There are two basic types of foot surgery.
Which would you choose?
Definition of Standards of Care Approved by the Academy of Ambulatory Foot and Ankle Surgery.
|Our Minimally Invasive Ambulatory Foot Surgery||Their Orthopedic Foot Surgery|
|Anesthesia||Local anesthesia used usually with Nitrous Oxide Analgesia.||General or regional anesthesia most likely with or without narcotics.|
|Extent of Trauma||Negligible trauma to dermal and subcutaneous tissues. Minimal scarring. Internal fixation not required.||Dissection procedures extensive local tissue damage at each incision site with prominent scarring. Internal fixation is frequently required and may necessitate future removal of hardware or casts.|
|Incision Size||Usually 1/4 inch incision.||Wound openings are larger and require closures.|
|Instrumentation||Surgical burs and rasps are predominately employed for bone operations.||Hammers, chisels, rongeurs and saws are generally utilized in conjunction with wires, pins, screws and implants for bone operations.|
|Locale||Predominantly surgery center based.||Hospitalization usually required.|
|Postoperative Care||Mild analgesics usually suffice.||Narcotics often prescribed. Dry dressing usually indicated. Immobilization, i.e. casts or rigid footgear often utilized.|
|Preoperative Laboratory Tests||Based on the patient’s medical history and the doctor’s clinical judgment. Foot x-rays are mandatory in bone surgery.||A full gamut of laboratory tests are taken routinely. Foot x-rays are taken as well as additional x-rays which may be hospital policy.|
|Preoperative Preparation||Aseptic technique is executed using sterile technique and attire.||Customary operating room sterile technique and attire are mandatory since the operative area is exposed to the surrounding environment.|
|Preoperative Sedation||Not necessary.||Patient is most always sedated.|
|Scheduling||Surgery can be performed any time the doctor and patient mutually agree.||Surgery may be planned and scheduled well in advance.|
|Sutures||Usually only one suture.||Sutures often required.|
|Infections||Low Risk||Higher Risk|
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