The experienced physicians and surgeons at The Orthopaedic Institute of Southern Illinois provide the latest in technologically-advanced services to treat foot and ankle conditions of all kinds. Most surgeries are performed on an outpatient basis, allowing patients an early return to weight-bearing activities. With x rays, MRIs and therapy all available at our convenient locations, you will be taken care of by our caring staff at every step— from evaluation to post surgical care.
Orthopaedic Foot and Ankle Specialists
Put simply, ambulation is a critical function that is often significantly impaired by foot and ankle conditions. New advances in technologies allow foot and ankle surgeons to correct conditions that patients were previously told “to live with.” It is our mission to help people with a variety of foot and ankle issues.
Common foot and ankle conditions treated:
- Chronic Ankle Instability
- Ankle Sprains
- Torn Ligaments
- Hallux Rigidus
- Hammer Toes
- Ankle Arthritis
- Big Toe Joint Pain
- Claw Toes
- Adult Acquired Flat Foot
- Charcot’s Neuroarthropathy
- Complex Regional Pain Syndrome (CRPS)
- Lis-Franc Midfoot Fracture-Dislocation
- MTP Synovitis (Capsulitis)
- Osteochondral Injuries of the Talus
- Posterior Tibial Tendon Dysfunction (PTTD)
- Jones / 5th Metatarsal Fractures
This surgical procedure is performed to remove portions of the ankle that are diseased or severely injured and to implant a device that will help manage pain and restore mobility to the ankle. Learn more on our ankle replacement page.
Ankle ligament reconstruction is commonly performed on patients with ankle instability or repeated sprains, as it is effective in tightening loosened ligaments and improving the overall stability of the joint. The ankle ligament reconstruction procedure is performed on an outpatient basis under general anesthesia. During the procedure, the two ligaments may be simply reattached, or part of a lateral tendon around the ankle may be used to repair the torn ligament.
A bunion surgery, or bunionectomy, is performed to correct a deformity of the toe joint. The most common and effective bunion removal procedures are with Distal Head Osteotomy and Wedge Osteotomy, which removes a portion of bone from the big toe.
Hammer Toe Surgery
Hammertoe correction, or PIP joint arthroplasty, is a surgical procedure to correct a hammertoe, a deformity of the toe that causes the toe to become permanently frozen in a bent position. During this procedure, a small piece of bone is removed to shorten the toe and allow it to straighten.
Foot and Ankle Surgery / TreatmentsThere are many foot and ankle surgeries that we perform at The Orthopaedic Institute of Southern Illinois. Some of the most common include:
- Arthroscopic Ankle Arthrodesis – This is a minimally invasive technique of ankle arthrodesis where the remaining cartilage is removed arthroscopically (through a “scope”) through two small incisions at the front of the ankle. The screws that are utilized for fixation are placed through two to three small incisions in the skin under x-ray guidance. This procedure results in minimal trauma to the soft tissue, decreased postoperative pain and excellent healing rates.
- Open Ankle Arthrodesis – Sometimes due to abundant arthritic spurring, deformity or retained screws or plates an open ankle arthrodesis is performed. In this case an incision is made on the outside of the ankle and the outside ankle bone is partially removed and the remaining cartilage and bone spurring is removed. Cuts in the bone can be made to correct for deformity. A small incision is typically made at the front of the joint medially to access that portion of the joint. Screws or plates are typically used for fixation. This procedure can be done from an incision on the front of the joint as well with the development of special plates specifically made for this procedure.
- First Metatarsal-phalangeal Joint (MTP) Arthrodesis – This surgical procedure is performed to help relieve pain in the front of the foot and correct deformities in the MTP joint of the big toe caused by injury, arthritis or genetic defect. The procedure fuses the bone at the base of the big toe to the first metatarsal bone of the foot.
- Triple Arthrodesis – This surgical procedure is used to help relieve pain in the ankle joint and correct deformities in the hindfoot caused by injury, arthritis, or genetic defect. The procedure fuses the three main joints in the hindfoot that allow side-to-side movement – the calcaneo-cuboid, talonavicular, and subtalar joints.
- Tibiotalocalcaneal (TTC) Fusion – This procedure eliminates painful joints between the tibia, talus and calcaneal bones. During surgery, the cartilage is removed and a metal rod, also known as an “intramedullary nail” (intramedullary means within the bone), is inserted through a small incision in the bottom of the foot and up into the tibia. Screws are used to hold the nail and bones in place and to compress the joints together. Compression encourages the bones to grow together.
- Cheilectomy – This surgical procedure is used to help relieve symptoms of hallux rigidus by removing bony growths on top of the big toe’s main joint. This procedure improves joint movement and is most successful in patients with less severe arthritis.
- Lateral Column Lengthening (Evans Osteotomy) – This surgical procedure is used to modify the shape of the foot, creating an arch to correct adult acquired flatfoot, which is a condition of pes planus (commonly called flat foot or fallen arch). It can dramatically change the shape of the foot, giving the foot a more normal appearance.
- Weil Osteotomy – This procedure relieves the symptoms of claw toe, persistent metatarsalgia, metatarsal phalangeal (MTP) joint synovitis or MTP subluxation by shortening the end of the metatarsal at the base of the affected toe. This provides room for the toe to relax and return to its normal position.