If you’re experiencing pain in the feet or toes, a chirurgo del piede savona may recommend a procedure known as metatarsal surgery. The surgeon will remove the affected bone and fix it with metal plates. A metatarsal bone cut may be necessary to correct a condition called Morton’s neuroma, which causes pain in the toes and ball of the foot. Patients describe the pain as burning or aching and sometimes even stabbing.
A metatarsal surgeon can treat many foot problems. The metatarsals could be impacted if the foot has fallen inward or is very wide. This can lead to callus formation and pain. In this instance, the surgeon may recommend surgical treatment. Most patients experience no complications following the procedure. However, it is important that you discuss the possible risks and the procedure thoroughly with your doctor.
This procedure can be performed under general anaesthesia on an outpatient basis in most cases. The surgeon cuts away the affected metatarsal bone and fixes it in its place with a metal screw. The surgeon may also need to realign the ligaments. A post-operative radiograph will be taken to verify the bone position. The patient will wear a cast or brace to protect the foot during the healing process.
Reconstructive surgery for the foot can address a variety of problems, including skin injuries and soft tissue damage. Some procedures can prevent or reduce complications such as ganglion cysts, ulceration, and other problems. To treat an underlying condition, patients may need a skin transplant or amputation. Surgery can also be used to correct bone deformities, such as osteotomy or arthrodesis. Tendon releases and transfer can restore function and anatomy to feet or ankles.
Reconstructive foot surgery is a specialty of medicine, focusing on surgical reconstruction of the foot and ankle to restore proper function and appearance. It is usually required when conservative measures fail to restore proper function. Tendon transfer, bone grafting and soft tissue repair are some of the most common procedures. The extent of an operation will depend on the severity and extent of injury.
An osteotomy is a procedure to reduce the bone length in the foot. Five metatarsals connect each foot to the rest and form the ball. The lesser metatarsals attach to the second through fifth toes but do not attach to the big toe. An osteotomy of the lesser metatarsals can relieve pain and realign a chronically dislocated toe.
A local anesthetic is used for numbing the area after an osteotomy. This medication is used to help the surgeon determine the length and location of the bone. The osteotomy surgery can be performed under local or general anesthesia. An incision is made over the area where the bone is to be removed. A retractor is then used to separate the soft tissues. After the surgery is over, the incisions are closed.
Allogeneic bone transplants are preferred, but autogenous bones may be more suitable for certain foot trauma areas. Allogeneic grafts may be less successful in first metatarsal nonunions, where allogeneic grafts were not effective. The creation of a vascular environment within the area of fusion is key to the ultimate success of a transplant. The graft must be properly shaped to allow the healing process.
Bone grafts are typically taken from the same leg that the surgery is being performed on. The surgeon will need to make an incision in one leg. The size of the incision depends on the amount of bone to be used. A variety of tools will be used by a bone graft surgeon to harvest the graft. Many bone grafting tools are used to make the transplant, including scoops, drills, and even chisels. The incision is closed using sutures or skin staples.