latest techniques in minimally invasive sergury

Treatments

This section offers a comprehensive overview of the treatments we most commonly perform for a variety of foot and ankle problems. Click on the list of treatments below for an introduction and to download a complimentary treatment sheet which includes information for patients about to undergo surgery.

Sheet 01 Achilles Tendon Rupture

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Rupture or tearing of the Achilles tendon is a common condition and typically occurs in an individual who undertakes sporting activity to which they are unaccustomed.

Sheet 03 Ankle Arthrodesis/Fusion

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The goal of this type of surgery is to glue together (fuse/arthrodese) the painful and arthritic ankle joint. The joint will then be rigid and, in the majority of patients, no longer painful.

Video showing movement after ankle fusion to both ankles
Video showing walking after ankle fusion to both ankles
Video description

Sheet 07 Ankle Arthroscopy

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This is ‘keyhole surgery’,where a joint is visualised using a small (4.5mm or 2.7mm diameter) telescope (fibre optic camera) inserted through very small incisions called portals.

Sheet 05 Ankle Ligament Reconstruction

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You have torn the ankle ligaments and a repair of the ligaments is necessary to tighten up the ankle and prevent further episodes of twisting / sprains.

Sheet 23 Ankle Replacement

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This operation replaces the painful arthritic joint with an artificial metal and polyethylene joint. The joint will remain mobile and ideally painfree. Following surgery, you should be able to walk ‘normally’, in very much less pain or painfree, and motion in the ankle joint is usually at least as good as before surgery (unlikely to be very much more range movement than prior to surgery)

Sheet 09 Bunion Correction

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A bunion is a bony prominence over the inner border of the foot at the base of the big toe (hallux) and usually associated with deviation of the big toe (hallux) in an outward direction (hallux valgus). There are several causes. Often there is a family history of bunions (most common). Footwear can also contribute to formation of a bunion. Occasionally a bunion can result from an injury or repetitive stress associated with some sports.

Sheet 11 Chronic Achilles Tendon Rupture

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Rupture or tearing of the Achilles tendon is a common condition and typically occurs in an individual who undertakes sporting activity to which they are unaccustomed.

Sheet 12 Fracture of the Calcaneus

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Fractures of the calcaneus (heel bone) can be very debilitating injuries. When the heel bone is fractured (broken), it is usually caused by tremendous forces impacting on the heel such as with falls from a height, or motor vehicle accidents. You can imagine what happens if you stand on an orange, and this is in effect what happens to the calcaneus in such injuries. The calcaneus is essentially squashed flat, tilts inwards and widens.

Sheet 13 Hallux metatarsophalangeal Joint Fusion

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This operation is intended to glue (fuse) the big toe joint together and is usually performed as a day case operation. It is also called an arthrodesis of the big toe joint (metatarsophalangeal joint).

Sheet 14 Insertion of the Achilles Tendon

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The Achilles tendon attaches to the heel bone (the calcaneus) over a very broad area.

Sheet 15 Lesser Toe Surgery PIPJ or DIPJ

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Surgery to the lesser toes is usually carried out due to painful deformities that have not been successfully been treated with other methods such as toe moulds, toe socks or shoe modification.

Sheet 17 Midfoot Tarsometatarsal Joint Fusion

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This operation is intended to glue (fuse) one or more of the small joints in the midfoot together and may be performed in some cases as a day case procedure.

Sheet 19 Minimally Invasive 1st mtpj Cheilectomy

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Movement of the big toe joint occurs in an up and down plane only (dorsiflexion and plantar flexion). The normal upward movement (dorsiflexion) is approximately 75 degrees, and the normal downward movement (plantar flexion) is 25 degrees. When the big toe has limited movement, this is called hallux rigidus.

Sheet 18 Minimally Invasive Bunion Correction

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A bunion is a bony prominence over the inner border of the foot at the base of the big toe (hallux) and usually associated with deviation of the big toe (hallux) in an outward direction (hallux valgus).There are several causes.Often there is a family history of bunions (most common).Footwear can also contribute to formation of a bunion.Occasionally a bunion can result from an injury or repetitive stress associated with some sports.

Sheet 20 Morton's Neuroma

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A Morton's neuroma may cause pain and numbness in the toes and forefoot and most commonly occurs between the 3rd / 4th toes (80%) or the 2nd / 3rd toes (20%). It is due to compression of the nerve between the 'knuckles' of the foot. Gradually, the nerve becomes thickened producing a nodule or 'neuroma'. Commonly the patient will have undergone a steroid injection and possibly been provided with custom insoles before being considered for surgery.

Sheet 22 Subtalar Fusion

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The subtalar joint is below the ankle joint and allows side-to-side or tilt movements of the heel.

Sheet 24 Triple Fusion

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The triple joints are the subtalar, the calcaneocuboid and talo-navicular joints. They are separate to the ankle and are involved in the flexibility and movements of the foot, particularly on uneven ground,whereas most of the up/down movements are at the ankle above.

Sheet 25 Weil Osteotomy

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This operation is often performed for toe deformities (often with an associated bunion deformity of the big toe) and is undertaken when other non-operative means of treatment have been unsuccessful.

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