Hallux Valgus where the joint is beyond preservation and the patient is now less active/ mobility is reduced.
Manage your symptoms by altering activity levels, using painkillers and anti inflammatories, changing footwear, using an insole or orthotic foot support, joint injection therapy. Other surgical procedures including 1st MTP joint fusion, joint implant, exostectomy or decompression osteotomy.
YOU SHOULD READ THIS LEAFLET IN CONJUNCTION WITH THE PREOPERATIVE INFORMATION BOOKLET
MORE INFO By:
1 Speaking with your consultant or one of his team
2 Reading the information provided
KELLER EXCISION ARTHROPLASTY
The operation can be performed comfortably under a Local Anaesthetic block, which is achieved by either a series of injections around the Ankle, or an injection behind your Knee. You will be fully awake during the operation and will be able to feel touch, pressure and vibration, but you will not feel any pain. If you do not wish to consider having the operation performed whilst still awake, or your Consultant does not feel this is the best option for you, you will be offered Local Anaesthetic with sedation or General Anaesthesia. If this is the case then you may need to be referred to a different surgical team to facilitate this and your consultant will be happy to discuss with you further.
The operation takes about 30 minutes, although you will be in the Day Surgery unit for some time before the surgery and afterwards, to allow you an opportunity to rest post operatively. You must have a competent adult at home for the first day and night after surgery. This allows us to be sure you will be safe for the first night.
First 2-4 days
This is the time you are likely to have most pain but you will be given painkillers to help. You must rest completely for 2-4 days.
You will be able to stand and take weight carefully (using crutches) after the operation, but you must rest, with your feet up, as much as possible.
You should restrict your walking to going to the bathroom and when getting about use your crutches in the way you will have been shown.
You can get about a little more after 3 days.
One week after surgery
You may need to attend for your foot to be checked and re-dressed.
You may start to do a little more within pain limits. An increase in pain means you are doing too much.
Two weeks after surgery
Sutures will be removed if necessary.
You will not need a bandage or crutches any longer.
You will be asked to start wearing a trainer type shoe.
Between 2-8 weeks after surgery
If there was a pin inserted, this will be removed during this period.
The foot starts to return to normal and the majority 87% of patients return to shoes (6-8 weeks)
The foot will still be quite swollen especially at the end of the day.