Procedures for Foot and Ankle Pain
Bunion Surgery: There are five major types of bunion surgery with minor variations within the procedures themselves.
- Austin Bunionectomy: This is the most common type of bunionectomy involving cutting the first metatarsal bone at the "head" and fixing the cut with a screw. There are other names for this type of bunionectomy including tricorrectional, chevron, etc. Typically, patients are able to put some weight on the heel of the operated foot immediately post-operatively.
- Lapidus Fusion: This procedure is typically reserved for the more severe bunions and involves fusing the first metatarsal bone to the medial cuneiform bone. Recovery from this surgery is much more prolonged, requiring strict non-weight bearing with a cast for 6-8 weeks after surgery.
- Fusion (arthrodesis) of big toe joint: Fusion of the bunion joint is for severe osteoarthritis.
- Keller Bunionectomy: Removal of part of the big toe joint. This procedure is performed mostly in older patients.
- Silver Bunionectomy: Simple shaving of the bunion "bump." This procedure can only be done in minor bunion cases.
Ankle Arthroscopy: Ankle arthroscopy is a minimally invasive procedure that typically involves two one centimeter incisions at the level of the ankle joint. Arthroscopy is a very useful surgery to "clean up" a joint, to explore a joint for diagnostic purposes, and also can be performed to put off a larger ankle surgery.
Hammertoe Surgery: Hammertoe surgery is typically divided into three types. The most common is arthroplasty which involves removing the knuckle, or the joint of the toe. Arthrodesis involves fusion of the knuckle joint. Arthrodesis involves pinning the toe for 4 weeks.
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