The treatment of fractures (bone fractures) and luxations (dislocations) is completed by gentle techniques and modern materials.
Arthroscopic surgery is indicated for cartilage damage, e.g., after ankle joint trauma (mosaicplasty, autologous chondrocyte transplantation, retrograde drilling, microfracturing Removal of loose bodies Removal of painful plica of the synovial membrane
In case of a failed conservative treatment (heel cushion with hole deposits/gel inlays, injections, ESWT (shock wave), and/or radiotherapy) we recommend surgical therapy. Dr. R. Krebs uses endoscopic treatment for Haglund’s syndrome.
Painful and restricted movement of the big toe; most commonly, hallux rigidus is caused by wear and tear (arthritis) on the first MTP joint. Non-surgical techniques such as infiltrations and modified footwear can often be used to successfully treat patients with varying degrees of severity of hallux rigidus. However, when the non-operative treatment methods are not indicated, a number of operations can be employed as treatment:
- Resection of articular surface
Hallux valgus (bunion) is a structural deformity of the bones and the joint between the foot and big toe. Hallux Valgus is the tilting of the toe away from the mid-line of the body. It is usually characterized by a lump or bump that is red, swollen and/or painful on the inside of the foot in and around the big toe joint (so-called metatarsalgia). If conservative therapy is not enough surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. Our doctors at the ORTHOPAEDIE BAVARIA most commonly perform the so-called scarf-osteotomy, if necessary, in combination with additional corrections; generally speaking, biodegradable screws can be used in this operation.
Hammertoe is a contracture – or bending – of one or both joints of the second, third, fourth, or fifth (little) toes in combination with/without corns and calluses. The most common surgical procedure performed to correct a hammertoe is an operation technique created by Hohmann or Weil.
Partial or complete malposition at the PIP and DIP joints (middle and end joints in the toe), which can lead to severe pressure and pain. When the toe deformity is painful or permanent, surgical repair is performed to relieve pain, correct the problem, and provide a stable, functional toe. The type of surgery depends on whether the deformity is fixed or flexible. Our doctors at the ORTHOPAEDIE BAVARIA will discuss the options and select a plan tailored to your needs.
Hindfoot deformities most commonly occur in patients who suffer from chronic polyarthritis (rheumatism), diabetes mellitus (diabetes), and/or after accidents. However, when the non-operative therapy methods are not indicated, a multiple number of surgical approaches can be employed as treatment, e.g. fusion/ arthrodesis.
If conservative treatment has failed the following pathologies can be treated with only minor surgical approach: Nerve compression syndromes, e.g. tarsal tunnel syndrome, Morton neuroma, ganglion, tendinitis (aponeuritis of plantar fascia) with/without bone involvement (calcaneal formation, Haglund deformity) and nail ingroth.