Standards of care

Ambulatory Foot and Ankle Surgery includes Minimal Incision Surgery, Percutaneous Surgery, Arthroscopic Surgery, Minimal Invasive Surgery, other Foot and Ankle Surgical Techniques.

Here is some terminology for you to learn, so you can have a productive appointment with your doctor.

Preoperative Care

1. Locale-Predominately practitioner's office and outpatient.
2. Laboratory Tests- Based on the patient's medical history and the doctor's clinical judgment. X-rays are recommended for bone surgery, weight bearing, partial weight bearing, or non-weight bearing. Radiological angles need not be physically measured and recorded if the surgeon deems a visual inspection of the x-ray adequate to his or her needs.
3. Scheduling-Surgery can be performed at any time and location on which the doctor and patient mutually agree.
4. Sterile Preparation-appropriate surgical scrub and draping of the surgical field depends upon the surgical technique utilized.
5. Sedation-Optional, depending upon type of procedure and patient's desires.
6. Anesthesia-Local and other forms of anesthesia may be administered by the doctor and/or appropriately trained personnel.
7. Serial Surgery-The staging of medical and/or surgical procedures, commonly referred to as serial surgery, may be indicated on certain conditions. The Academy of Minimally Invasive Foot & Ankle Surgery recognizes this as a mode of treatment, when a doctor and patient are in agreement.
8. Multiple Surgery-The performance of multiple medical and/or surgical procedures during any single treatment session is deemed by the Academy of Minimally Invasive Foot & Ankle Surgery as being proper and justifiable when the patient has multiple complaints. Patient history and examination, coupled with social clinical judgment, should augment this decision. Of course, both patient and doctor must mutually agree.


9. Instrumentation-Specialized podiatric surgical instruments including side cutting
Care bone scalpels (surgical burs) may be utilized.
10. Incision Size-Incision may vary from a puncture to a larger incision.
11. Sutures-Sutures or other specialized skin closures are at the discretion of the surgeon.
12. External Fixation-Bandage, Unna boot, splints, postoperative shoe, or cast may be employed. Internal
fixation is not generally required and is at the discretion of the surgeon.


13. Oral Analgesics-are often sufficient. Wet dressings may be utilized at the discretion of Care the surgeon,
depending upon the nature of the procedure.
14. Perioperative and/or prophylactic antibiotics-In the presence of a purulent or suspicious exudate, culture and sensitivity testing is indicated. Appropriate antibiotics should be utilized in the treatment of infections. Perioperative and/or prophylactic antibiotics may be utilized at the discretion of the surgeon. Localized purulent infections need only be cultured if there are appropriate risk factors present.
15. Medical Records-Entries on patient records may be handwritten, typed, or computerized and abbreviated depending on the office policy of the podiatrist who creates and utilizes the records. Standardized operative reports and postoperative instructions regarding routine surgical procedures are acceptable if the type of procedure is identified and any significant differences are included. It is not necessary to record every negative finding on every visit. There is no standardized type of charting that must be used. Medical charts should be accurate and reflect the actual care and treatment of the patient.

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