Book contents
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Introduction
- Part 1 Perioperative Care of the Surgical Patient
- Part 2 Surgical Procedures and their Complications
- Section 17 General Surgery
- Section 18 Cardiothoracic Surgery
- Section 19 Vascular Surgery
- Section 20 Plastic and Reconstructive Surgery
- Section 21 Gynecologic Surgery
- Section 22 Neurologic Surgery
- Section 23 Ophthalmic Surgery
- Section 24 Orthopedic Surgery
- Chapter 116 Arthroscopic knee surgery
- Chapter 117 Total knee replacement
- Chapter 118 Total hip replacement
- Chapter 119 Fractures of the femoral shaft
- Chapter 120 Hip fractures
- Chapter 121 Lumbar spine surgery
- Chapter 122 Surgery for adult spinal deformity (scoliosis or kyphosis)
- Chapter 123 Cervical spine surgery
- Chapter 124 Surgery of the foot and ankle
- Chapter 125 Lower extremity amputations
- Chapter 126 Surgical procedures for rheumatoid arthritis
- Section 25 Otolaryngologic Surgery
- Section 26 Urologic Surgery
- Index
- References
Chapter 124 - Surgery of the foot and ankle
from Section 24 - Orthopedic Surgery
Published online by Cambridge University Press: 05 September 2013
- Frontmatter
- Dedication
- Contents
- List of Contributors
- Preface
- Introduction
- Part 1 Perioperative Care of the Surgical Patient
- Part 2 Surgical Procedures and their Complications
- Section 17 General Surgery
- Section 18 Cardiothoracic Surgery
- Section 19 Vascular Surgery
- Section 20 Plastic and Reconstructive Surgery
- Section 21 Gynecologic Surgery
- Section 22 Neurologic Surgery
- Section 23 Ophthalmic Surgery
- Section 24 Orthopedic Surgery
- Chapter 116 Arthroscopic knee surgery
- Chapter 117 Total knee replacement
- Chapter 118 Total hip replacement
- Chapter 119 Fractures of the femoral shaft
- Chapter 120 Hip fractures
- Chapter 121 Lumbar spine surgery
- Chapter 122 Surgery for adult spinal deformity (scoliosis or kyphosis)
- Chapter 123 Cervical spine surgery
- Chapter 124 Surgery of the foot and ankle
- Chapter 125 Lower extremity amputations
- Chapter 126 Surgical procedures for rheumatoid arthritis
- Section 25 Otolaryngologic Surgery
- Section 26 Urologic Surgery
- Index
- References
Summary
The foot and its related anatomical structures are specialized for weight-bearing and support, balance, shock absorption, and propulsion and direction. The foot has very complex bony, ligamentous, and musculotendinous units that enable it to function both as a flexible structure that conforms to uneven surfaces and as a fairly rigid and strong platform able to provide push-off and spring during various activities. During ambulation, the foot may have to support repetitive loads equal to eight times body weight.
Except in fracture care, surgery of the foot and ankle is often considered as a last option when more conservative measures fail to alleviate symptoms. Surgeries of the foot and ankle include bunion surgery and lesser toe surgery, deformity correction, fracture fixation, arthrodesis (fusion of joint spaces) for inflammatory processes, and surgical reconstruction that involves invasive manipulation of musculoskeletal structures to treat deformities. After foot surgery, it is important to allow enough time for bony and soft tissue healing in order to attain normal function. Orthotics, physical therapy, NSAIDs, and a change of shoes are useful modalities that complement surgical intervention, and in most cases will be required for optimal recovery.
- Type
- Chapter
- Information
- Medical Management of the Surgical PatientA Textbook of Perioperative Medicine, pp. 740 - 742Publisher: Cambridge University PressPrint publication year: 2013