Bunion Surgery (Hallux valgus)

 

Bunions are very common. They cause pain over the big toe. Many severe ones also affect the second and third toes leading to pain in the front of the foot.

Although footwear changes solves the problem for many people. Some still require surgical correction.

There are hundreds of operations described for the correction of bunions. Many date back to the 1950′s and 1960′s. Do check with your surgeon when the surgery was dated. These often require long periods of casting of the foot or usage of crutches and often with pins sticking out of the foot for weeks.

The modern approach to bunion surgery is “WALK IMMEDIATELY” and “NO CRUTCHES”.

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This is made possible by a new procedure called the Scarf osteotomy. With this, even severe bunions can be corrected without sacrificing the important joint of the big toe.

The pictures show a patient with severe bunion deformities that has also involved the 2nd and 3rd toes. The picture below shows correction after a Scarf

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and 3rd toe correction. The final result is pleasant and long lasting with high satisfaction rate. Morever, not a single joint was sacrificed and fused or removed. Every single joint was preserved. This patient could also walk immediately on the following day after surgery.

 

This topic is courtesy of:

Dr. Chong Keen Wai

The Ortho Klinic

Gleneagles Medical Centre

Suite 08-01

6 Napier Road

Singapore ( 2588499 )

Clinic Tel: +65 64738826

Email: keenwai@gmail.com

Website: www.orthoklinic.com.sg

Chronic Ankle Pain – What could be the problem?

 

The ankle is a very complex joint. There are actually many small joints in the region of the “ankle”. One of which is the subtalar joint

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or “lower ankle joint”. Around the ankle are many tendons that runs from the leg to the

foot. These too can cause “ankle pain”.

 

A proper evaluation of ankle pain requires listening to the patient’s symptoms and then performing an examination of all the joints, tendons and ligaments. Sometimes, Xrays or MRI scan may be necessary to assist in confirming a diagnosis.

 

Treatment of ankle pain has advanced significantly. Many conditions

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which used to be less known and underdiagnosed can now be treated by minimally invasive surgery. The ankle can now be scoped (anterior and posterior ankle arthroscopy) from the front and also from the back. The tendons around the ankle can also be scoped (tenoscopic surgery). The subtalar joint can also be scoped (subtalar arthroscopy). Mini instruments have allowed us to treat many painful ankle conditions through “keyholes”. In my personal experience, the success of such surgery in improving the function of a damaged “ankle” ranges from 85 to 95%.

Ankle arthroscopy showing a “meniscoid lesion”. This is a fibrous “scar” that appears after an ankle injury that can get trapped in the joint, causing pain. Arthroscopic removal results in excellent pain relief.

Tendon scope (tenoscopic surgery) on the ankle. My published personal results

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This topic is courtesy of:

Dr. Chong Keen Wai

The Ortho Klinic

Gleneagles Medical Centre

Suite 08-01

6 Napier Road

Singapore ( 2588499 )

Clinic Tel: +65 64738826

Email: keenwai@gmail.com

Website: www.orthoklinic.com.sg

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