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Foot and ankle surgery encompasses a range of surgical procedures aimed at addressing various issues related to the foot and ankle. These problems include joint disorders, osteoarthritis, rheumatic diseases, gait abnormalities, diabetic foot problems, ingrown toenails, and different congenital or acquired deformities. Additionally, foot fractures are also commonly encountered in the field of foot and ankle surgery. With the foot comprising 29 bones and 33 joints, some fractures may require surgical intervention.
One common and challenging type of fracture in foot and ankle surgery is heel fractures. These often result from falls from heights. While in the past, surgical treatment options were limited, recent years have seen successful use of surgical operations for treatment. The main concerns addressed in foot and ankle surgery are as follows:
Following knee replacement surgery, patients are encouraged to become active as early as possible and participate in a regular physiotherapy program. These steps are important to protect the new joint, allow the patient to use it as their own joint, and increase muscle strength. On the 20th day after knee replacement surgery, the patient's condition is checked, and patients usually return to their daily lives after this last examination. However, each patient's recovery process is unique and this process can vary depending on the patient's age, general health, and physical condition before surgery.
This condition occurs when the muscles responsible for lifting the ankle and toes, or the nerves controlling these muscles, are injured. Individuals experiencing this condition find it difficult to lift the ankle and toes and are unable to turn the foot outward. Treatment may involve nerve or muscle repair, and in some cases, tendon transfer may be necessary.
Abnormalities in the shape of the big toe or other toes can occur due to nerve disorders or rheumatic conditions. These deformities can lead to aesthetic problems and difficulty wearing shoes.
Common problems in the big toe include "hallux valgus," an outward turning deformity, and "hallux rigidus," which refers to arthritis in the big toe joint. These conditions can restrict big toe movement and cause pain.
Excessive loading or degeneration can lead to the rupture or pain in the Achilles tendon, which is more common in athletes and overweight individuals
If ankle sprains are not promptly treated, they can lead to serious problems in the future. Ligament tears can result in frequent ankle sprains and cartilage damage.
Diabetic patients may develop severe foot problems due to long-term uncontrolled blood sugar levels. These problems can manifest as non-healing wounds, bone protrusion, or fractures.
Foot and ankle issues are initially managed with non-surgical methods, including appropriate shoe selection, physical therapy, and the use of orthotic devices. However, for patients seeking medical attention at an advanced stage, surgical intervention may become necessary. Expert surgeons typically perform these surgical procedures, which often yield successful results and help resolve the problems.
Hallux Valgus, for example, is a condition characterized by the outward deviation of the big toe and the formation of a painful bump on the inner side. It is more commonly observed in women and associated with factors like genetic predisposition, flat feet, rheumatoid arthritis, and wearing narrow-toed and high-heeled shoes.
Treatment options for Hallux Valgus include both non-surgical methods and surgical interventions. Non-surgical treatment aims to prevent the progression of the disease and alleviate symptoms and may involve the use of silicone pads, night splints, and appropriate shoe selection.
However, in cases where Hallux Valgus is advanced and accompanied by significant pain or deformity, surgical intervention may be recommended. Surgical procedures involve corrective measures at the base of the big toe and may include correcting misaligned bones or repairing ligaments if necessary. The recovery process after surgery varies depending on factors such as the individual's overall health, the complexity of the surgery, and the specific intervention performed. During the postoperative period, patients typically progress to weight-bearing and controlled movement. Following the doctor's recommendations during the healing process is essential. Factors such as partial weight-bearing, physical therapy, and rehabilitation programs support the healing process. Regular follow-up appointments after surgery are also crucial for evaluating the patient's progress and making any necessary interventions
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