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Foot Surgery

 

The foot is made up of 26 bones, 33 joints and over 100 ligaments, muscles and tendons. The foot can be divided into 3 parts – the hindfoot, midfoot and forefoot.

The hindfoot is formed from the ankle joint and 2 further bones - the heel bone (calcaneum) and talus. This forms the sub-talar joint which allows your foot to roll in and out. 

The midfoot is formed of 5 bones which create the arch of your foot and are supported by a ligament running the length of your foot known as the plantar fascia. 

The forefoot is formed by your toes and the 5 long bones of your foot known as your metatarsals.

 

As the foot and ankle is a complex structure of joints, a range of common problems can arise which are often resolved with physiotherapy but at time surgery is required. Your surgeon will discuss your procedure with you, and what to expect before, during, and after surgery.

  • Take into consideration what your weight bearing status will be after your surgery. Make plans on how you will manage at home with reduced mobility. Who will help with shopping? Who will help with child care? who will look after any pets? Will you sleep upstairs or down stairs? If you smoke please try to stop or reduce.

 

 

  • Try to maintain a healthy weight, the risk of complications is higher if you are overweight.

 

 

  • If you have a long term conditions like diabetes, asthma, bronchitis, thyroid problems, heart problems or high blood pressure, you should ask your GP if you need a review.

 

 

  • Continue with any useful exercises you have previously been given.

 

 

  • Make sure you attend your pre-assessment appointment.

 

 

  • Follow the instructions given to you by the hospital staff about your surgery.
  • Remove jewellery, piercings, nail polish or false nails

  • Transport: patients are responsible for their own transport to and from the hospital. Please arrange for a friend, relative or taxi to transport you. It is not appropriate to use public transport to travel home after the operation.

  • Do not bring valuables into the hospital with you.

  • Mobile phones are allowed.

  • Pack comfortable, loose fitting clothing and suitable footwear

  • If you're staying over night please bring wash items / towel

 

Not all foot surgery will require an over night stay. please discuss this further with your consultant.

On the day of your surgery you may be asked to arrive at 7am. You will be asked to got to Calderdale Hospital, level 3, Day Procedure Unit. Please note that most operating lists run all day and your operation may not take place until the late afternoon, depending on the order and progress of the list.

 

• The hospital should have given you clear instructions about eating and drinking. These instructions are important, please follow them.

 

• If you are still smoking, you should not smoke on the day of your operation.

 

• Most medicines should be continued but there are some important exceptions. You will need specific instructions from the pre-assessment team about your tablets.

 

• If you feel unwell when you are due to come to the hospital please telephone the ward for advice.

 

• The anaesthetist and surgeon will make some final checks to ensure you are fit for surgery and answer any questions you may have.

 

• Your consent to proceed with the operation will be confirmed by the surgical team.

 

•  Your anaesthetist will discuss the type of anaesthesia you will be having.

You will be transferred to the recovery ward to be monitored as the anaesthetic wears off.  You will have regular observations of your blood pressure and oxygen levels. You will be provided with pain relief and be allowed to eat and drink.  Your foot and ankle will be bandaged and there will be a dressing over the wound.

Good pain relief after the operation is important; it is much easier to relieve pain if it is dealt with before it gets bad. Please tell the nursing staff if you have pain.

After your surgery you will be assessed by the physiotherapists. This will be 1-2 hours after your operation if you are going home on the same day. If you are staying over night the physiotherapists will review you the morning after your surgery.

For the first two weeks post-surgery, it is important you elevate your foot as much as possible to manage swelling.

 

 A follow-up outpatient appointment will be arranged for you with the orthopaedic team for approximately 2 weeks after the operation. Here your wound will be checked and we will ensure that you are making progress as expected.

 

If you have not received an appointment in the orthopaedic clinic within 1 week of discharge then please contact your consultant’s secretary using the numbers below

 

Mr Wells secretary 01484 342214

 

Mr Shenolikar secretary 01484 355302

 

 If you have any problems with the dressing or the wound after being discharged from the hospital please contact either the ward or the hospital outpatient treatment room on:

 

HRI Outpatient Treatment Room 01484 342559

HRI Ward 01484 343623

 

 CRH Outpatient Treatment Room 01422 223663

Orthopaedic Ward (CRH) 01422 223801

 

 

 

  Calderdale Royal Hospital (CRH) 

Salterhebble

Halifax

HX3 0PW

Switchboard: 01422 357171

 

Huddersfield Royal Infirmary (HRI)  

Acre Street

Lindley  

Huddersfield,

HD3 3EA

Main Switchboard: 01484 342000

 

Orthopaedic Ward (CRH) 01422 223801

Orthopaedic Ward (HRI) 01484 343623

 

Physiotherapy (CRH) 01422 223554  7 days a week, 8am – 4pm

Physiotherapy (HRI) 01484 342808  7 days a week, 8am – 4pm

 

Consultant Secretaries

Mr Wells 01484 342214

Mr Shenolikar 01484 355302

After your operation, your surgeon will tell you how much weight you can put through your foot, this may be:

Fully weight-bearing – putting weight through your foot as normal.

Heel weight-bearing – only putting weight through the heel of your operated foot. No weight should be taken through the front of your foot or your toes. You will be provided with a heel weight-bearing shoe.

Partial weight bearing – you can put up to half of your bodyweight through your operated foot. You will require crutches, sticks or a frame to help you walk.

Non-weight bearing – No weight must be put through your operated foot. You will require crutches or a frame to help you walk.