Hospital da Ordem Terceira Chiado

Consultas de Especialidades

Orthopaedics

About

Specialty dedicated to diagnosing and treating bone and joint diseases, i.e. diseases of the locomotor system.

Areas of intervention

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.