Treatments &

Podiatry is a branch of medicine that provides comprehensive diagnosis and treatment of all foot and ankle conditions, including bunions, hammertoes, ingrown nails, corns and calluses, plantar warts, and arthritic deformities. Additionally, Arkansas Surgical Hospital physicians have expertise in the management of sports injuries and trauma to the foot and ankle.

Bunionectomy (and First Metatarsal Osteotomy)

A bunionectomy is a surgical procedure that removes a bunion from the foot. A bunion is a bump in the big toe that is caused by misalignment of the joint.

There are a few different techniques for bunion removal. For example, depending on the severity of the bunion, the location at which your surgeon removes bone may differ.

During a bunionectomy, an incision is made on the top or the side of the foot near the affected joint. Bone is removed from the bump, and a small wedge of bone may also be removed further up the metatarsal to allow the big toe to return to its proper alignment. Screws or plates are used to hold the affected bone in place.

Tendons in the area may have become stretched and weak or tough and tight as the misalignment of the joint occurred. If needed, your surgeon will either trim or reposition the affected tendons.

Recovery from a bunionectomy typically includes pain medication, keeping your foot elevated to help reduce swelling, and simple foot exercises. Other steps—such as the removal of temporary screws or using crutches for a week or two—may be necessary depending on your specific procedure. As your foot heals, you may need to wear a surgical boot or shoe.

Diagnostic Ankle Arthroscopy

The ankle is a complex joint made up of several different bones, tendons, ligaments, and nerves. Because of this complexity, imaging methods such as x-rays and CT scans may not provide effective views of any damaged cartilage or ligaments that may be causing your ankle or foot pain. Diagnostic ankle arthroscopy involves using a tiny camera on the end of a scope—an arthroscope—to allow your surgeon to see inside the joint.

Through a small incision on the front of the ankle, the arthroscope is inserted into the joint. The camera projects an image onto a video screen, giving your surgeon a magnified view of the joint and any problems that may be affecting it.

Saline solution is flushed into the joint to help expand it, providing better visualization for your surgeon. (Your foot will also likely be held in a traction device to keep it expanded properly.) In some cases, the problems causing your pain may even be addressed in the same procedure.

Recovery from diagnostic ankle arthroscopy includes keeping the foot elevated and removing sutures in one to two weeks. More recovery steps, such as the use of a splint, may be required if a corrective procedure was also performed.

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