Problems that can follow an injury
- Malunion, where a bone heals out of its normal alignment
- Nonunion, where a fracture does not fully heal
- Post-traumatic arthritis in a joint damaged by injury
- Chronic instability or loss of motion
- Painful hardware or ongoing swelling
How it is evaluated
Evaluation usually includes a history of the original injury and any prior surgery, an examination of alignment and gait, and imaging. Weight-bearing X-rays are often central, and advanced imaging such as CT or MRI may be used for planning.
Non-surgical options
- Bracing and supportive footwear
- Custom orthotics
- Activity modification and rehabilitation
- Injections or medications for pain when appropriate
Reconstructive surgery
When non-surgical care is not enough, reconstruction aims to restore alignment, stability and function. Depending on the problem, this can include cutting and repositioning bone (osteotomy), joint fusion (arthrodesis), tendon or ligament reconstruction, bone grafting for nonunion, and hardware removal. These are complex operations, and the plan is tailored to your anatomy, prior injury and goals.
Setting expectations
The goal is typically less pain and better function and alignment. Recovery after reconstruction can be lengthy, so the planning conversation covers timeline, weight-bearing limits, and realistic outcomes before surgery is scheduled.
What to expect at your visit
A first visit typically includes a review of your symptoms and history, an examination of the foot and ankle (often including how you stand and walk), and imaging such as X-rays when needed. Dr. Ajdari will explain your options, including non-surgical care, so the two of you can choose a plan that fits your goals.
This page is for general education and is not a substitute for an examination and advice from a qualified clinician. Treatment recommendations depend on your individual situation. If you think you may have a medical emergency, call 911.