Progressive scientific and technological developments forced orthopaedists to differentiate in specific areas, in order to excel in each of them.

• Shoulder and elbow pathology
• Spine
• Fist and hand
• Knee and hips
• Foot and ankle
• Sports Traumatology

PERCUTANEOUS FOOT SURGERY

What is it?

Minimally invasive surgery performed to treat:

• Bunions (hallux valgus)
• Claw or hammer toes
• Metatarsalgia (pain in the metatarsal area of the foot)
• Tailor’s bunion (5th toe)
• Clinodactyly (toes with deformities)
• Plantar fasciitis (calcaneal spur)
• Haglund deformity (inflammation in the joint between the heel and the Achilles tendon)
• Exostoses (bony growths)

How is it performed?

It is a surgical technique performed through mini-incisions (2-3 mm), using an electrical micro-motor, usually with no need for metallic implants (screws or other).

The dressing remains for about 10 to 12 days, and in most cases patients can walk with a post-surgery shoe (sandal) with no heel, fully supported.

After 10 – 12 days, patients can wear either flip flops or crocs, or trainers or wide shoes with a separator between the toes, for another 4 weeks.

Main advantages:

• Practically painless postoperative
• Good functional recovery
• Allows for immediate loading with no crutches
• Can be performed in outpatients
• Can be performed with ankle anaesthesia (regional block)
• Usually without the need for metal implants (screws or other)
• No haemostatic tourniquet is used
• Leaves no scarring
• Shorter surgery time
• Good results in the healing of the skin – good technique for the elderly and diabetic patients.