Foot surgery

Treatment of forefoot pathologies

  • Hallux valgus
    It is a deformation of the joint between phalanx and metatarsal, as a consequence of which the big toe tends to approach the other toes, developing a lateral bone protrusion in the forefoot. It operates through a mini open technique that involves triplanar resection of the metatarsal (distal osteotomy of the head), performed after pre-operative planning. The precision of the intervention is ensured by the osteogoniometer, an instrument that allows to establish with precision where to proceed with the resection. The fixation of the bone cuts is made with titanium screws. Simple hallux valgus is operated as a day surgery. For more complex operations a short stay (48 hours) is required.
  • Stiff toe
    It is a form of arthrosis of the hallux joint, characterised by the impossibility of “extending” the big toe upwards as it happens when walking. Depending on the degree of stiffness, bone resection (oblique linear osteotomy) is used to restore the non/functioning joint space. In more severe cases, resection is associated with implantation of a prosthesis lining the base of the phalanx.  The rigid hallux is operated as a day surgery.
  • Deformity of the metatarsal-phalangeal joints (toes overlapping the big toe, jaws of the toes)
    These lesions are repaired, operating from the back of the foot and, when necessary, associating a resection of the bone, to make the metatarsal head move backwards.
  • Civinini-Morton neuroma
    It is an irritation of the nerve that lies between the metatarsal bones (intermetatarsal), generally between the second and third and / or between the third and fourth toe. It is operated by decompressing the nerve by incision of the intermetatarsal ligament under which the nerve lies. The traditional removal of the enlarged nerve takes place only in cases where the pathology recurs over time (recurrence). Nerve decompression is usually performed as a day surgery.

Treatment of hindfoot pathologies

These operations are normally carried out on the basis of a short-term hospitalisation (48 hours).

  • Arthrosis of the astragal-cuneiform or astragal-scaphoid joints
    One operates by performing an arthrodesis, or by correcting any deformities by maintaining this correction with the bony fusion of the joint heads.
  • Back tibial tendon dysfunction
    Operated by tensioning the tendon and realigning the heel axis.
  • Flatfoot
    It is a deformation of the sole of the foot, which causes the loss of the characteristic plantar arch, moving the heel outwards. It can be congenital or acquired. The acquired flat foot of the adult is a degenerative pathology of the sub-talar joint, which can result from trauma or other causes. It is operated by the immobilisation of the joint (arthrodesis).  The symptomatic flexible adult flat foot with slight insufficiency of the posterior tibial tendon resolves, instead, through the insertion of a prosthesis between the astragalus and the calcaneus (in the breast of the tarsus).