Case 1: A patient with an ingrown toenail operated under local anesthesia without any stitches or cuts, by means of a minimally invasive and painless technique. The in-growing nail part is extracted and its matrix destroyed, so that it will never grow again. Postoperative home wound care is simple, our patients lead their normal life.
Case 2: A patient with hallux valgus and claw toes deformities in both feet, operated via minimally invasive tecniques under local anesthesia, without any osteosynthesis materials (screws, plates, nails or wires). The patient can walk immediately after the surgery with a bandage and a postoperative shoe. She should come to the clinic once a week during 5 weeks approximately until her full recovery to have her bandage changed.
Case 3: A patient with a hallux valgus stage III deformity and a second toe flexor plate tear. As she had been suffering for a long time, the first toe deviation made the second toe articulation break, causing the "floating toe" syndrome. This challege, taking into account the joint capsule injury, had to be resolved via surgical means following our preoperative protocols and obtaining through minimally invasive tecniques the optimal results. On finishing the surgery the patient was injected PRP (platelet-rich plasma) to encourage bone healing and reduce postoperative inflammation. We apply this method by taking some of the patient´s own blood and running it through a centrifuge to concentrate platelets, which are injected after being activated directly into the injured tissue. The patient can walk immediately after the surgery with a bandage and a postoperative shoe. She should come to the clinic once a week until her full recovery to have her bandage changed.
Case 4: A 50-year-old man with advanced rheumatoid arthritis. The patient has decided to have his fourth and fifth toes operated because he can’t wear shoes and keeps suffering from pain caused by dislocated toes.
Case 5: Cases of extremely painful corns (exostosis) located between, on the top or sides of the toes are very common. The definitive treatment suggests applying a simple and painless 2-mm incision technique under local anesthesia. Postoperative footwear is unnecessary. A small bandage should be worn for a few weeks.