What Surgery Involves
It is important that you understand what surgery will involve, and what else happens on the day of the operation. As you are allowed home the same day as surgery, it is difficult to take in everything that you are told on the day, especially as the anaesthetic may interfere with your short term memory. If you read all the associated material on this website and www.footanklesurgeon.com, I hope that you will be comfortable with what happens at every stage of treatment, and be able to spot if something is not right, so that we can address any problems in a timely fashion.
For your operation, you will either be asleep ( a general anaesthetic ) or you will have an injection into your back to make the bottom half of your body numb ( spinal anaesthetic ). As well as this, you will have an injection into the back of your knee to make the foot stay numb for around 24 hours. There is a small risk of nerve injury from this injection but as the nerve is visualised by an ultrasound machine during administration, the risk is incredibly small, less than 1 in 2000.
You will sign a form to indicate that you understand
-what procedure will be performed
-why it is being performed
-what risks are associated with the procedure
All surgical procedures have risks associated with them. With keyhole surgery, there is a risk of bleeding, infection, nerve or tendon injury, burns from the rotating burr, a nerve condition called complex regional pain syndrome, and blood clots in the leg. There is a small risk ( less than 5% ) that the bones do not join together after being repositioned.
All these problems can occur with open surgery, and it is felt that many of the risks are diminished by a keyhole technique.
The National Institute for Health and Clinical Excellence issued guidelines about keyhole surgery in 2010, although this guidance may now be considered to be out of date. You can read them here
In order to ensure that patients are benefitting from their surgery, we may ask you to fill out a questionnaire before surgery and a few months after surgery, to compare the symptoms. You may be contacted by telephone to do this.