Foot and ankle problems are most frequently caused by nerve damage, aging, arthritis, poor blood circulation, diabetes, and infection that can result in ulcers, sores and deformities. Feet can also be susceptible to sports injuries, fractures, sprains and other traumatic injuries.

Common orthopaedic conditions associated with the foot and ankle pains includes:

Commonly done surgical procedures include:

  • Fracture repair
  • Achilles tendon repair
  • Bunionectomy
  • Neurectomy

We provide casting services, braces and splints in our clinic as a one stop solution for your medical needs.

Ankle Arthroscopy

Ankle arthroscopy allows the assessment and repair of ankle joint problems through two or three very small incisions. Small camera and instrumentation is used to enter the joint, the joint is then inspected, and surgical instruments are inserted to perform additional procedures within the joint. Unlike traditional joint surgery that requires large incisions to expose the joint, arthroscopy uses small openings to examine the joint. By eliminating the need for large incisions, arthroscopy reduces the risk of infection and swelling. Arthroscopy is often a “same day” procedure allowing the patient to return home after surgery.

Conditions that can be treated arthroscopically often include:

  • Chronic Ankle Pain
  • Arthritis
  • Ankle Instability
  • Cartilage Fractures
  • Chondromalacia
  • Meniscoid Body (scar tissue)

Ankle Fusion Surgery

In ankle fusion, an ankle is surgically fused with screws. In some cases, where a deformity is present, an external fixator can be applied to simultaneously correct the deformity and fuse the joint.

Ankle fusion surgery can be generally performed three different ways:

  • Conventional ankle fusion surgery using internal fixation (generally screws and plates, rarely, via intramedullary rods)
  • Minimally invasive, or arthroscopic ankle fusion
  • External Fixation ankle fusion with or without deformity correction

Candidates for ankle fusion surgery may include patients with severe ankle misalignment, osteoarthritis or other ankle conditions. To relieve ankle pain when cartilage has been damaged or destroyed, the bones of the ankle can be fused. Ankle fusion surgery involves the implantation of external or internal fixation devices.

In external fixation, surgical pins are fixed inside the leg and ankle bones to keep the bones in place, and an outer metal rod and pins hold the bones in place until they heal. More commonly, in an internal fixation approach using internal fixation, the cartilage at the ankle joint is removed, and the ankle and leg bones are compressed with plates and screws so that the bones fuse. The fusion may be promoted by first inserting bone-graft material, often obtained from elsewhere in the body.

Ankle fusion may also be performed using minimally invasive arthroscopic surgery. With that method, surgeons use an arthroscope, a small camera inserted through an incision that allows the surgeon to view, diagnose and treat the joint. After ankle fusion surgery, the screws and plates usually remain in the ankle after healing. After ankle fusion surgery, the ankle joint may have a smaller range of motion than before surgery. Other joints, if healthy, may be able to compensate for the loss of range of motion. Some patients walk so well after healing is complete that observers may not be able to tell which ankle was fused. The greater load on the other joints may eventually result in arthritis. Ankle fusion may allow for more stability and less pain than other ankle surgeries.

If foot and ankle problems are impairing your function and reducing your quality of life, make an appointment with us at +65 6653 5614 today.