Post-Traumatic Reconstruction of the Foot and Ankle Treatment Miami, FL
Post-Traumatic Reconstruction of the Foot and Ankle
Post-traumatic reconstruction of the foot and ankle is a surgical procedure performed to correct deformities and restore function following traumatic injuries. These injuries can damage bones, ligaments, tendons, and soft tissues, often causing pain, disability, and post-traumatic arthritis. Reconstructive surgery aims to reduce pain, prevent further deformity, and restore stability, appearance, and function.
Anatomy
The foot and ankle are complex structures involved in movement, stability, and balance. They are composed of bones, muscles, ligaments, tendons, and soft tissues.
- Forefoot: 5 toes and associated phalanges.
- Midfoot: A complex of bones forming the foot arch.
- Hindfoot: Heel and ankle structures.
- Ankle joint: Formed by the tibia, fibula, and talus, stabilized by multiple ligaments and tendons.
Indications for Post-Traumatic Reconstruction
Reconstructive surgery may be indicated for:
- Fractures or dislocations from trauma or accidents
- Athletic injuries such as Achilles tendon tears, foot/ankle fractures, and ligament injuries
- Post-traumatic arthritis causing deformities or loss of function
- Crushing injuries, gunshot wounds, or falls from height
- Severe soft tissue or bone damage requiring complex repair
Preparation for Surgery
Preoperative steps may include:
- Thorough medical evaluation and imaging (X-rays, CT, MRI)
- Blood work and assessment of medical conditions
- Review of medications, supplements, and allergies
- Stopping blood thinners or anti-inflammatory medications if advised
- Avoiding alcohol and tobacco before surgery
- Fasting for at least 8 hours before the procedure
- Arranging transportation and support for post-surgery
Surgical Procedure
Post-traumatic reconstruction can be performed via open surgery or arthroscopic/minimally invasive techniques, depending on the injury type and patient needs.
Arthroscopic approach:
- Tiny half-inch incisions (portals) are made around the foot or ankle
- An arthroscope, a small tube with a light and camera, is inserted to visualize and repair the damaged structures
Open approach:
- A larger incision exposes the treatment area for complex repairs
- Special instruments are used for bone realignment, soft tissue repair, and joint reconstruction
Reconstructive procedures may include:
- Debridement (removal of dead tissue)
- Bone reduction and fixation (plates, screws, pins, or external fixators)
- Tendon transfers or repair
- Skin flaps or toe salvage in forefoot injuries
- Arthrodesis (joint fusion) for severe midfoot or hindfoot damage
- Bone grafting for significant bone loss
Postoperative Care and Recovery
Recovery is individualized, but general guidelines include:
- Observation in the recovery area with monitoring of vital signs
- Pain management and prescribed medications
- Antibiotics to prevent infection
- Ice application and elevation of the foot to reduce swelling
- Non-weight-bearing on the affected foot; use of crutches or walkers
- Physical therapy to restore range of motion, strength, and mobility
- Gradual return to daily activities and sports as approved by your surgeon
- Full recovery may take 6-12 months, depending on the extent of reconstruction
Risks and Complications
As with any surgery, potential complications include:
- Infection
- Bleeding
- Postoperative pain
- Nerve or vessel injury
- Blood clots (DVT)
- Non-union or delayed healing of bones
- Failure of fixation devices or grafts
Why Choose Dr. Alejandro Pino
Dr. Alejandro Pino is a fellowship-trained orthopedic foot and ankle surgeon specializing in complex post-traumatic reconstruction. He combines advanced surgical techniques with patient-specific approaches to restore function, reduce pain, and optimize recovery.
- State-of-the-art techniques: Uses modern fixation constructs and minimally invasive approaches for precise repair with smaller incisions, less tissue trauma, and faster healing.
- Comprehensive care: Addresses both bone and soft tissue injuries to fully restore foot and ankle function.
- Personalized treatment: Every surgical plan is tailored to your specific injury, activity level, and recovery goals.
- Experience with complex cases: Skilled in treating severe trauma, joint deformities, and challenging post-injury conditions.
- Focus on function and mobility: Prioritizes restoring stability, strength, and range of motion so patients can return to daily activities and sports.
With Dr. Pino, patients receive expert care that emphasizes both technical precision and a holistic approach to recovery.
