Ingrown toenails

Apologies for the surgical pictures :) Ingrown toenails are one of the most common complaints that present to Podiatrists. They can be quite painful and at their worst can become infected. When conservative care fails, Podiatrists perform a very successful procedure called a 'partial nail avulsion with phenolisation'. This is the procedure I advocate in most situations. There will be occasions when this procedure is inadequate or fails to permanently solve the problem. In these cases, a wedge resection can be performed (pictures below).
1.The inflammed tissue is cut away. 2.The cells that form the nail removed so the ingrown portion does not return. 3. Finally the skin is sutured back to the nail. This is usually performed under local anaesthetic, though at times patients do request being under general anaesthetic.


Surgical Correction of Bunions

Mel is an active 39 year old who presented to Ozan with painful bunions. Both sides of the family have bunions including Mels brother. Mel had noticed that they were becoming larger and painful, and for these reasons opted to have surgery. Other forms of conservative care had failed and currently, only surgery can get rid of the 'bump'.
These pictures were taken just prior to and immediately after surgery.
Jen, a very healthy 63 year, like Mel also inherited a foot type that predisposes to bunions. Jen underwent reconstructive surgery to re-position the joint 'back into the foot'. Many people think that the bump is 'chopped off', however this is not the case. The bump is actually re-positioned to its normal position and the soft tissue is re-balanced to prevent recurrence of the bunion. The post-operative pictures  were taken immediately after surgery and at 3 months.
[caption id="attachment_2113" align="alignleft" width="222"] Before Surgery[/caption] [caption id="attachment_2112" align="alignleft" width="302"] Before Surgery[/caption] [caption id="attachment_2114" align="alignnone" width="216"] Immediately after surgery[/caption] [caption id="attachment_2111" align="alignleft" width="230"] 3 months after surgery[/caption]

Cross-Over 5th Toe Correction

Hally presented with a condition that looks relatively minor, however to many people the position of the fifth toe can be of significant concern. The cross-over 5th toe can cause issues with footwear, developing corns where it rubs on the shoe. A common concern with females is also the appearance of the toe.
Traditional surgery involved "opening" the toe with a long incision and performing soft tissue release and bone cuts. With minimally invasive surgery, the incisions can be kept quite small. In the case of Hally, only 2 small incisions were made, both approximately 2mm and 3mm long. This procedure can be performed under local anaesthetic with immediate weightbearing in a protective shoe. The after picture was taken 2 weeks after surgery.

Correction of Hammertoes Using Minimally Invasive Surgery

David is a very healthy and active 29 year old, who presented to the clinic with severe hammertoe deformities affecting the right foot. He was experiencing pain under the balls of the foot and also in the toes themselves. He had found it painful to walk and was unable to perform his normal activities Unfortunately conservative care was unable to relieve his symptoms and he underwent small incision surgery to correct the issue. Four small incisions on top of the foot and a small incision under each toe were made to correct the boney alignment. The pictures below show the before and after result. The post-operative  picture was taken 4 months after surgery. David mentioned that he now experiences no pain and has resumed running again.