Clinical philosophy · Illustrated book
Philosophy of Foot
and Ankle Surgery
Understanding the person, the mechanics and the path to recovery.
A philosophy of informed care
By Mr Peyman Bakhshayesh, MD, PhD, MBA
Consultant Trauma and Orthopaedic Surgeon specialising in foot and ankle surgery and trauma.
This substantial illustrated book brings together the author’s clinical philosophy, teaching, published research and guidance on foot and ankle conditions. Nine chapters follow the patient from assessment and an understanding of biomechanics through treatment decisions, reconstruction, trauma care and rehabilitation.
The central question is how treatment can improve the patient’s life. The book connects the location of pain, alignment, joint and tendon function, soft-tissue condition and the patient’s goals with a reasoned choice of care.

The approach
Mechanics, judgement
and recovery
Assessment begins with the person’s symptoms, walking pattern, medical background and expectations. Imaging helps answer a clinical question. Nonoperative care, joint-preserving procedures, replacement and fusion each have a role when matched to the individual problem.
In trauma, the mechanism of injury and the condition of the soft tissues shape the timing and method of reconstruction. Across every chapter, success includes function, confidence, footwear tolerance and a meaningful return to daily life.
Inside the book
Nine chapters
- The development of a surgical philosophy
- Assessment and treatment planning
- The ankle and hindfoot
- Midfoot conditions and reconstruction
- Forefoot conditions and balanced reconstruction
- Biomechanics of the Foot
- Sports injuries tendons and return to activity
- Foot and Ankle Trauma
- Recovery and the measure of success
Conditions and treatment choices
The foot and ankle
as a connected system
The book combines regional anatomy and treatment principles with the following conditions. Open an individual guide for focused patient information.
Ankle and hindfoot
- Ankle arthritis
- Ankle fusion
- Total ankle replacement
- Ankle arthroscopy
- Chronic ankle instability
- Subtalar and hindfoot fusion
Midfoot and alignment
- Midfoot arthritis and fusion
- Progressive collapsing foot deformity
- Cavovarus and high-arched foot
- Painful accessory navicular
Forefoot and toes
- Bunions and hallux valgus
- Hallux rigidus and big toe arthritis
- Hammer toe, claw toe and lesser toe deformities
- Morton’s neuroma
Heel pain and tendons
Trauma and fractures
Read alongside your care
The book supports clinical learning and informed conversations. Your own assessment, operation and rehabilitation plan determine the advice that applies to you.