Foot and Ankle Surgery

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Foot and Ankle Surgery

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Foot and Ankle - Hand Surgery

This sub speciality of orthopaedics focusses on treating specific conditions of the foot and the hand by surgery. Our hands are one of the most important functional units of our body. If injured, they need to be repaired in such a way that daily activities can be resumed. The same is true for the feet, even a small pain or deformity in the foot will make walking painful.

Conditons of the Ankle Change

  • For pain in hands: Carpal tunnel release is performed for the median nerve at the wrist and anterior transposition of the ulnar nerve at the elbow.
  • Tendon transfers are performed to rebalance the paralytic hand in order to distribute the forces equally.
  • Clawing in hands is corrected by tendon transfers. Tendon transfers are performed on the thumb to improve the power of key pinch and to provide opposition to the fingers.
  • Surgical arthrodesis is used to stabilize unstable or diseased joints.
  • Surgical debridement and limited amputations may be required for infections related to wounds on the insensate hand.
  • Skin grafts can surgically release contractures, if needed.
  • Leg length discrepancy
  • Benign and malignant tumours of children
  • Spinal deformities such as kyphosis and scoliosis
  • Cosmetic procedures are available to improve the overall appearance of the hand thus reducing some of the stigma of Hansen’s disease [Leprosy].

Conditions of the Foot Change

  • Surgical procedures to assist wound healing.
  • Reconstructive procedures to prevent ulceration.
  • Surgical debridement, including debridement of infected bone in osteomyelitis, is often required for open wounds with non-viable tissue.
  • Surgical arthrodesis is used to stabilize unstable or diseased joints
  • Skin grafts or flaps to aid in wound healing
  • Arthrodesis or osteotomy to correct rigid bony deformities in high-pressure areas.
  • Correction of toe deformities, such as claw-toe, may prevent ulceration in high-pressure areas.
  • Tendon transfers to rebalance a paralytic foot, such as posterior tibialis transfer for foot drop.
  • Tendon release procedures, such as a tendo Achilles lengthening to reduce high-pressure areas.
  • Amputation for uncontrollable sepsis, avascular limb or in cases where when function will improve by use of prostheses.

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