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Surgical Procedures

A guide to the operations Mr Rashid performs most frequently, who each procedure may benefit, what the operation involves, and what to expect during recovery.

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Realignment of the Big Toe

Bunion Correction Surgery

Bunion correction surgery is performed to relieve pain, improve foot alignment, and restore function when a bunion (hallux valgus) causes persistent symptoms that do not respond to non-operative treatment. The procedure involves realigning the bones and soft tissues of the foot to correct the deformity while preserving or restoring normal joint function. Mr Rashid performs both minimally invasive (MIS) and conventional open bunion surgery, chosen according to the severity of the deformity and the individual patient’s needs.

Who May Benefit

The Operation

Depending on the severity of the bunion, surgery may involve one or more bone cuts (osteotomies), correction of soft tissue imbalance, and stabilisation using screws or other fixation devices.

Recovery

Most patients can weight-bear immediately in a specialised post-operative shoe. Swelling gradually improves over several months. Most return to desk-based work within two to four weeks, although full recovery may take up to six months.

Expected Outcome

Surgery aims to relieve pain, improve alignment, and allow a comfortable return to normal footwear and activities.

Joint-Preserving Reconstruction

Total Ankle Replacement

Total ankle replacement replaces the damaged ankle joint with a modern artificial implant, relieving pain while preserving movement. It is an excellent option for many patients with end-stage ankle arthritis who wish to maintain ankle mobility.

Who May Benefit

The Operation

The damaged joint surfaces are removed and replaced with precision-engineered metal components separated by a polyethylene bearing. Additional procedures such as ligament reconstruction, tendon balancing, or deformity correction may be performed where required.

Recovery

Hospital stay is usually one or two nights. A period of protected weight bearing is followed by physiotherapy to restore movement, strength and balance. Recovery varies depending on any additional procedures performed.

Expected Outcome

The aim is to provide long-lasting pain relief while preserving ankle movement and improving quality of life.

Arthrodesis

Ankle Fusion

Ankle fusion permanently joins the bones of the ankle, eliminating painful movement within the arthritic joint. It remains a reliable treatment for severe ankle arthritis and can provide durable long-term pain relief.

Who May Benefit

The Operation

The damaged cartilage is removed, and the bones are positioned in the correct alignment before being stabilised with screws and, where necessary, plates.

Recovery

Patients are usually non-weight-bearing for approximately six weeks before gradually progressing to weight-bearing in a walking boot. Physiotherapy is introduced as healing progresses.

Expected Outcome

Most patients achieve excellent pain relief and improved walking ability once the bones have successfully fused.

Restoring Stability

Ankle Ligament Reconstruction

This procedure restores stability to ankles affected by chronic ligament injury and recurrent sprains. The damaged ligaments are repaired or reconstructed using modern anatomical techniques.

Who May Benefit

Recovery

A walking boot is worn initially, followed by a structured rehabilitation programme. Return to sporting activities usually occurs between four and six months.

Expected Outcome

The aim is to restore ankle stability, reduce recurrent sprains and improve confidence during walking and sport.

For Acute Rupture

Achilles Tendon Repair

Achilles tendon repair is performed following an acute rupture to restore continuity of the tendon and allow healing in the correct position.

Who May Benefit

Recovery

Treatment involves functional rehabilitation in a walking boot with gradual progression of weight bearing and physiotherapy. Recovery continues for many months.

Expected Outcome

Most patients regain good strength and function, although complete recovery may take 9–12 months.

For Neglected or Failed Healing

Achilles Tendon Reconstruction

When an Achilles rupture has been neglected, or the tendon has failed to heal satisfactorily, reconstruction may be required. This often involves tendon transfer such as the flexor hallucis longus (FHL) tendon, together with additional reconstructive techniques.

Recovery

Recovery is longer than for acute repair and usually involves a period of protected weight bearing followed by physiotherapy.

Expected Outcome

The aim is to restore strength, improve walking ability, and reduce long-term disability.

Restoring Lost Tendon Function

Tendon Transfer Surgery

A tendon transfer involves moving a healthy tendon to replace the function of one that has been damaged or is no longer working effectively. These procedures are commonly used in neurological conditions, tendon ruptures, and complex foot deformities.

Recovery

Recovery depends upon the tendon transferred and the underlying condition. Rehabilitation is essential to retrain the transferred tendon to perform its new function.

Expected Outcome

The aim is to restore balance, improve function, and reduce pain.

Stabilising Arthritic Joints

Foot Fusion Surgery

Foot fusion joins one or more painful arthritic joints to eliminate movement and relieve pain while maintaining a stable, well-aligned foot.

Common Procedures Include

Recovery

Most fusion procedures require approximately six weeks of protected or non-weight bearing, depending on the joints involved, followed by gradual rehabilitation.

Expected Outcome

Fusion surgery provides reliable pain relief and improved foot stability for many patients.

Keyhole Diagnosis & Treatment

Ankle Arthroscopy

Ankle arthroscopy is a keyhole procedure used to diagnose and treat a variety of ankle conditions through very small incisions. It allows treatment of cartilage injuries, ankle impingement, loose bodies, and inflamed tissue with minimal disruption.

Recovery

Many patients return home on the day of surgery. Weight bearing depends upon the procedure performed, and physiotherapy usually begins early.

Expected Outcome

The aim is to relieve pain, improve ankle movement, and facilitate an earlier return to normal activities.

Preserving Joint Function

Cartilage Repair Procedures

Cartilage repair aims to treat areas of damaged cartilage within the ankle joint, helping to relieve pain and preserve joint function.

Treatment Options

Recovery

Recovery varies according to the procedure performed and usually involves a period of protected weight bearing followed by physiotherapy.

Expected Outcome

Results depend upon the size and location of the cartilage injury, as well as patient factors and rehabilitation.

Bone Realignment Surgery

Osteotomy

An osteotomy is a controlled surgical cut in a bone that allows it to be repositioned into a more normal alignment. Osteotomies are commonly performed to correct deformity, redistribute pressure, and improve joint function.

Common Indications

Recovery

Recovery depends upon the location of the osteotomy and the fixation used. Weight-bearing recommendations are tailored to the procedure performed, and physiotherapy is introduced as healing progresses.

Expected Outcome

The aim is to restore alignment, improve function, reduce pain and delay or prevent further joint degeneration where possible.

Why Choose

Dr Anjum Rashid

07516714986

Mon–Fri, 9am–5pm

ljcave4@gmail.com

Practice Secretary

Mr Rashid is a Consultant Trauma and Orthopaedic Surgeon specialising exclusively in foot and ankle surgery. He offers the full spectrum of modern foot and ankle procedures, including minimally invasive surgery, complex reconstruction, total ankle replacement, and revision surgery. Rather than offering a single technique for every patient, he believes in selecting the most appropriate treatment for each individual ensuring every patient receives the operation best suited to their condition, lifestyle and long-term goals.