Dr Tan has dedicated his career to the treatment and advancement of Foot and Ankle Disorders. He is fellowship trained in the USA and Germany.
Diabetes is an epidemic worldwide and Singapore has not been spared. With more and more people having diabetes, wounds, ulcers and infections in the lower limb and foot are increasingly common. Management in these cases would usually involve a careful examination of the foot for any correctable causes for the wound, management of any infection and good overall control of the diabetes and any associated complications. More and more, people do not accept an amputation as a solution, and reconstruction and rebalancing of the foot can be helpful to salvage or save the foot from an amputation in selected cases. Corrective surgery can also be a good option to aid in ulcer and wound healing particularly in chronic non-healing wounds.
Arthritis or cartilage damage/lesions of the knee can be very debilitating. The knee is usually painful and has intermittent swelling that can be worse with activities. In earlier stages of arthritis, injections and arthroscopy can provide pain relief. Cartilage repair is also possible in selected cases. When arthritis is advanced and combined with deformity, usually some form of resurfacing or joint replacement of the knee is needed. This has been associated with good long-term results and reliable relief of pain together with correction of knee alignment/deformity.
Deformities of the lesser toes are frequently the secondary result of a bunion or deviated big toe. However in some feet, lesser toe deformities can occur on their own or after trauma. Deformities can be varied and can result in the lesser toes riding up or across (crossover toe) towards the big toe or the adjacent toe. Symptoms can include pain over the top of the toe and difficultly getting the foot into a shoe. It is also common to develop a callosity or thickening of the skin over the sole of the foot that can be painful to walk on. This can sometimes be described as ‘walking on a stone’. Lesser toe deformities such as hammer or crossover toes can be managed with toe…