Mr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
|
|
- Allan Wright
- 5 years ago
- Views:
Transcription
1 Bunion Surgery Most people with bunions find pain relief with simple treatments to reduce pressure on the big toe, such as wearing wider shoes or using pads in their shoes. However, if these measures do not relieve your symptoms, Mr. Chandrasekaran may recommend bunion surgery. There are different types of surgeries to correct a bunion. Bringing the big toe back to its correct position may involve realigning bone, ligaments, tendons, and nerves. Are You a Candidate for Surgery? In general, if your bunion is not painful, you do not need surgery. Although bunions often get bigger over time, doctors do not recommend surgery to prevent bunions from worsening. Many people can slow the progression of a bunion with proper shoes and other preventive care, and the bunion never causes pain or other problems. It is also important to note that bunion surgery should not be done for cosmetic reasons. After surgery, it is possible for ongoing pain to develop in the affected toe even though there was no bunion pain prior to surgery. Good candidates for bunion surgery commonly have: Significant foot pain that limits their everyday activities, including walking and wearing reasonable shoes. They may find it hard to walk more than a few blocks (even in athletic shoes) without significant pain. Chronic big toe inflammation and swelling that does not improve with rest or medications Toe deformity a drifting in of the big toe toward the smaller toes, creating the potential for the toes to cross over each other. Toe stiffness the inability to bend and straighten the big toe Failure to obtain pain relief with changes in footwear Failure to obtain pain relief from nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen. The effectiveness of NSAIDs in controlling toe pain varies greatly from person to person. 1
2 (Left) A bunion that has progressed to deformity with the big toe crossing over the second toe. (Right) An x- ray of the same bunion shows how far out of alignment the bones are. Deciding to Have Bunion Surgery After bunion surgery, most patients have less foot pain and are better able to participate in everyday activities. As you explore bunion surgery be aware that so-called "simple" or "minimal" surgical procedures are often inadequate "quick fixes" that can do more harm than good. Although many bunion procedures are done on a same-day basis with no hospital stay, a long recovery period is common. It often takes up to 6 months for full recovery, with follow-up visits to Mr. Chandrasekaran sometimes necessary for up to a year. It is very important to have realistic expectations about bunion surgery. For example, bunion surgery may not allow you to wear a smaller shoe size or narrow, pointed shoes. In fact, you may need to restrict the types of shoes you wear for the rest of your life. As you consider bunion surgery, do not hesitate to ask Mr. Chandrasekaran questions about the operation and your recovery. Some examples of helpful questions to ask include: What are the benefits and risks of this surgery? What are the possible complications and how likely are they to occur? How much pain will there be and how will it be managed? 2
3 Be sure to write down Mr. Chandrasekaran's answers so you can remember them at a later time. It is important to understand both the potential benefits and limitations of bunion surgery. Surgical Procedures In general, the common goals of most bunion surgeries include: Realigning the metatarsophalangeal (MTP) joint at the base of the big toe Relieving pain Correcting the deformity of the bones making up the toe and foot Because bunions vary in shape and size, there are different surgical procedures performed to correct them. In most cases, bunion surgery includes correcting the alignment of the bone and repairing the soft tissues around the big toe. Mr. Chandrasekaran will talk with you about the type of surgery that will best correct your bunion. Repairing the Tendons and Ligaments Around the Big Toe In some cases, the soft tissues around the big toe may be too tight on one side and too loose on the other. This creates an imbalance that causes the big toe to drift toward the other toes. Surgery can shorten the loose tissues and lengthen the tight ones. This is rarely done without some type of alignment of the bone, called an osteotomy. In the majority of cases, soft tissue correction is just one portion of the entire bunion corrective procedure. Osteotomy In an osteotomy, Mr. Chandrasekaran makes small cuts in the bones to realign the joint. After cutting the bone, Mr. Chandrasekaran fixes this new break with pins, screws, or plates. The bones are now straighter, and the joint is balanced. Osteotomies may be performed in different places along the bone to correct the deformity. In some cases, in addition to cutting the bone, a small wedge of bone is removed to provide enough correction to straighten the toe. As discussed above, osteotomies are normally performed in combination with soft tissue procedures, as both are often necessary to maintain the big toe alignment. 3
4 X-rays taken from the top and the side of the foot show a bunion corrected with osteotomy. Arthrodesis In this procedure, Mr. Chandrasekaran removes the arthritic joint surfaces, then inserts screws, wires, or plates to hold the surfaces together until the bones heal. Arthrodesis is commonly used for patients who have severe bunions or severe arthritis, and for patients who have had previous unsuccessful bunion surgery. 4
5 The x-ray on the left shows severe arthritis of the MTP joint. After arthrodesis (shown on the right), the entire foot is realigned. An advantage of arthrodesis is that no additional procedures are necessary to correct the bunion. Exostectomy In this procedure, Mr. Chandrasekaran removes the bump from your toe joint. Exostectomy alone is seldom used to treat bunions because it does not realign the joint. Even when combined with soft tissue procedures, exostectomy rarely corrects the cause of the bunion. Exostectomy is most often performed as one part of an entire corrective surgery that includes osteotomy, as well as soft-tissue procedures. If a doctor performs exostectomy without osteotomy, however, the bunion deformity often returns. 5
6 The x-ray on the left shows a mild bunion bump before exostectomy. After the procedure (right), the bump has been shaved but the toe deformity remains and is actually worse; the big toe drifts closer to the other toes and the metatarsal bone sticks out further. Resection Arthroplasty In this procedure, Mr. Chandrasekaran removes the damaged portion of the joint. This increases the space between the bones and creates a flexible "scar" joint. Resection arthroplasty is used mainly for patients who are elderly, have had previous unsuccessful bunion surgery, or have severe arthritis not amenable to an arthrodesis (see above). Because this procedure can change the push off power of the big toe, it is not often recommended. 6
7 This x-ray shows a failed resection arthroplasty. Although the damaged bone of the MTP joint was removed, scar tissue did not fill the space between the bones. The bone edges are still in contact. The photograph shows that without the needed scar tissue, the big toe is shortened. This makes it more difficult to push off while walking. Preparing for Surgery Medical Evaluation Before your surgery, you may be asked to visit your family doctor for a complete physical examination. He will assess your health and identify any problems that could interfere with your surgery. If you have a heart or lung condition or a chronic illness you will need a preoperative medical clearance from your family doctor. Medications Tell Mr. Chandrasekaran about any medications you are taking. He will tell you which medications you can continue taking and which you should stop taking before surgery. Tests You may require several preoperative tests, including blood counts, a cardiogram, and a chest x-ray. You may also need to provide a urine sample. To help plan your procedure, Mr. Chandrasekaran may order special foot x-rays. These x-rays should be taken in a standing, weight bearing position to ensure Mr. Chandrasekaran can clearly see the 7
8 deformity in the foot. These x-rays assist Mr. Chandrasekaran in making decisions about where along the bone to perform an osteotomy in order to provide enough corrective power to straighten the toe. Your Surgery In planning your surgery, Mr. Chandrasekaran will consider several things, including how severe your bunion is, your age, your general health and activity level, and any other medical issues that may affect your recovery. Almost all bunion surgery is done on an outpatient basis. You will most likely be asked to arrive at the hospital or surgical center 1 or 2 hours before your surgery. Anesthesia After admission, you will be evaluated by a member of the anesthesia team. Most bunion surgery is performed with anesthesia that numbs the area for surgery but does not put you to sleep. Local anesthesia. An ankle block numbs just your foot. Regional anesthesia. A popliteal block works for a longer period of time compared to an ankle block and numbs more of the leg. The numbing medicine is injected behind the knee. Spinal anesthesia. This injection will numb your body below your waist. General anesthesia. This form of anesthesia will put you to sleep. The anesthesiologist will stay with you throughout the procedure to administer other medications, if necessary, and to make sure you are comfortable. Procedure Depending upon your bunion and the procedures you need, Mr. Chandrasekaran will make an incision along the inside of your big toe joint or on top of the joint. In some cases, more than one incision is needed to correct the bunion deformity. This surgical photograph shows a saw cutting the bone to perform an osteotomy. The surgical time varies depending on how much of your foot is malaligned. Surgery will take longer if your deformity is greater or if more than one osteotomy is required. Every bunion correction is a little bit different, and there is no reason to be concerned if your surgery takes more time. 8
9 Afterward, you will be moved to the recovery room. You will be ready to go home in an hour or two. Be sure to have someone with you to drive you home. (Left) The bunion that was shown at the beginning of this article as it appeared immediately after surgery. (Right) An x-ray showing the bones in alignment after surgery. Osteotomies were performed on both bones; screws and plates hold the bones in place. Complications As with any surgical procedure, there are risks associated with bunion surgery. These occur infrequently and are usually treatable although, in some cases, they may limit or extend your full recovery. Before your surgery, Mr. Chandrasekaran will discuss each of the risks with you and take specific measures to avoid complications. The possible risks and complications of bunion surgery include: Infection Nerve injury Failure to relieve pain Failure of the bone to fully heal Stiffness of the big toe joint Recurrence of the bunion 9
10 Recovery at Home The success of your surgery will depend in large part on how well you follow Mr. Chandrasekaran's instructions at home during the first few weeks after surgery. You will see Mr. Chandrasekaran regularly for several months occasionally up to a year to make sure your foot heals properly. Mr. Chandrasekaran will apply your dressing in a specific way to keep the bones in correct position. Dressing Care You will be discharged from the hospital with bandages holding your toe in its corrected position. Because keeping your toe in position is essential for successful healing, it is very important to follow Mr. Chandrasekaran's directions about dressing care. Do not disturb or change the dressing without talking to Mr. Chandrasekaran. Interfering with proper healing could cause a recurrence of the bunion. Be sure to keep your wound and dressing dry. When you are showering or bathing, cover your foot with a plastic bag. Your sutures will be removed about 2 weeks after surgery, but your foot will require continued support from dressings or a brace for 6 to 12 weeks. Medications Mr. Chandrasekaran will prescribe pain medication to relieve surgical discomfort. The most effective medications for providing postsurgical pain relief are opioids. These medications are narcotics, however, and can be addictive. It is important to use opioids only as directed by Mr. Chandrasekaran. As soon as your pain begins to improve, stop taking opioids. Talk to Mr. Chandrasekaran if your pain has not begun to improve within a few days of your surgery. In addition to pain medicine, Mr. Chandrasekaran may prescribe antibiotics to help prevent infection in your wound for several days after surgery. 1
11 Swelling Keep your foot elevated as much as possible for the first few days after surgery, and apply ice as recommended by Mr. Chandrasekaran to relieve swelling and pain. Never apply ice directly on your skin. It is common to have some swelling in your foot from 6 months to a year after bunion surgery. Bearing Weight Mr. Chandrasekaran will give you strict instructions about whether and when you can put weight on your foot. Depending upon the type of procedure you have, if you put weight on your foot too early or without proper support, the bones can shift and the bunion correction will be lost. Some bunion procedures allow you to walk on your foot right after the surgery. In these cases, patients must use a special surgical shoe to protect the bunion correction. Many bunion surgeries require a period of no weightbearing to ensure bone healing. Mr. Chandrasekaran will apply dressings, a brace, or a cast to maintain the correct bone position. Crutches are usually used to avoid putting any weight on the foot. A newer device called a knee walker is a good alternative to crutches. It has four wheels and functions like a scooter. Instead of standing, you place the knee of your affected foot on a padded cushion and push yourself along using your healthy foot. In addition to no weightbearing, driving may be restricted until the bones have healed properly particularly if the surgery was performed on your right foot. No matter what type of bunion surgery you have, it is very important to follow Mr. Chandrasekaran's instructions about weightbearing. Do not put weight on your foot or stop using supportive devices until Mr. Chandrasekaran gives approval. Physical Therapy and Exercise Specific exercises will help restore your foot's strength and range of motion after surgery. Mr. Chandrasekaran or physical therapist may recommend exercises using a surgical band to strengthen your ankle or using marbles to restore motion in your toes. Always start these exercises slowly and follow instructions from Mr. Chandrasekaran or physical therapist regarding repetitions. Specific exercises such as the marble pick up exercise will help restore full motion to your foot. Shoe Wear It will take several months for your bones to fully heal. When you have completed the initial rehabilitation period, Mr. Chandrasekaran will advise you on shoewear. Athletic shoes or soft leather oxford type shoes will best protect the bunion correction until the bones have completely healed. 1
12 To help prevent your bunion from recurring, do not wear fashion shoes until Mr. Chandrasekaran allows it. Be aware that Mr. Chandrasekaran may recommend that you never return to wearing high-heeled shoes. Avoiding Complications Though uncommon, complications can occur following bunion surgery. During your recovery at home, contact Mr. Chandrasekaran if: Your dressing loosens, comes off, or gets wet. Your dressing is moistened with blood or drainage. You develop side effects from postoperative medications. Also, call Mr. Chandrasekaran immediately if you notice any of the following warning signs of infection: Persistent fever Shaking chills Persistent warmth or redness around the dressing Increased or persistent pain, especially a "sunburn" type pain Significant swelling in the calf above the treated foot, especially if there is a "charley horse" pain behind the knee, or if your develop shortness of breath. Outcomes The majority of patients who undergo bunion surgery experience a reduction of foot pain, along with improvement in the alignment of their big toe. The length of your recovery will depend upon the surgical procedures that were performed, and how well you follow Mr. Chandrasekaran's instructions. Because a main cause of bunion deformity is a tight-fitting shoe, returning to that type of shoe can cause your bunion to return. Always follow Mr. Chandrasekaran's recommendations for proper shoe fit. 1
Bunion Surgery. This article provides information on surgery for bunions. For more general information: Bunions (topic.cfm? topic=a00155).
Bunion Surgery This article provides information on surgery for bunions. For more general information: Bunions (topic.cfm? topic=a00155). Most people with bunions find pain relief with simple treatments
More informationThe Knee Center of WNY
The Knee Center of WNY Dr. Michael A. Parentis Matthew J. Mazurczak RPAC Breanne Finucane RPAC Dr. Keith C. Stube Jeff Rassman RPAC Allison Nixon RPAC 3712 Southwestern Blvd, Orchard Park 14127, 508-825i2
More informationLesser Toe Correction
Richard M. Marks, MD Professor and Director Division of Foot and Ankle Department of Orthopaedic Surgery Medical College of Wisconsin Explanation: Lesser Toe Correction Lesser toe deformities are classified
More informationBunion Surgery. Patient information Leaflet
Bunion Surgery Patient information Leaflet April 2017 What is a bunion? A bunion is a bony lump on the side of your foot at the base of your big toe (see figure 1). This may be an isolated problem but
More informationBunions. A bunion is a painful bony bump that develops on the inside of the foot at the big toe joint. Bunions are often referred to as hallux valgus.
Bunions A bunion is a painful bony bump that develops on the inside of the foot at the big toe joint. Bunions are often referred to as hallux valgus. Bunions develop slowly. Pressure on the big toe joint
More informationBunionectomy-Forefoot Surgery
Richard M. Marks, MD Professor and Director Division of Foot and Ankle Department of Orthopaedic Surgery Medical College of Wisconsin Explanation: Bunionectomy-Forefoot Surgery A bunion (also called hallux
More information.org. Posterior Tibial Tendon Dysfunction. Anatomy. Cause. Symptoms
Posterior Tibial Tendon Dysfunction Page ( 1 ) 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
More informationReverse Total Shoulder Replacement
Reverse Total Shoulder Replacement Every year, thousands of conventional total shoulder replacements are successfully done in the United States for patients with shoulder arthritis. This type of surgery,
More informationA Guide to Common Ankle Injuries
A Guide to Common Ankle Injuries Learn About: Common ankle injuries Feet and Ankle Diagnosis and Treatment Ankle exercises Beginning your recovery Frequently asked questions Do s and Don t s Arthroscopy
More informationMr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Sprained Ankle An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They
More informationKnee Arthroscopy. Anatomy
Knee Arthroscopy Knee arthroscopy is a surgical procedure that allows doctors to view the knee joint without making a large incision (cut) through the skin and other soft tissues. Arthroscopy is used to
More informationA Patient information guide to. Bunion Correction. Foot and Ankle Unit. Mr Amit Amin Mr Ali Abbasian BUNION CORRECTION (SCARF/AKIN) JAN
A Patient information guide to Bunion Correction Foot and Ankle Unit Mr Amit Amin Mr Ali Abbasian BUNION CORRECTION (SCARF/AKIN) JAN 2016 1 What does surgery involve? Surgery to correct a bunion is not
More informationHallux Rigidus. Normal. Normal Arthritis Arthritis
Richard M. Marks, MD Professor and Director Division of Foot and Ankle Department of Orthopaedic Surgery Medical College of Wisconsin Hallux Rigidus Explanation: Hallux Rigidus is characterized as degeneration
More informationPlantar plate injuries
Plantar plate injuries Introduction A plantar plate tear is caused by a specific injury to the toe and the joint, or overuse of the joint over time. Often this can be associated with a bunion deformity
More informationKNEE ARTHROSCOPY. How the Normal Knee Works
KNEE ARTHROSCOPY If you have persistent pain, catching, or swelling in your knee, a procedure known as arthroscopy may help relieve these problems. Arthroscopy allows the diagnoses and treatment of knee
More informationIn a total hip replacement (also called total hip Arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components.
Total Hip Replacement In a total hip replacement (also called total hip Arthroplasty), the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationWHAT IS ARTHRITIS OF THE BIG TOE (HALLUX RIGIDUS)?
Mr Laurence James BSc MBBS MRCS(Eng) FRCS(Tr&Orth) Consultant Orthopaedic Surgeon Foot, Ankle and Sports Injuries WHAT IS ARTHRITIS OF THE BIG TOE (HALLUX RIGIDUS)? A common term for arthritis of the metatarsophalangeal
More informationLesser toe deformities
PATIENT INFORMATION Lesser toe deformities What are lesser toe deformities? Lesser toe deformities are caused by changes in normal anatomy that create an imbalance between the foot s muscle groups (intrinsic
More informationBunion surgery. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Bunion surgery Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information in this
More informationPATIENT INFORMATION THE DIFFERENCE IS MOVING.
PATIENT INFORMATION THE DIFFERENCE IS MOVING. THIS BROCHURE IS WRITTEN TO HELP YOU MAKE AN INFORMED DECISION ABOUT YOUR SURGERY. Please read this entire brochure carefully. Keep this brochure. You may
More informationBIG TOE FUSION. Patient Information
Patient Information BIG TOE FUSION This may have been caused by an old injury, previous surgery or a long-standing bunion deformity. Pain at the joint can start to affect your daily activities and even
More informationA Patient s Guide to Hallux Rigidus
A Patient s Guide to Hallux Rigidus Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 DISCLAIMER: The information in this booklet is compiled from a variety
More informationWHAT DO HALLUX VALGUS AND BUNION MEAN?
Mr Laurence James BSc MBBS MRCS(Eng) FRCS(Tr&Orth) Consultant Orthopaedic Surgeon Foot, Ankle and Sports Injuries WHAT DO HALLUX VALGUS AND BUNION MEAN? Hallux is Latin for great toe and Valgus is Latin
More informationA Patient s Guide to Hallux Rigidus
A Patient s Guide to Hallux Rigidus Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 DISCLAIMER: The information in this booklet
More informationWhat is arthroscopy? Normal knee anatomy
What is arthroscopy? Arthroscopy is a common surgical procedure for examining and repairing the inside of your knee. It is a minimally invasive surgical procedure which uses an Arthroscope and other specialized
More informationOsteoarthritis of the Hip
Osteoarthritis of the Hip Sometimes called "wear-and-tear" arthritis, osteoarthritis is a common condition that many people develop during middle age or older. Osteoarthritis of the hip causes pain and
More informationForefoot deformity correction
Forefoot deformity correction This leaflet aims to answer your questions about having forefoot deformity correction surgery. It explains the benefits, risks and alternatives, as well as what you can expect
More informationA Patient s Guide to Claw Toes and Hammertoes
A Patient s Guide to Claw Toes and Hammertoes 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet
More informationHow is 1st MTP joint fusion carried out? Patient Information: Big Toe Fusion Metatarsophalangeal (MTP)
Patient Information: Big Toe Fusion Metatarsophalangeal (MTP) How is 1st MTP joint fusion carried out? You will be asked to wash your feet thoroughly on the day of operation and keep them clean, as this
More informationA Patient s Guide to Adult-Acquired Flatfoot Deformity
A Patient s Guide to Adult-Acquired Flatfoot Deformity Glendale Adventist Medical Center 1509 Wilson Terrace Glendale, CA 91206 Phone: (818) 409-8000 DISCLAIMER: The information in this booklet is compiled
More informationA Patient s Guide to Claw Toes and Hammertoes
A Patient s Guide to Claw Toes and Hammertoes Suite 11-13/14/15 Mount Elizabeth Medical Center 3 Mount Elizabeth Singapore, 228510 Phone: (65) 6738 2628 Fax: (65) 6738 2629 DISCLAIMER: The information
More informationA Patient s Guide to Bunions. Foot and Ankle Center of Massachusetts, P.C.
A Patient s Guide to Bunions Welcome to Foot and Ankle Center of Massachusetts, where we believe in accelerating your learning curve with educational materials that are clearly written and professionally
More informationBunion (hallux valgus deformity) surgery
Bunion (hallux valgus deformity) surgery Bunion surgery is generally reserved for bunions that are severe and impacting on function. There most frequent surgical procedure used involves a medial incision
More informationWhat is an ACL Tear?...2. Treatment Options...3. Surgical Techniques...4. Preoperative Care...5. Preoperative Requirements...6
Table of Contents What is an ACL Tear?....2 Treatment Options...3 Surgical Techniques...4 Preoperative Care...5 Preoperative Requirements...6 Postoperative Care...................... 7 Crutch use...8 Initial
More informationKnee Replacement Recovery Guide
Knee Replacement Recovery Guide Table of Contents Congratulations!... 2 Recuperating At home... 2 Range of Motion... 2 Wound Care... 3 Important Signs & Symptoms... 3 Bathing and Showering... 3 Bruising...
More informationTotal Knee Replacement
Total Knee Replacement If your knee is severely damaged by arthritis or injury, it may be hard for you to perform simple activities, such as walking or climbing stairs. You may even begin to feel pain
More informationFoot and Ankle Surgery
Information about Foot and Ankle Surgery Statement of Use The information in this leaflet is intended solely for the person to whom it was given by the health care team and is provided as a general information
More informationKNEE ARTHROSCOPY SURGERY
KNEE ARTHROSCOPY SURGERY SUMMARY OF PROCEDURE Arthroscopy involves looking at the inside of the knee joint with a small telescope and camera (arthroscope). The image is projected onto a television monitor
More informationMETATARSAL FRACTURE (Including Jones and Dancer s Fractures)
METATARSAL FRACTURE (Including Jones and Dancer s Fractures) Description Possible Complications Metatarsal fracture is a broken bone (fracture) in the middle Nonunion (fracture does not heal, particularly
More informationintroduction jointunderstanding benefits of knee-replacement surgery
introduction When knee pain becomes so severe that drugs do not provide relief or when knee problems make daily activities painful, difficult, or even impossible, surgeons can sometimes replace the damaged
More information3712 Southwestern Blvd, Orchard Park 14127, Park Club Lane Suite 225, Williamsville 14221, Subacromial Decompression
The Knee Center of WNY Dr. Michael A. Parentis Dr. Keith C. Stube Matthew J. Mazurczal< RPAC Jeff Rassman RPAC Breanne Finucane RPAC Allison Nixon RPAC 3712 Southwestern Blvd, Orchard Park 14127, 508-8252
More informationThe Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patients, for the most part, experience less pain and/or
More informationCommon Foot and Ankle Conditions: How Can You Find Relief?
Common Foot and Ankle Conditions: How Can You Find Relief? Your Feet and Ankles are Workhorses They bear a lot of weight They perform various movements Common Conditions That Cause Foot/Ankle Pain Plantar
More informationJason Barry, M.D. Knee Arthroscopy with Anterior Cruciate Ligament (ACL) Reconstruction
Jason Barry, M.D. Knee Arthroscopy with Anterior Cruciate Ligament (ACL) Reconstruction Arthroscopy (scope) is a minimally invasive surgical procedure orthopedic surgeons use to visualize, diagnose and
More informationOsteotomy of the Knee
Osteotomy of the Knee Osteotomy literally means "cutting of the bone." In a knee osteotomy, either the tibia (shinbone) or femur (thighbone) is cut and then reshaped to relieve pressure on the knee joint.
More informationPatient information. Forefoot surgery. Barts Health Physiotherapy Website:
Patient information Forefoot surgery Barts Health Physiotherapy Website: www.bartshealth.nhs.uk/physiotherapy This booklet is for patients following surgery to the front of their foot. This may include
More informationRehabilitation Protocol Bunion Surgery. What to expect after bunion surgery
Rehabilitation Protocol Bunion Surgery What to expect after bunion surgery The most common types of bunion surgery are scarf osteotomy and chevron osteotomy. Both are normally carried out as day case procedures
More informationThe Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patien
The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patients, for the most part, experience less pain and/or
More informationKnee Replacement PROGRAM. Nightingale. Home Healthcare
Knee Replacement PROGRAM TM Nightingale Home Healthcare With the help of Nightingale s experienced and professional rehabilitation team, you will be guided through a more complete and successful recovery
More informationBunions. Compliments of: Institute of Sports Medicine & Orthopaedics
A Patient s Guide to Bunions 20295 NE 29th Place, Ste 300 Aventura, FL 33180 Phone: (786) 629-0910 Fax: (786) 629-0920 admin@instituteofsports.com DISCLAIMER: The information in this booklet is compiled
More informationTOTAL KNEE REPLACEMENT
TOTAL KNEE REPLACEMENT Patient Information Realistic Expectations about Knee Replacement Surgery An important factor in deciding whether to have total knee replacement surgery is understanding what the
More informationAdvantage Orthopaedics, P.C.
TOTAL HIP REPLACEMENT Whether you have just begun exploring treatment options or have already decided with your orthopaedic surgeon to undergo hip replacement surgery, this booklet will help you understand
More informationKnee MPFL Reconstruction FAQ
Knee MPFL Reconstruction FAQ Ryan W. Hess, MD Office: 763-302-2223 Fax: 763-302-2402 Twitter: RyanHessMD Q: WHAT IS ACCOMPLISHED DURING THE PROCEDURE? MPFL stands for Medial Patellofemoral Ligament. This
More informationBunionette (Tailor s Bunion)
A Patient s Guide to Bunionette (Tailor s Bunion) 2350 Royal Boulevard Suite 200 Elgin, IL 60123 Phone: 847.931.5300 Fax: 847.931.9072 DISCLAIMER: The information in this booklet is compiled from a variety
More informationInformation about. Common conditions affecting the big toe (bunion and arthritis)
Information about Common conditions affecting the big toe (bunion and arthritis) 2 Statement of Use The information in this leaflet is intended solely for the person to whom it was given by the health
More informationTOTAL KNEE ARTHROPLASTY (Total Knee Replacement) The Knee Joint
(Total Knee Replacement) The Knee Joint The knee is a hinge joint, formed by the end of the femur (thighbone) and the end of the tibia (shinbone). The bones are coated in cartilage, which acts as a cushion
More informationWeil osteotomy for the treatment of metatarsalgia. Information for patients Department of Podiatric Surgery
Weil osteotomy for the treatment of metatarsalgia Information for patients Department of Podiatric Surgery What is metatarsalgia? Metatarsalgia is a type of pain that occurs in the ball of the foot, also
More informationShoulder Joint Replacement
Shoulder Joint Replacement Although shoulder joint replacement is less common than knee or hip replacement, it is just as successful in relieving joint pain. Shoulder replacement surgery was first performed
More informationTOTAL HIP ARTHROPLASTY (Total Hip Replacement)
(Total Hip Replacement) The Hip Joint The hip is a ball and socket joint. The joint is formed by the head of the femur (thighbone) and the acetabulum (pelvis). The bones are coated in cartilage, which
More informationTailor's Bunion. fifth toe.
Tailor's Bunion Introduction Welcome to BodyZone Physiotherapy's patient resource in Calgary about Tailor's Bunion. A bunionette is similar to a bunion, but it develops on thee outside of the foot. It
More informationKnee ACL Reconstruction Autograft FAQ
Knee ACL Reconstruction Autograft FAQ Ryan W. Hess, MD Tracey Pederson, PCC Office: (763) 302-2223 Fax: (763) 302-2401 Twitter: RyanHessMD Q: WHAT IS ACCOMPLISHED DURING THE PROCEDURE? ACL reconstruction
More informationKnee Arthroscopy Meniscus Surgery FAQ
Knee Arthroscopy Meniscus Surgery FAQ Ryan W. Hess, MD Office: 763-302-2223 Fax: 763-302-2402 Twitter: RyanHessMD Q: WHAT IS ACCOMPLISHED DURING THE PROCEDURE? Knee arthroscopy is when a small camera is
More informationANKLE SPRAIN, ACUTE. Description
Description ANKLE SPRAIN, ACUTE An acute ankle sprain involves the stretching and tearing of one or more ligaments in the ankle. A two-ligament sprain causes more disability than a single-ligament sprain.
More informationMidfoot exostectomy for dorsal midfoot exostosis. Information for patients Department of Podiatric Surgery
Midfoot exostectomy for dorsal midfoot exostosis Information for patients Department of Podiatric Surgery What is dorsal midfoot exostosis? A dorsal midfoot exostosis is a bony prominence on the top of
More informationTOTAL HIP ARTHROPLASTY (hip replacement)
TOTAL HIP ARTHROPLASTY (hip replacement) The condition The hip is a ball and socket joint. The ball is formed by the head of the thighbone (femur) which fits snugly into the cup shaped bone in the pelvis
More informationLesser toe sequential repair
Lesser toe sequential repair For the correction of lesser toe deformity Information for patients Department of Podiatric Surgery What is lesser toe deformity? The lesser toes are those other than your
More informationTotal Knee Replacement
Total Knee Replacement Learn About: How Your Knee Works Knee Related Problems Candidates for Knee Replacement Surgery What to Expect From Your Artificial Knee Preparing for Knee Replacement Your Surgery
More informationDr. Nuelle Knee Replacement: Discharge Care Instructions
Dr. Nuelle Knee Replacement: Discharge Care Instructions Your Recovery Thank you for allowing us to help you with your knee replacement surgery. We hope that you had a good stay with us. These discharge
More informationSilver's bunionectomy. Information for patients Department of Podiatric Surgery
Silver's bunionectomy Information for patients Department of Podiatric Surgery What is Silver's bunionectomy? Silver's bunionectomy is a procedure which consists of shaving a bunion. It therefore addresses
More informationHIP REPLACEMENT SURGERY
HIP REPLACEMENT SURGERY HOW TO PREPARE FOR SURGERY AND REC0VERY Before surgery: Arrange for someone to help you around the house for a week or two after coming home from the hospital. Arrange for transportation
More informationLesser toe surgery. Exceptional healthcare, personally delivered
Lesser toe surgery Exceptional healthcare, personally delivered Following your consultation with a member of the Foot and Ankle team you have been diagnosed as needing lesser toe surgery. This leaflet
More informationPatellofemoral Replacement
Patellofemoral Replacement During knee replacement surgery, damaged bone and cartilage is resurfaced with metal and plastic components. Patellofemoral replacement is a type of "partial" knee replacement
More informationBig toe (Hallux) corrective surgery Including Scarf, Weils, Akin/Chevron
Big toe (Hallux) corrective surgery Including Scarf, Weils, Akin/Chevron Orthopaedic Department Patient information leaflet This patient information booklet is designed to provide you with information
More informationANTERIOR CRUCIATE LIGAMENT INFORMATION PACKET
ANTERIOR CRUCIATE LIGAMENT INFORMATION PACKET Anterior Cruciate Ligament (ACL) Posterior Cruciate Ligament (PCL) Michael Angeline, MD Orthopedic and Sports Medicine Mercy Health System - 1 - Instructions
More informationPatellar Tendon / Quad Tendon Repair Surgery Discharge Instructions
Matthew T. Mantell, MD 128 Medical Circle Winchester, VA 22601 Phone: 540-667-8975 Email: mattmantellmd@gmail.com Web: www.mattmantellmd.com Patellar Tendon / Quad Tendon Repair Surgery Discharge Instructions
More informationLapidus procedure and Akin osteotomy
Lapidus procedure and Akin osteotomy Bunion surgery Information for patients Department of Podiatric Surgery What is a bunion? A bunion is a bony deformity of the joint at the base of the big toe (hallux).
More informationCAST CARE. Helping Broken Bones Heal
CAST CARE Helping Broken Bones Heal When You Need a Cast Are you injured and in need of a cast? Don t worry, you ll get through it. Wearing a cast will help your injured body part heal. Healing takes time,
More information.org. Tibia (Shinbone) Shaft Fractures. Anatomy. Types of Tibial Shaft Fractures
Tibia (Shinbone) Shaft Fractures Page ( 1 ) The tibia, or shinbone, is the most common fractured long bone in your body. The long bones include the femur, humerus, tibia, and fibula. A tibial shaft fracture
More informationThe Knee Center of WNY ACL RECONSTRUCTION
The Knee Center of WNY Dr Michael Parentis Dr Keith Stube 3712 Southwestern Blvd, Orchard Park, NY 14127 508-8252 180 Park Club Lane, Suite 225, Willlamsville, NY 14221 839-5858 ACL RECONSTRUCTION ACL
More informationTotal ankle replacement. Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England.
Total ankle replacement Brought to you in association with EIDO Healthcare and endorsed by the Royal College of Surgeons England. Discovery has made every effort to ensure that we obtained the information
More informationLumbar Decompression GUIDELINES FOR PATIENTS HAVING A. Lumbar Decompression
ORTHOPAEDIC UNIT: 01-293 8687 /01-293 6602 UPMC BEACON CENTRE FOR ORTHOPAEDICS: 01-2937575 PHYSIOTHERAPY DEPARTMENT: 01-2936692 GUIDELINES FOR PATIENTS HAVING A Lumbar Decompression Please stick addresograph
More informationPlantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.
Plantar Fasciitis and Bone Spurs Plantar fasciitis (fashee-eye-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.
More informationKnee ACL Reconstruction Allograft FAQ
Knee ACL Reconstruction Allograft FAQ Ryan W. Hess, MD Tracey Pederson, PCC Office: (763) 302-2223 Fax: (763) 302-2401 Twitter: RyanHessMD Q: WHAT IS ACCOMPLISHED DURING THE PROCEDURE? ACL reconstruction
More informationPa#ent Informa#on for Consent
Pa#ent Informa#on for Consent ER_OS02 Total Knee Replacement Enhanced Recovery Expires end of November 2018 Local Informa#on For further informa0on locally you can contact the Pa0ent Advice & Liaison Service
More informationReverse Total Shoulder Replacement
Reverse Total Shoulder Replacement Every year, thousands of conventional total shoulder replacements are successfully done in the United States for patients with shoulder arthritis. This type of surgery,
More informationA Patient s Guide to Artificial Joint Replacement of the Ankle
A Patient s Guide to Artificial Joint Replacement of the Ankle Introduction Surgery to replace the ankle joint with an artificial joint (called ankle arthroplasty) is becoming more common. This surgery
More informationTOTAL KNEE REPLACEMENT. Surgical Treatment for Advanced Pain due to Arthritis. Dr. Adam S. Rosen
TOTAL KNEE REPLACEMENT Surgical Treatment for Advanced Pain due to Arthritis Dr. Adam S. Rosen What is Arthritis? How do you treat Arthritis? Arthritis is an inflammation of the joint due to loss of cartilage.
More informationFurther information You can get more information and share your experience at
OS02 Total Knee Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset
More information1. Medications: a. A pain medicine (narcotic): b. An anti-inflammatory medicine: c. An antibiotic:
Post Operative Instructions: 1. Medications: Three medications have been prescribed for you to make you more comfortable, decrease the swelling in the knee following surgery, and to reduce the risk of
More informationDr. Nuelle Total/Partial Hip Replacement: Discharge Care Instructions
Dr. Nuelle Total/Partial Hip Replacement: Discharge Care Instructions Your Recovery Thank you for allowing us to help you with your hip replacement surgery. We hope that you had a good stay with us. These
More informationAnkle Arthroscopy. Removing Loose Bodies and Spurs
Ankle Arthroscopy Removing Loose Bodies and Spurs What Is Arthroscopy? Your joints help you move freely. But living with a worn or injured joint can make an active lifestyle painful. Your orthopaedic surgeon
More informationANTERIOR ANKLE IMPINGEMENT
ANTERIOR ANKLE IMPINGEMENT Description Possible Complications Pinching of bone or soft tissue, including scar tissue, at the Frequent recurrence of symptoms, resulting in chronically front of the ankle
More informationMr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Shoulder Arthroscopy Arthroscopy is a procedure that orthopaedic surgeons use to inspect, diagnose, and repair problems inside a joint. The word arthroscopy comes from two Greek words, "arthro" (joint)
More informationPost-operative information Total knee replacement
Post-operative information Total knee replacement Day of operation You will arrive on the ward following your surgery. You may have had a spinal anaesthetic which will wear off after a couple of hours.
More informationTIBIAL PLATEAU FRACTURE
TIBIAL PLATEAU FRACTURE Description Preventive Measures A tibial plateau fracture is a complete or incomplete break Appropriately warm up and stretch before practice or in the larger of the two leg bones
More informationACL RECONSTRUCTION. Date of Surgery. Please bring this booklet the day of your surgery. QHC#65
ACL RECONSTRUCTION Date of Surgery Please bring this booklet the day of your surgery. QHC#65 The ACL (Anterior Cruciate Ligament) is the major stabilizing ligament of the knee. The ACL is located in the
More informationADULT SPINAL DEFORMITY SURGERY
PROCEDURE Spinal deformity correction surgery involves many techniques to correct the scoliosis, kyphosis, or other deformities of your spine to a more normal alignment. During the procedure, your surgeon
More informationACL Reconstruction. Role of the Anterior Cruciate Ligament. Treatment of ACL tears. ACL Reconstruction
Role of the Anterior Cruciate Ligament The ACL stabilizes the knee when jumping, pivoting, or cutting. It prevents the shinbone (tibia) from sliding forward on the thigh bone (femur). ACL tears often occur
More information