Foot and ankle
Foot and Ankle Injuries
At the Gastaldi Orquin Institute of Traumatology, foot and ankle injuries are one of the main reasons for consultation in our unit, as they often occur during sports, recreational, work-related activities, or even at home.
- Ankle Sprain: This is the most common pathology and one of the main reasons for consultation in traumatology.
- Achilles Tendon Rupture: A traumatic injury that affects mobility and requires specialized treatment to ensure proper recovery.
- Ankle and Foot Bone Fractures: Complex fractures such as those of the calcaneus (heel bone) or metatarsals that require precise and specialized treatment.
HALLUX VALGUS AND METATARSALGIA
Hallux valgus (bunion) is a deformity of the big toe that shifts toward the other toes, causing pain and inflammation. Metatarsalgia is pain in the front part of the foot, often caused by overuse or biomechanical alterations.
Treatments:
- Minimally invasive surgery (percutaneous): Osteotomies (corrects the deformity and relieves pain).
ANKLE AND FOOT OSTEOARTHRITIS
Osteoarthritis is a degenerative disease that wears away the cartilage in the ankle and foot joints, causing pain, stiffness, and difficulty walking.
Treatments:
- Guided ECO infiltrations (to reduce pain and inflammation).
- Regenerative medicine (stimulates the repair of damaged tissue).
- Surgery: Arthrodesis (joint fusion) and Osteotomies (alignment correction).
Cartilage injuries in the ankle and foot can be caused by trauma or wear and tear, leading to pain, swelling, and functional limitation.
Treatments:
- Guided ECO infiltrations (to relieve pain and inflammation).
- Regenerative medicine (promotes cartilage regeneration).
- Surgery: Arthroscopy (repairs damaged cartilage).
An ankle sprain is the tearing of the ligaments that hold the ankle in position. Typically, ankle sprains occur when walking or running on uneven ground and the foot is bent inward, which stretches the ankle ligaments beyond their limit and tears them.
Treatments:
- They are common in athletes and cause pain, instability and functional limitation.
Ankle impingement is the pinching of tissues in the joint, common in athletes. It causes pain and limited movement, especially when flexing or extending the ankle.
Treatments:
- Guided ECO infiltrations (to reduce pain and inflammation).
- Surgery: Arthroscopy (removes the tissue causing the pinching).
FOOT AXIS ALTERATIONS
Includes flat feet (decreased arch) and cavus feet (excessive arch). These alterations can cause pain, fatigue, and gait problems.
Treatments:
- Surgery: Osteotomies (corrects alignment and improves function).
Treatments:
- Guided ECO infiltrations
- Regenerative medicine
- Surgery: Arthroscopy
The most common tendon injuries include:
Achilles tendon rupture, which causes acute pain and inability to walk on tiptoe, usually due to overexertion.
Tennis leg rupture, typical in sports with abrupt changes of direction, causing sudden pain in the calf.
Achilles tendinitis, frequent in runners, with pain when walking or running.
Tendinitis of the posterior tibialis, associated with flat feet, with pain in the internal aspect of the ankle.
Plantar fasciitis, which generates characteristic morning pain in the heel.
Current treatments include ultrasound-guided infiltrations, regenerative therapies (PRP/stem cells) and, in severe cases, minimally invasive surgery. These techniques allow faster recovery, are minimally invasive and do not require hospitalization.
Treatments
At the Gastaldi Orquin Institute of Traumatology, we offer a comprehensive approach to the diagnosis and treatment of foot and ankle conditions. We adapt our techniques based on the complexity of each case, always prioritizing the least invasive methods.
- Correction of common deformities such as bunions (hallux valgus), hammer toes, or metatarsalgia.
- Treatment of cartilage injuries, loose bodies, or synovitis.
- Ligament and tendon reconstruction:
- Procedures for flat feet, cavus feet, or post-traumatic deformities.
- Joint replacement in cases of severe osteoarthritis, offering an alternative to restore functionality.
