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Types Of Foot Surgery

Types of Foot Surgery

Types of Foot Surgery performed by Estero Podiatrist Dr. Tribuiani

Achilles Tendon Surgery

Achilles Tendon Surgery performed by an Estero PodiatristAn injury to the Achilles tendon is one of the more dramatic lower-body injuries. But even a ruptured Achilles is often a result of “wear-and-tear.” The Achilles is always working, as it’s necessary to keep you walking and running. In the case of Achilles tendon swelling without a rupture, we occasionally perform surgery. After this surgery, you’ll be moving around on crutches for a couple of weeks.

Tibialis Posterior Foot Surgery

Tibialis Posterior Dysfunction Surgery

There is a muscle that provides support for your instep arch. It is called the tibialis posterior. The tibialis posterior tendon connects the tibialis to the bone, and it can become swollen and painful when inflamed. This can happen when an athlete falls, or also due to overuse. At Total Podiatry, we see tibialis posterior dysfunction in athletes who play high impact sports like soccer and basketball. The result of this condition can weaken the tendon and compromise the instep arch. It can result in a “flatfooted” look. This injury can definitely slow down your season if you have it. If icing and rest do not relieve the pain and swelling, we may have to treat the condition surgically. Depending on the specific case, this may involve:

  • Osteotomy
  • Tendon Transfer
  • Fusion

These procedures will have you in a cast for up to 12 weeks. But afterward, you should be pain-free!



We know the foot and ankle are quite intricate. In fact, this area is one of the most complex areas of the body. So, as you can imagine, there are several different types of surgery.

Here are some of the most common types of foot and ankle surgery.

Metatarsal Foot Surgery

Estero Podiatrist Metatarsal Foot SurgeryThe metatarsal bones are a group of five long bones in the foot. You find them between the “tarsal bones” and the phalanges of the toes. The small joints in your forefoot (the metatarsophalangeal joints) may become arthritic. Arthritis can in turn lead to inflammation of the joint lining (called synovitis). When this results in MTPJ joint dislocation, the result is pain and discomfort. Many people report that it’s like walking on pebbles. The details of metatarsal foot surgery depend upon the severity of the injury. There is a chance that other treatments will control the pain, but surgery is a distinct option. When surgery is necessary, a common scenario is the removal of the heads of the MTPJ and surgery to the big toe.

Bunions Foot Surgery

Bunions often affect females because of footwear choices. High heels are a major culprit. So what are bunions? Bunions occur at the base of the big toe, and they are bony lumps resulting from “hallux valgus.” What’s that?  Hallux valgus causes the big toe joint to become deformed when it bends towards the other toes. This, in turn, causes the bunions. Surgery for bunions is not all that complicated. At Total Podiatry we perform an osteotomy, which is a straightening of the big toe and the metatarsals. Recovery time for bunion surgery is about 6 weeks.

Hammer Toe Foot Surgery

Bunions aren’t the only condition caused by hallux valgus. Another nasty result of this condition is to cause the other toes to bend in a permanent manner. ANOTHER nasty result it can have is to cause the toes to become clawed and deformed. We call this hammer toe. It can be quite painful when walking. We can repair hammertoe by either performing an arthroplasty or an arthrodesis. An arthroplasty is when we restore your joint flexibility. We do this by removing the deformed joint between the toes.

Plantar Fasciitis Foot Surgery

Estero Podiatry Plantar Fasciitis Foot Surgery

Plantar fasciitis is when the tissue from the heel to the toe (the plantar fascia) becomes inflamed where it joins your heel.  With bad cases of the condition, we release the plantar fascia from the heel bone. It’s a simple foot surgery. After, you need to have it bandaged up following surgery.

Ankle Surgeries

Pain and swelling in the ankle are the result of either:

  • Osteoarthritis (cartilage covering bone ends thins out and bone underneath thickens)
  • Rheumatoid arthritis resulting from a previous injury.

Surgery to relieve the pain and swelling may be necessary if you are facing severe ongoing symptoms. In this case, we may perform one of the following procedures:

  • Ankle fusion
  • Triple fusion
  • Ankle replacement

Morton’s Neuroma Foot Surgery

Estero Podiatrist performing Morton's Neuroma Foot SurgeryThis is a condition that affects the nerves of the toes, near the balls of the feet. It can be quite painful. Morton’s neuroma occurs when the tissue around the nerves of the toes becomes overly thickened. Morton’s neuroma is yet another irritating condition that can arise from the excessive wearing of high-heeled shoes.

Here are the symptoms of Morton’s neuroma:

  • The notorious “pebble-in-the-shoe” feeling
  • A sharp, burning sensation in the toes or balls of the feet
  • Numb or “tingly” toes

Surgery for Morton’s neuroma involves removing the nerve that is causing your pain.

Dr. Alphonse Tribuiani

Dr. Alphonse R. Tribuiani, DPM, FACFAS has been in practice in Southwest Florida for over eighteen years and has been one of the leaders in anti-fungal/anti-bacterial skin and nail treatments. Dr. Tribuiani formulated and created Deep Cover System® treatment, which was the first fashion line to help cure unsightly nail fungus and skin disorders. These products were sold throughout the United States.
He received a Bachelor’s of Arts degree from Rutgers University in Camden, New Jersey and his Doctor of Podiatric Medicine at Temple University in Philadelphia. He completed a one year surgical and medical residency at the John F. Kennedy Memorial Hospital in Philadelphia followed by a two-year surgical residency at Crozer-Keystone Health System where he received extensive training in trauma and re-constructive surgery of the foot and ankle with special emphasis on diabetic limb salvage, Charcot reconstruction and wound care management.
He has been featured in local and nation television and magazines including FOX News, NBC, Shop NBC, Cosmopolitan, Lucky, and Allure magazines.​

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