Outpatient surgeries

Hallux rigidus

Arthritis in the big toe joint with increasing restriction of movement and formation of painful bony spur. In the early stages, treatment can be provided through insole support with a over curved sole or joint-preserving operations. In the advanced stage, fusing the damaged joint is the best option.

Hallux Rigidus (before surgery)

Hallux Rigidus (after surgery)

Hallux valgus

Through widening of the forefoot (splayfoot), deviation of the first metatarsal and formation of a prominent, painful bony protuberance can occur. Insoles or commercially available splints cannot correct the malposition, and in the presence of symptoms, only surgical correction of the malposition is a promising treatment. The patient will wear a special shoe for approximately 3 weeks and will be partially mobile in this period. A thorough analysis of the malposition and selection of the correct surgical method is essential for optimal treatment results.

Hammer- & Claw Toes:

Hammer Toes
A bend deformity in the toe joint leads to painful callus on the end of the toe.
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Claw Toes
Due to shortening of the flexor tendon, there is a malposition in the toe joint with formation of often painful callus. In the early stages, a tendon lengthening may be sufficient, but in the late stages, the toe must be shortened surgically.

claw toe (before surgery)

claw toe (after surgery)

Clubfoot

Formation of a painful nerve nodule in the area of the middle foot bone. The diagnosis can be made through a clinical examination and, if necessary, an MRI. The treatment consists of removing the painful nerve nodule.

Morton Neuroma

formation of a painful nerve node in the area of the metatarsal bone. This can be proven by a clinical examination and, if necessary, an MRI; the treatment consists in removing the painful nerve node.

Flatfoot

There is a flattening of the longitudinal arch of the foot. In the early stages, wearing special insoles helps, but in severe cases, stabilization of the lower ankle joint in children (sublatar arthrodesis, Prostop Fa. Arthrex) or fusing the joint in adults may be necessary.

Nerve Compression Syndrome

In the arm area (carpal tunnel syndrome, ulnar tunnel syndrome) or at the ankle (tarsal tunnel syndrome), the nerve function can be impaired by mechanical compression, leading to pain and loss of sensation in the sensitive area. The diagnosis is made by a neurological control measurement, and in severe cases, the affected nerve must be surgically seperated from adjacent tissue.

Malformations

The treatment of malformations of the lower limbs. Varus or valgus deformity of the leg can lead to pain and early osteoarthrosis of the knee and ankle joint. The malposition can be identified by an X-ray examination of the leg axis and an operative correction of the leg axis can be planned. We use the modern PSI technique of Newclip.

In case of shortening of the lower limb, compensation can be achieved through operative lengthening. The bone is cut at an appropriate location and the regenerating bone (callus) is then slowly pulled apart until the planned length compensation is achieved. After that, the newly formed bone must consolidate. An internal magnetic nail can be used as a technique, which is completely anchored in the bone and activated from the outside.

Alternatively, an external fixator can be mounted on the bone and then the bone can be slowly lengthened. With this technique, in addition to the length gain, the axis can be corrected at the same time and the patient can fully load immediately. At the same time, both legs can be treated. In case of dwarfism, a cosmetic leg lengthening can also be performed, but requires agreement with the health insurance for cost coverage.

For more information about our treatment methods, please email us.

Outpatient surgery