Arthroscopic retrocalcaneal spur excision is a minimally invasive surgical procedure used to remove a bony protrusion (spur) that has developed on the back of the heel bone, also known as the calcaneus. This condition is known as retrocalcaneal exostosis or Haglund’s deformity, and it can cause pain, swelling, and inflammation in the area. The surgery is performed arthroscopically, using a small camera and surgical instruments inserted through small incisions in the skin. The procedure is usually performed on an outpatient basis and has a relatively short recovery period.
Pre-op for Arthroscopic retrocalcaneal spur excision
The pre-operative process for arthroscopic retrocalcaneal spur excision may include:
Medical history and physical examination: The orthopedic surgeon will review the patient’s medical history and perform a physical examination of the ankle and foot.
Imaging tests: Imaging tests such as X-rays, MRI or CT scans may be ordered to evaluate the extent of the retrocalcaneal spur and associated soft tissue damage.
Blood tests: Routine blood tests may be ordered to check for any underlying medical conditions that could affect surgery or recovery.
Medication review: The orthopedic surgeon will review all current medications, including prescription drugs, over-the-counter medications, and supplements, and advise the patient on which medications should be discontinued before surgery.
Lifestyle changes: The patient may be advised to make certain lifestyle changes before surgery, such as quitting smoking or losing weight, to reduce the risk of complications.
Anesthesia consultation: The anesthesiologist will review the patient’s medical history and recommend the appropriate type of anesthesia for the procedure.
Pre-operative instructions: The patient will be given instructions on what to do before surgery, such as fasting or avoiding certain foods and drinks, and when to arrive at the hospital or surgery center.
Arthroscopic retrocalcaneal spur excision is a surgical procedure performed to remove a bone spur at the back of the heel bone (calcaneus) that causes pain and discomfort in the area. During the procedure, a small incision is made at the back of the heel and an arthroscope (a thin, flexible tube with a camera attached to it) is inserted to visualize the spur. The surgeon uses small instruments to remove the spur and any damaged tissue around it. The procedure is typically performed on an outpatient basis under local anesthesia.
After the procedure, the patient is monitored for a short period of time before being discharged with instructions on post-operative care and rehabilitation. The recovery period typically involves a period of rest and gradual return to weight-bearing activities as directed by the surgeon. Physical therapy may also be recommended to help improve range of motion and strength in the foot and ankle.
Post-op for Arthroscopic retrocalcaneal spur excision
Post-operative care following an arthroscopic retrocalcaneal spur excision typically involves pain management and wound care. The patient may experience some swelling, pain, and stiffness in the affected foot, which can be managed with pain medication and rest.
It is important to keep the surgical site clean and dry to prevent infection, and the patient should follow the surgeon’s instructions for changing dressings and keeping the area clean. The patient may need to wear a protective boot or cast for several weeks to protect the foot and allow it to heal properly.
Physical therapy may also be prescribed to help restore range of motion and strength to the affected foot. The patient should follow the rehabilitation plan closely and attend all scheduled appointments to ensure the best possible outcome.
The rehabilitation process after arthroscopic retrocalcaneal spur excision may vary depending on the patient’s individual condition and the surgeon’s recommendations. However, here are some general guidelines that may apply:
Immobilization: After surgery, the foot may be immobilized in a cast or a splint for several weeks to protect the surgical site and promote healing.
Rest and elevation: Patients are advised to keep their foot elevated above the level of their heart to reduce swelling and pain. They should avoid weight-bearing activities for several weeks and limit their movement to prevent further damage.
Physical therapy: Once the surgeon clears the patient for weight-bearing activities, physical therapy may begin. The therapist may recommend exercises to improve flexibility, strength, and range of motion of the ankle and foot. They may also use techniques such as massage, ultrasound, and electrical stimulation to reduce pain and inflammation.
Return to normal activities: Patients can usually return to normal activities, such as walking and light exercise, after several weeks of physical therapy. However, they should avoid high-impact activities, such as running or jumping, for several months to prevent reinjury.
It is essential to follow the surgeon’s post-operative instructions closely to ensure a successful recovery. The rehabilitation process may take several months, and patients may experience some discomfort and limitations during this time. However, with patience and commitment, most patients can expect to regain their full range of motion and return to their daily activities.
