
An ankle sprain is a common injury that occurs when the ankle is twisted or turned, and results in torn ligaments within the joint. Ankle ligament reconstruction is commonly performed on patients with ankle instability or repeated sprains, as it is effective in tightening loosened ligaments and improving the overall stability of the joint.
The ankle ligament reconstruction procedure is performed on an outpatient basis under general anesthesia. During the procedure, the two ligaments may be simply reattached, or part of a lateral tendon around the ankle may be used to repair the torn ligament. Your doctor will decide which technique is best for you after a thorough evaluation of your condition.
Total ankle replacement is a surgical procedure used to relieve pain and restore movement to damaged ankle joints. Damage to the ankle joint is usually caused by injury or age-related degenerative conditions such as arthritis, which tend to get worse if left untreated. These conditions can leave patients with severe pain, stiffness, limited range of motion and an eventual loss of function of the ankle, seriously affecting a patient's quality of life.
Total ankle replacement is often considered a last resort for treating ankle conditions. Your doctor may first recommend conservative treatment to relieve the symptoms associated with your condition. If these treatments are unsuccessful, surgery may be beneficial.
The ideal patient for this procedure is someone who is over the age of 50 and not very active. While total ankle replacement can improve symptoms of arthritis and other painful conditions, it can also leave patients with a limited range of motion and limited support in their ankle joint after the procedure. Patients with severely deformed or unstable ankles, or those whose job requires heavy labor or running should not undergo this procedure. Other successful options to joint implant procedures include Arthrodesis, Osteotomy, and Arthroplasty (resection and synovectomy), which relieve pain by removing or repairing damaged joint materials.
The total ankle replacement procedure is performed under general anesthesia to help minimize pain and discomfort during the procedure. Your doctor will make an incision in the ankle and remove the damaged joint surfaces before inserting the artificial replacement to the leg and foot. The incision is then closed and the ankle is usually put in a splint or cast to keep it stable.
This procedure usually requires a short hospital stay and physical therapy to help the ankle heal. Compression stockings may be used as well for some time to help prevent swelling and bruising of the ankle.