Name of the Procedure:

Osteotomy; talus
Common name(s): Talus Osteotomy, Talar Osteotomy

Summary

In layman's terms, a Talus Osteotomy is a surgical procedure that involves cutting and reshaping the talus bone in the ankle to correct deformities or to relieve pain.

Purpose

This procedure addresses conditions such as ankle arthritis, severe flatfoot, or misalignment of the ankle joint. The primary goals are to improve alignment, reduce pain, enhance mobility, and improve overall foot function.

Indications

• Severe flatfoot deformity.
• Misalignment of the ankle or foot.
• Chronic ankle pain not responsive to conservative treatments.
• Arthritis in the ankle joint.
• Specific foot deformities affecting mobility and quality of life.

Preparation

• Patients may need to fast for 8-12 hours prior to surgery.
• Adjustments to medications, such as blood thinners, might be required.
• Preoperative diagnostic tests may include X-rays, MRI, or CT scans.
• A full medical evaluation to assess fitness for surgery.

Procedure Description

1. The patient is administered general anesthesia or regional nerve block.
2. An incision is made near the ankle joint to expose the talus bone.
3. Cuts are made in the talus bone to realign it correctly.
4. The bone segments are secured with screws, plates, or pins.
5. The incision is closed with sutures or staples and dressed with sterile bandages.

Duration

The procedure typically takes around 1-3 hours.

Setting

Talus Osteotomy is performed in a hospital or surgical center.

Personnel

• Orthopedic Surgeon
• Anesthesiologist
• Surgical Nurses
• Operating Room Technicians

Risks and Complications

• Infection
• Blood clots
• Delayed bone healing or non-union
• Nerve damage
• Persistent pain or discomfort
• Poor alignment or recurrence of deformity

Benefits

• Reduction in pain and discomfort.
• Improved alignment of the ankle joint.
• Enhanced mobility and function.
• Decreased reliance on pain medications and orthotics.
• Long-term improvement in quality of life.

Recovery

• Initial rest and elevation of the foot.
• Use of a cast or boot to immobilize the ankle for 6-8 weeks.
• Limited weight-bearing with crutches initially.
• Physical therapy to regain strength and mobility.
• Follow-up visits for X-rays and assessment of healing.
• Full recovery can range from several months to a year, depending on individual factors.

Alternatives

• Non-surgical treatments such as orthotics, physical therapy, and medications.
• Alternative surgical options like ankle fusion or replacement.
• The choice of alternatives depends on the specific condition, severity, and patient health.

Patient Experience

Patients may experience some pain and swelling postoperatively, which can be managed with prescribed pain medication. During recovery, maintaining limb elevation and adhering to weight-bearing restrictions is essential for proper healing. Comfort measures like ice applications and compression can help manage swelling.