Thursday 11 June 2015

#Paul #Bours - Surgical risk and complications




All surgery has risks and potential for complications. Risk may come from the anaesthetic -whether it is a general or even local, or from the surgery itself. The variables are the choice of surgery and the performance of the surgery itself. Unfortunately surgeons of the foot and ankle do not always agree on what procedure is best to treat a foot deformity as there is no “cookie cutter” answer to foot and ankle problems.

The choice of a surgical procedure depends on many variables; for instance there are 130 recognised surgical procedures to treat bunions, many are vallid and it depends on your particular foot. Variables to consider in the choice of surgery can be the patient’s age, expectations, medical history, work and sport demands and surgeons preference. Some complications are infection, swelling, scarring, sensitivity, loss of function, transfer lesions, as well as return of the original deformity. Some surgeries will never have 100 % outcomes because essentially we may be dealing with “damaged goods”. This especially is true for deformed structures such as bunions or arthritic joints.

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