Our Minimally Invasive Ambulatory Foot Surgery Comparison

There are two basic types of foot surgery

Which would you choose?


Our Minimally Invasive Ambulatory Foot Surgery

Their Orthopedic Foot Surgery


Local anesthesia used usually with Nitrous Oxide Analgesia.

General or regional anesthesia most likely with or without narcotics.

Extent of Trauma

Negligible trauma to dermal and subcutaneous tissues. Minimal scarring. Internal fixation not required.

Dissection procedures extensive local tissue damage at each incision site with prominent scarring. Internal fixation is frequently required and may necessitate future removal of hardware or casts.

Incision Size

Usually 1/4 inch incision.

Wound openings are larger and require closures.


Surgical burs and rasps are predominately employed for bone operations.

Hammers, chisels, rongeurs and saws are generally utilized in conjunction with wires, pins, screws and implants for bone operations.


Predominantly surgery center based.

Hospitalization usually required.

Postoperative Care

Mild analgesics usually suffice.

Narcotics often prescribed. Dry dressing usually indicated. Immobilization, i.e. casts or rigid footgear often utilized.

Preoperative Laboratory Tests

Based on the patient’s medical history and the doctor’s clinical judgment. Foot x-rays are mandatory in bone surgery.

A full gamut of laboratory tests are taken routinely. Foot x-rays are taken as well as additional x-rays which may be hospital policy.

Preoperative Preparation

Aseptic technique is executed using sterile technique and attire.

Customary operating room sterile technique and attire are mandatory since the operative area is exposed to the surrounding environment.

Preoperative Sedation

Not necessary.

Patient is most always sedated.


Surgery can be performed any time the doctor and patient mutually agree.

Surgery may be planned and scheduled well in advance.


Usually only one suture.             

Sutures often required.

Infections Low Risk Higher Risk