Foot Surgery in Frederick
We offer several non-surgical treatment options for foot and ankle conditions using the latest advancements in medicine. However, some foot and ankle problems do not respond to “conservative” management. We can help determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to alleviate discomfort or to restore the function of your foot or ankle.
Foot surgeries vary in complexity, length, and severity, yet most are conducted on a same-day, outpatient basis. Your Podiatrist will be there to guide you through the entire process of discussing and making the surgical plan, scheduling, preoperative instructions and preparations, performing the surgery and post operative management. Patients need to arrange for another person to take them home after the procedure and stay with them for the first 24 hours following the surgery. Post-operative instructions, provided by your surgeon, will give you the information needed to care for your recovering ankle following surgery.
The more common types of foot surgeries include:
There are many different types of bunion surgery techniques. The most applicable surgical strategy depends on the severity of the bunion deformity and the joint involvement. Your podiatrist can explain the bunion procedure that is most appropriate for your bunion. Depending on the surgical procedure, the recovery time will vary—particularly if you need to be on crutches after the surgery or in a cast.
Trauma that results in a broken or dislocated bone or joint may require surgery. This surgery involves placing the bones and joints back in proper position and holding it in place using screws, plates, and/or pins with or without an external frame used for stability (external fixator), or a combination of these.
Fusions are usually performed to treat arthritic or painful deformities of the foot and ankle. A fusion involves removing all cartilage from a joint and then joining two or more bones together so that they do not move. Fusions can be done with screws, plates, and/or pins with or without an external frame used for stability (external fixator), or a combination of these.
Hammer Toe Surgery
Hammer toe surgery may involve removing a portion of one of the bones in the toe to realign the toe or could involve fusing the joints in the toe (see Fusions, above). In some cases, it may involve placing a temporary wire to hold the toes straight or a permanent implant in the toe to maintain realignment. In addition, some tendons may need to be surgically modified to balance the forces acting on the toe.
Heel Spur Surgery and plantar fascia
Based on the nature and severity of the condition, heel surgery can provide relief of pain and restore mobility in many cases. The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision. There have been various modifications and surgical enhancements regarding surgery of the heel. Your podiatrist will determine which method is best suited for you.
Surgery on the long bones of the feet behind the second, third, fourth, and fifth toes is performed for a variety of reasons but is commonly performed to redistribute the pressure from weight bearing on the ball of the foot. In some severe cases, such as rheumatoid arthritis, surgery may involve removing the metatarsal heads (the bones in the ball of the foot area).
Toenails can become deformed, damaged, or infected. It may be determined that the best treatment is surgical intervention. Surgery is typically performed in the office under local anesthesia, and many patients can walk out and return to activities. Surgery involves either partial or total removal of the nail. An avulsion is a non-permanent type of surgery that allows relief, but the nail will grow back. A matrixectomy is a permanent type of surgery, which involves destroying and/or removing the nail root so that no new nail grows.
Neuroma surgery involves removing a benign enlargement of a nerve, which may be causing tingling/burning/numbness to certain toes, usually between the metatarsal heads in the ball of the foot. This soft tissue surgery tends to have a shorter recovery time than bone procedures, but it leaves some residual numbness related to the removal of the piece of nerve tissue.
Reconstructive surgery of the foot and ankle consists of complex surgical repair(s) that may be necessary to regain function or stability, reduce pain, and/or correct or prevent further deformity or disease. Unfortunately, there are many conditions or diseases that range from trauma to congenital defects that necessitate surgery of the foot and/or ankle. Reconstructive surgery in many of these cases may require any of the following: tendon repair/transfer, fusion of bone, joint implantation, bone grafting, skin or soft tissue repair, tumor excision, amputation, and/or osteotomy of bone (cutting of bones in a precise fashion). Bone screws, pins, wires, staples, and other fixation devices (both internal and external), and casts may be utilized to stabilize and repair bone in reconstructive procedures.
Lipomas, fibromas, warts, moles, and rashes can occur on any part of the foot skin surface. Some of these conditions can be painful and impact function. In other cases, they can be questionable because they are new in appearance and a biopsy may be recommended. These skin conditions may or may not be painful. Depending on the size and depth of the condition, surgery may be performed in the office under local anesthesia or take place in the operating room.
Surgery on the tendons can be performed for acute injuries such as ruptures or tears and can also be performed for chronic conditions to lengthen or shorten the tendon, depending on the problem. In some cases, tendons may be re-routed to improve foot and ankle function.