There are two basic types of foot surgery.
Higher Risk Surgery
Anesthesia: General anesthesia most likely used with narcotics.
Extent of Trauma: Prominent scarring at the incision site with extensive local tissue damage. Internal fixation is frequently required and may necessitate future removal of hardware or casts.
Incision Size: Larger wound openings require larger closures and cause larger scars.
Instrumentation: Wires, pins, screws, and implants used in conjunction with hammers, chisels, rongeur, and saws are generally utilized for bone operations.
Locale: In-patient hospitalization and surgery room are usually required.
Postoperative Care: Immobilization, crutches, casts, and/or rigid footgear often utilized. Narcotics often prescribed.
Preoperative Laboratory Tests: Routine lab tests are ordered, as well as additional x-rays which may be hospital policy.
Preoperative Preparation: Operating room sterile attire and technique are mandatory since the large operative area is exposed to the surrounding environment.
Preoperative Sedation: Sedation is required.
Scheduling: May need to plan and schedule well in advance for health, lifestyle, and other reasons.
Sutures: Large incisions that require multiple sutures to close the tissue.
Infections: Higher risk of infection due to larger openings and more invasive procedures used to correct the foot.
What type of procedure is right for you?
Minimally Invasive Surgery
Anesthesia: Nitrous Oxide with local anesthesia is used.
Extent of Trauma: Internal fixation not required. Trauma to dermal, subcutaneous tissues and scarring is minimal.
Incision Size: Usually 1/4-inch incision.
Instrumentation: Small surgical rasps are predominately used for bone operations.
Locale: Performed in a state of the art, comfortable, surgical suite.
Postoperative Care: Mild, over the counter, or prescription analgesics.
Preoperative Laboratory Tests: Foot x-rays are mandatory in bone surgery and performed on-site.
Preoperative Preparation: Sterile technique and attire.
Preoperative Sedation: Not necessary.
Scheduling: Surgery can be performed any time the doctor and patient mutually agree upon.
Sutures: One small suture is usually only needed.
Infections: Low Risk
Length of the Procedure: About an hour and a half from start to finish including pre-op and post-op.
Walking and Driving: Most patients walk out of surgery and drive home.
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Definition of Standards of Care Approved by the Academy of Ambulatory Foot and Ankle Surgery
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