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Appointments and Consultations

To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital.

Coronavirus Information

Stay at Home

  • Only go outside for food, health reasons or work (but only if you cannot work from home)
  • If you go out, stay 2 metres (6ft) away from other people at all times
  • Wash your hands as soon as you get home

Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms.

What To Do If You Need Medical Help

If you need medical help for any reason, do not go to places like a GP surgery, pharmacy or hospital.

If you have symptoms of coronavirus (high temperature or a new, continuous cough), use the 111 coronavirus service.

If you need help or advice not related to coronavirus:

  • for health information and advice, use the NHS website or your GP surgery website
  • for urgent medical help, use the NHS 111 online service – only call 111 if you're unable to get help online
  • for life-threatening emergencies, call 999 for an ambulance
Total Ankle Replacement

Total ankle replacement is an operation to replace a worn-out ankle joint by resurfacing the ends of your tibia and talus with metal components with a plastic insert in between them to allow gliding motion.

The metal components are fixed into bones using pegs or stems and have a special coating to encourage the patient’s bone to grow into them. Total ankle replacement (TAR) is an emerging technology. Although the first generation of total ankle replacements in the 1970’s showed poor results, improvements in technology and research have led to the development of the third generation of uncemented, three component, mobile-bearing implants.

Read more: Total Ankle Replacement
Ankle Fusion (Arthrodesis)

Ankle fusion is an operation to convert a stiff painful joint into an even stiffer but painless joint. In this procedure, the remaining damaged cartilage is removed from the ends of the bone and the two bones are then held together in compression using screws, or plates until they join to become one (bone fusion).

Read more: Ankle Fusion (Arthrodesis)
Bunions (hallux valgus) and lesser toe deformities treatment

Surgery should only be considered if all non-surgical measures have been explored and if symptoms are significant. Bunion and/or lesser toe surgery is not just a cosmetic procedure and you could be swapping a deformed PAINLESS foot for a PAINFUL cosmetically pleasing foot.

Greater understanding of the many complex components of hallux valgus and lesser toe deformities has led to more patient-specific surgery. Fixation with screws has significantly decreased pain in the post-operative period. Patients no longer need to be in a plaster cast for six weeks following surgery and can mobilise straight away in a wedge shoe.

Read more: Bunions (hallux valgus) and lesser toe deformities treatment

The ankle is a hinge joint between the leg and the foot, and allows up/down and side/side movement. Stability is provided by strong ligaments either side of the ankle.

The ligament on the outside of the ankle is called the lateral ligament. It is made up of three bands connecting the fibula (the prominent bone on the outside of the ankle) and the talus (ankle bone) and calcaneus (heel bone). If the ankle is twisted, the ligaments can become stretched or torn. This is known as a sprained ankle.

Read more: Lateral Ligament Reconstruction of the Ankle

Many conditions affecting the foot can produce discomfort, which can limit mobility, therefore your feet need to be strong and healthy. The foot is a complicated part of the anatomy and consists of 26 bones, 33 joints and numerous tendons, ligaments and muscles. Sometimes the structure and mechanics of your feet or ankles change (for a number of reasons) and surgery may be required to address these. Surgery is usually only considered when all conservative measures have been exhausted.

Read more: Foot and ankle surgery

The tibialis posterior is a muscle in the lower leg. The tendon from this muscle runs behind the inside bone on the ankle (called the medial malleolus), across the instep and attaches to the bottom of the foot. The tibialis posterior is important as it helps to hold the arch of the foot up and stop the foot rolling over. Sometimes the tendon becomes stretched and inflamed. This condition can be called Tibialis Posterior Tendon Dysfunction, Tibialis Posterior Insufficiency or Acquired Adult Flat Foot.

Read more: Adult aquired flatfoot deformity or tibialis posterior tendon dysfunction

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