A common foot problem facing the population is the bunion. This deformity serves as a good example of why comprehensive planning, execution and follow through by a trained and experienced specialist surgeon is important to a good outcome. We start with patient selection. Candidates must be healthy enough, motivated, and have appropriate expectations for their operation. In bunion surgery, bone angles, joint quality and arch stability are key variables in decision making for each individual patient.
The Aloha doctors typically perform this procedure with a local anesthetic and intravenous sedation in the outpatient surgical center setting. They utilize small incisions on the side of the foot with plastic closure so that the scar doesn’t show. Pre-emptive nerve blocks allow patients to recover typically with minimal or no pain, and the combination of ice and intermittent compression reduces swelling and minimizes other risks. Dr. Cachia states: ” Bunion surgery is truly a blend of art and science”…” while cosmetic appearance is very important and attention to every detail is critical, foot function is equally important and attention to the mechanics and geometry of the final result is paramount to a successful outcome”.
The Aloha Team begins with a complete history and appropriate physical exam, diagnostic imaging and discussion of alternatives. Ultimately a plan is formulated, explained, and completed. Patients become partners in their recovery and ultimately their result, so every effort is made to encourage patient compliance through patient education.
The philosophy of patient care at Aloha Foot and Ankle Associates allows Dr. Victor Cachia and Dr. Visoth Chan to explore many different treatment alternatives for individual patients so that the most effect treatment can be administered while keeping risk at a minimum. Dr.’s Chan and Cachia prefer to approach patient care from the patient’s perspective, as well as drawing from decades of combined education, training and experience. The doctors know that while some patients require surgery to treat their foot and ankle conditions, many problems can be solved quickly and effectively with conservative means. Non-surgical methods may include footwear modifications, bracing, orthoses, physical medicine, class IV laser therapy, radial shock wave, Proliferative, PRP and stem cell therapy and medication or immobilization. Other patients require and may benefit most from surgical correction.