Foot and Ankle surgery in India
Foot and ankle surgery is a sub-specialty of orthopedics and podiatry that deals with the treatment, diagnosis and prevention of disorders of the foot and ankle. This surgery can relieve pain and maintain motion in the arthritic ankle joint and is an alternative to arthrodesis (ankle fusion) which can relieve pain but eliminates motion in the joint.
Conditions that may need surgery include:
- damaged metatarsal bones
- ankle arthritis
- Achilles tendon disorders
- Morton’s neuroma
- tibialis posterior dysfunction
- plantar fasciitis.
- Ligament fractures
- Diabetic foot disorders
Types of Foot and ankle surgery
Bunions are bony lumps that develop on the side of your foot and at the base of your big toe. They’re the result of a condition called hallux valgus, which causes your big toe joint to bend towards the other toes and become deformed. If symptoms carry on over a long period, your toe may need to be surgically corrected. This involves straightening your big toe and metatarsals, a process called an osteotomy. Although this may make your joint stiffer, it works to ease the pain. If your bunion has been caused by rheumatoid arthritis, you may also develop rheumatoid nodules. These firm, pea-sized lumps can occur at pressure points such as your big toe joints, the back of your heels or on your toes, but they can be surgically removed –
As well as bunions, hallux valgus can also cause your other toes to become clawed or permanently bent. This condition is known as hammer toes. Damages caused by hammer toes can be eased by:
arthroplasty – removing the deformed joint between your toe bones (phalanges), which leaves the joint flexible
arthrodesis – fusing your phalanges together, which leaves your toe more stable but means you’ll only be able to wear flat shoes after the operation. These surgeries take a span ranging from an hour to a day.
The joints in your forefoot can be damaged by inflammation of the lining of your joint (synovitis) in some forms of arthritis, for example rheumatoid arthritis. These small joints are called the metatarsophalangeal joints (MTPJs), and they can become dislocated when damaged by arthritis. The pain and discomfort this causes is sometimes described as feeling like you’re walking on pebbles
If treatments do not help, surgery is the only solution, depending on the severity of the problem.
Ankle arthritis is a clinical condition in which the joint that connects the foot to the leg, known as the tibiotalar or ankle joint, has damaged or worn out cartilage. There are three bones involved in this joint: the tibia, the fibula and the talus. The arthritis can involve any or all of these bones. Arthritis is characterized by pain ,swelling and occasional deformity of the joint. You may need surgery if your symptoms are severe. There are three surgical options: –
- Ankle fusion
- Ankle replacement
- Triple fusion
- Ankle fusion
Ankle fusion involves removing the damaged ankle joint and fusing your talus bone to your tibia to form a stiff but pain-free ankle. Your foot is fused at a right angle to your leg, in the position it would be if you were standing up. Your bones are held together using screws and new bone grows across, creating one bone where there were two . In some cases this procedure can be performed using keyhole surgery (arthroscopy), which means it can be done through just a small cut, so your joint doesn’t have to be opened up. The procedure takes between one and two hours .
An ankle replacement surgery involves taking out the worn-out ends of your tibia and talus bones and replacing them with artificia) ends made out of plastic or metal. Unlike an ankle fusion, a replacement allows you to move your joint after surgery. – This surgery takes around an hour or two and a patient gets well in 6 weeks. This replacement lasts for around 15 years and may need new joints.
Triple fusion is the surgical fusion of three joints (the talonavicular, subtalar and calcaneocuboid joints) either as a treatment for arthritis within these joints or as a method of correcting a stiff foot deformity. A combination of plates, screws or staples is often used to do this. It takes 12–14 weeks for the fusion to be complete
Achilles tendon disorders
Achilles tendon is the largest tendon in your body,and the muscle in your lower leg puts a lot of force through it to make you move. As we get older it can start to wear, which can lead to painful swellings within the main tendon or where it attaches to your heel bone . The surgery is performed in a day’s time and needing crutches later.
There are 3 choices in ankle replacement implants where each has a specific design. The three types ate- InBone (Wright) ankle replacement, The Salto Talaris (Tornier) ankle replacement and the Agility (Depuy) ankle replacement.
The most common neuroma in the foot is a Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. “Intermetatarsal” describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.
The thickening, or enlargement, of the nerve that defines a neuroma is the result of compression and irritation of the nerve. This compression creates enlargement of the nerve, eventually leading to permanent nerve damage.
- Tingling, burning, or numbness
- A feeling that something is inside the ball of the foot
- A feeling that there’s something in the shoe or a sock is bunched up
If the problem is severe, surgery for removal of the nerve is the solution which needs you to wear a bandage for about 2 weeks
Tibialis posterior dysfunction
Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed or torn. As a result, the tendon may not be able to provide stability and support for the arch of the foot, resulting in flat foot.
Most patients can be treated without surgery, using orthotics and braces. If orthotics and braces do not provide relief, surgery can be an effective way to help with the pain. Surgery might be as simple as removing the inflamed tissue or repairing a simple tear.
The surgery takes around 2 hours and takes around 8-12 weeks to get healed.
The plantar fascia is a tough band of fibrous tissue that starts at your heel bone and stretches across the sole of your foot to your toes. Plantar fasciitis is inflammation at the site where the fascia attaches under your heel . The surgery takes around one hour and one is needed to wear a bandage after the surgery.
Cost of Foot and Ankle Surgery in India
The costs of foot and ankle surgery in the countries like the UK,USA and Europe is very high as compared to the cost of foot and ankle surgery in India which very afforfable. Top most technology is used in hospitals offering excellent personalized services and treatments from internationally trained doctors and surgeons.