Foot and ankle issues can significantly impact one’s quality of life, particularly when they involve chronic pain or structural abnormalities. One such condition that affects many is accessory navicular syndrome, a congenital condition characterized by the presence of an extra bone in the foot. To address this condition, a surgical procedure known as the Kidner procedure is often recommended.
At Cella Foot & Ankle Specialty, we are committed to providing our patients with comprehensive information and care options to ensure their best foot health.
What is the Kidner Procedure?
The Kidner procedure is a type of foot surgery specifically designed to address the symptoms associated with accessory navicular syndrome. This extra bone, located on the inner side of the foot just above the arch, can cause pain and discomfort due to its interaction with surrounding tissues and structures.
How the Procedure Works
The Kidner procedure involves the surgical removal of the accessory navicular bone and the repositioning or reattachment of the posterior tibial tendon, which is often irritated or displaced due to the presence of the extra bone. The goal of the surgery is to alleviate pain, improve foot function, and restore normal anatomy.
Indications for the Kidner Procedure
Patients who typically benefit from the Kidner procedure are those who:
- Experience chronic pain or discomfort in the inner side of the foot, especially after physical activities.
- Have failed to find relief through conservative treatments such as orthotics, physical therapy, or anti-inflammatory medications.
- Exhibit symptoms of tendonitis or dysfunction due to the accessory navicular bone.
The Surgical Process
- Preoperative Evaluation: A thorough clinical examination and imaging studies (such as X-rays or MRI) are performed to assess the severity of the condition and plan the surgery.
- Anesthesia: The procedure is usually performed under local anesthesia with sedation or general anesthesia, depending on the patient’s preference and medical condition.
- Incision and Removal: An incision is made along the inner side of the foot to access the accessory navicular bone, which is then carefully removed.
- Tendon Repair: The posterior tibial tendon is inspected and, if necessary, repaired or repositioned to ensure it functions properly without irritation.
- Closure and Recovery: The incision is closed with sutures, and a sterile dressing is applied. The foot is often placed in a cast or boot to protect the surgical site during the initial healing phase.
Recovery and Rehabilitation
Recovery from the Kidner procedure typically involves:
- Immobilization: The foot is immobilized in a cast or boot for several weeks to allow the surgical site to heal.
- Physical Therapy: Once initial healing has occurred, physical therapy is often recommended to restore strength, flexibility, and function to the foot.
- Gradual Return to Activity: Patients are advised to gradually increase their activity levels as pain and swelling subside, with full recovery usually taking several months.
Comprehensive Q&A Section
Q: What are the risks associated with the Kidner procedure?
A: As with any surgical procedure, the Kidner procedure carries potential risks, including infection, nerve damage, and complications related to anesthesia. Additionally, there may be risks of delayed healing, scar tissue formation, or recurrence of symptoms. However, these risks are relatively low when the procedure is performed by a skilled and experienced surgeon.
Q: How successful is the Kidner procedure in relieving pain and improving foot function?
A: The success rate of the Kidner procedure is generally high, with most patients experiencing significant relief from pain and improvement in foot function. Outcomes can vary based on individual factors, including the severity of the condition and adherence to postoperative care instructions.
Q: Can children undergo the Kidner procedure, or is it only for adults?
A: The Kidner procedure can be performed on both children and adults. However, the decision to proceed with surgery in children is typically made after considering conservative treatment options and evaluating the impact of the condition on the child’s daily activities and development.
Q: How can I prepare for the Kidner procedure?
A: Preparing for the Kidner procedure involves several steps, including preoperative consultations, imaging studies, and discussions about anesthesia options. Patients are also advised to arrange for assistance during the initial recovery period and to follow any preoperative instructions provided by their surgeon.
Q: What should I expect during the recovery period?
A: Recovery from the Kidner procedure involves a period of immobilization followed by gradual rehabilitation. Patients should expect to limit weight-bearing activities initially and participate in physical therapy as recommended. Full recovery can take several months, but most patients can resume normal activities once healing is complete.
Q: Are there alternatives to the Kidner procedure for treating accessory navicular syndrome?
A: Yes, conservative treatments such as orthotics, physical therapy, and anti-inflammatory medications are often tried before considering surgery. However, if these measures fail to provide relief, the Kidner procedure is a highly effective surgical option.
Conclusion
At Cella Foot & Ankle Specialty, we understand the impact that foot pain and dysfunction can have on your quality of life. The Kidner procedure offers a promising solution for those suffering from accessory navicular syndrome, providing relief from pain and restoring normal foot function. If you have any questions or are considering this procedure, please contact our office to schedule a consultation with our experienced team. We are here to help you step towards a pain-free and active life.
By providing this comprehensive overview, Cella Foot & Ankle Specialty aims to empower patients with the knowledge they need to make informed decisions about their foot health. If you have further questions or need personalized advice, don’t hesitate to reach out to our specialists.
