Podiatric Surgery


Podiatric Surgery provides an alternative to Orthopaedic Surgery and is performed using local anaesthetic and is undertaken on a daycase basis (with the patient going home on the day of the operation).

Acceptance

  • Patients with foot pathologies that need a surgical opinion
  • Patients that are able to have surgery under local anaesthetic

Exclusions

  • Patients under 16
  • Patients who have not had any basic podiatry or conservative care for their problem – see above.
  • Primary nail and nail fold conditions (decommissioned)
  • Diabetic foot ulcers (diabetic foot pathway)
  • Skin coverage problems (plastic surgery)
  • Vascular disease (general/vascular surgery)
  • Medical skin diseases (dermatology)
  • Diagnosis and medical management of inflammatory arthritis (rheumatology)
  • Pain management (pain clinic)
  • Trauma (orthopaedics)
  • Malignant tumours (MDT).

The following patients may be excluded from day case surgery listing:

  • Patients whose foot pain results from inappropriate footwear
  • Patients who have not yet tried conservative management without success
  • Patients without a responsible adult available to be with them for the first 24-48 hours after discharge
  • Patients without General Practitioner (GP) out-of-hours back-up available locally.
  • Patients above ASA grade 3
  • Patients without access to telephone at home, or unable to arrange appropriate time to recuperate after surgery
  • Patients with a BMI greater than 35 (due to the difficulty of ensuring effective load protection to the foot as a day case
  • Patients with significant haemophilia, sickle cell disease or thalassaemia
  • Patients on renal dialysis
  • Patients with a history of malignant hyperpyrexia
  • Patients with MRSA (will be deferred until clear)
  • Patients with poorly controlled asthma (frequent hospital admissions within the last 3 months
  • Patients with poorly controlled hypertension (diastolic over 105) or unstable angina
  • Patients with a history of Ml in the last six-months

Referrals can be made using a standard referral letter.


Last updated: 26 Feb 2019