Surgical treatments

The doctors at the foot center regularly and routinely perform operations on the forefoot, metatarsus, rearfoot and ankle, and also offer aftercare and post-surgery checks. As orthopedic surgeons, we mostly operati in operation theaters and look after our patient in rooms at the Hirslanden clinics in St. Anna in Lucerne and in Meggen, as well as in the Uster hospital and on an outpatient basis in St. Anna in Lucerne train station.

When is surgery necessary?

Surgery should be considered treatment in the following situations:

  • if conservative therapy (without surgery) does not result or is expected to improve the symptoms sufficiently 

  • if increasing damage is to be expected from waiting

  • if the quality of life, despite conservative therapy, is significantly reduced

  • if pain medication needs to be taken regularly

What types of operations are there?

Depending on the location and type of health impairment, health status, age, goals, and tendencies of the patient, one of the following types of surgery may be recommended:

classic or open surgery:

In the operation, tissue is cut through so-called access routes in order to access the corresponding structures. These techniques tend to cause larger wounds, which can increase the associated risks. This technique can often be used to achieve faster surgery with better visibility for the surgeon. Some interventions can only be carried out openly.

arthroscopic operations / keyhole technique:

Tubes are inserted through small cuts (so-called portals) and through these cameras and surgical instruments. This technique is known from knee joint surgery (meniscus) and is now also standard in abdominal surgery for the removal of the appendix or gall bladder.

minimally invasive / percutaneous operations:

This is the name given to techniques in which the smallest possible injury to skin and tissues is the goal. Smaller tissue injuries usually lead to less discomfort and faster recovery and healing after surgery.

Operations forefoot

  • All common procedures for hammer and claw toes, metatarsalgia

  • Hallux rigidus

  • hallux valgus bunion

  • Hallux varus

  • infections

  • bone fractures

  • revision surgery

  • tendon transfer

Midfoot operations

  • Osteoarthritis Surgery

  • instability

  • bone fractures

  • metatarsalgia

  • revision surgery

  • axis correction 

Operations rearfoot

  • arthrosis (arthrodesis, prosthesis, joint preserving surgery)

  • Buckling foot

  • Hollow foot

  • Club foot

  • revision surgery

  • conversions

Operations on tendons, nerves and soft tissues

  • Acute and chronic complaints of the Achilles tendon

  • Surgery of all tendons

  • Replacement surgery for tendon rupture

  • Ganglion surgery

  • Surgery for Morton's neuroma

  • revision surgery

  • Tendon movements / tenodesis

  • Tumor operations in cooperation with the University of Basel Children's Hospital Department of Tumor Orthopaedics

  • Repair of ruptured tendons (tears)

Ankle operations

  • Ligament reconstruction / ankle instability

  • Diagnostic and therapeutic arthroscopic (mirror) examination

  • joint stiffness

  • bone fractures

  • Arthrosis operations

  • Osteochondral lesions (cartilage injuries)

  • revision surgery

  • ankle prosthesis

  • axial corrections

Operations for the treatment of damaged joints in case of rheumatism and other inflammatory diseases with joint damage

  • Operations in rheumatism patients must be specially planned, taking into account the medication (immunosuppression) as well as the existing damage and the expected course in the long term. If surgery is required, it must be discussed between the patient, rheumatologist and orthopedic surgeon and ideally planned.

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