Ankle fusion is an operation to convert a stiff painful joint into an even stiffer but painless joint. In this procedure, the remaining damaged cartilage is removed from the ends of the bone and the two bones are then held together in compression using screws, or plates until they join to become one (bone fusion).

Surgery should only be considered if all non-surgical measures have been explored and if symptoms are significant. Bunion and/or lesser toe surgery is not just a cosmetic procedure and you could be swapping a deformed PAINLESS foot for a PAINFUL cosmetically pleasing foot.

Greater understanding of the many complex components of hallux valgus and lesser toe deformities has led to more patient-specific surgery. Fixation with screws has significantly decreased pain in the post-operative period. Patients no longer need to be in a plaster cast for six weeks following surgery and can mobilise straight away in a wedge shoe.

An ankle arthroscopy is a procedure that involves making two or three small puncture wounds usually in front of the ankle.

The ankle is a hinge joint between the leg and the foot, and allows up/down and side/side movement. Stability is provided by strong ligaments either side of the ankle.

The ligament on the outside of the ankle is called the lateral ligament. It is made up of three bands connecting the fibula (the prominent bone on the outside of the ankle) and the talus (ankle bone) and calcaneus (heel bone). If the ankle is twisted, the ligaments can become stretched or torn. This is known as a sprained ankle.

Many conditions affecting the foot can produce discomfort, which can limit mobility, therefore your feet need to be strong and healthy. The foot is a complicated part of the anatomy and consists of 26 bones, 33 joints and numerous tendons, ligaments and muscles. Sometimes the structure and mechanics of your feet or ankles change (for a number of reasons) and surgery may be required to address these. Surgery is usually only considered when all conservative measures have been exhausted.

The tibialis posterior is a muscle in the lower leg. The tendon from this muscle runs behind the inside bone on the ankle (called the medial malleolus), across the instep and attaches to the bottom of the foot. The tibialis posterior is important as it helps to hold the arch of the foot up and stop the foot rolling over. Sometimes the tendon becomes stretched and inflamed. This condition can be called Tibialis Posterior Tendon Dysfunction, Tibialis Posterior Insufficiency or Acquired Adult Flat Foot.