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Hallux valgus (so-called bunion)
Hallux valgus surgery acc. to Akin
This type of hallux surgery is indicated if hallux valgus is caused by a deformity. Our foot surgeon, Dr. Quarck, removes a bone wedge from the proximal phalanx with a base on the inside. He places the bone ends on top of each other again, thus correcting the axis of the proximal phalanx.
Hallux Valgus surgery acc. to Chevron
We perform this foot surgery in cases of mild or moderate hallux valgus. In this case, we use a wire or screw that can be removed after a few weeks using a localanaesthetic.
In severe forms of hallux valgus, base wedge osteotomy is a procedure used when the joints are in stable condition. The 1st metatarsal bone this straightened by removing a bone wedge from it.
This foot surgery is performed for severe forms of hallux valgus. Thanks to the new implants with a fixed screw joint, the patient can bear load again early on. The first metatarsal bone is straightened by folding the bone up.
Above all, bone protrusions on the extensor side are removed. Inflamed synovial membrane and arthroliths are removed. The third of the head of the metatarsal bone on the extensor side is removed at an angle. The cut surface is aimed at the transition between the destroyed and intact joint surface. This improves mobility in the joint and thus alleviates pain. This standard procedure (cheilectomy) is easy to perform. The symptoms improve immediately after the surgery.
Full weight bearing is allowed immediately after the surgery. The toe should be rolled normally when walking. Our patients start movement exercises just one day after the surgery. Normal shoes can be worn again after just 2-3 weeks.
Joint resection surgeries
Other procedures should be considered in very advances joint osteoarthritis. Procedures that prevent wear and recurrent osteoarthritis are used in young patients who need stable feet at work and in sports. The big toe joint may be stiffened in these cases. In elderly patients in the final stages of osteoarthritis, who do not have high functional demands, joint removal is the treatment of choice.
First, a small incision is made on the toe. The bone is corrected and held in position with the help of a wire. This wire is removed after about 2 weeks. If joints have full range of passive motion, a flexor tendon is transferred towards the extensor side. These surgeries may be performed under local anaesthesia.
Full weight bearing is possible immediately. A special shoe with a rigid sole must be worn until the wire is removed.
Ankle joint: Suture repair
If torn ankle ligaments no longer heal, they can be reattached using a special suture technique. This requires an approx. 5 cm incision on the ankle. The surgery can usually be performed on an outpatient basis. After the surgery, immobilisation in a special splint protects the freshly sutured ligaments. The load up to 20kg is allowed when using forearm crutches.
Ankle joint: Cartilage smoothing
If the cartilage in the joint is frayed, the minimally invasive surgical technique is used (arthroscopy). Several small cuts are made to the ankle. The surgery is carried out using the keyhole technique. The cartilage is smoothed using a mini cutter. This makes the joint more flexible. Bothersome bony hooks at the joint margin can also be removed.