About Dr Gerard Hardisty
Understanding foot and ankle surgery
Seeing a foot and ankle surgeon should feel collaborative. My role is to examine your problem carefully, explain options in plain language and agree on a plan that fits your goals and lifestyle
What is a foot and ankle surgeon consultation like?
Your first visit includes a full review of your history, a physical exam of your foot and ankle, and imaging if needed. We explain your diagnosis in plain language and walk through both non-surgical and surgical options. You’ll hear about risks, benefits, and recovery timelines. Together, we’ll map out a clear plan so you leave with next steps in hand.
Do I need a GP referral to see a foot and ankle surgeon?
A GP referral is recommended because it shares useful background and can enable Medicare rebates where eligible. Please bring prior scans and a medication list when you’re visiting us. If you’re unsure what to include, our team will guide you before you come in.
Why choose a foot and ankle surgeon for complex problems?
A dedicated foot and ankle surgeon brings specific experience in procedures like ankle replacements, ankle fusions, ankle reconstructions, tendon repairs, and deformity correction. This means you get well-rounded advice from conservative care right through to orthopaedic surgery, if needed. Treatment is always tailored to your anatomy, goals, and overall health. Non-surgical options are explained first, with clear guidance on recovery steps.
How does a foot and ankle surgeon work with podiatrists and GPs?
Care is coordinated, with shared assessment, imaging, and a clear plan for rehabilitation. We keep your referrer updated and outline milestones after any procedure. This team approach improves continuity from first visit to return to activity. It also helps prevent recurrence where possible.
What’s Dr Hardisty’s background?
Associate Professor Dr Gerard Hardisty trained in orthopaedic surgery in Perth, then completed further training in knee, foot, and ankle surgery across Sydney, North America, and Europe. He’s also a Clinical Associate Professor at UWA, with a strong interest in regenerative medicine. His clinical focus includes ankle arthroplasty, arthroscopy, tendon repair, reconstructions, and correcting deformities. For more information, visit our About page.
Where does Dr Gerard Hardisty consult in Perth?
Dr Gerard Hardisty operates at Hollywood Private Hospital in Nedlands and St John of God Murdoch Hospital. Consultation locations are listed on our website and confirmed when you book. We’ll help you choose a clinic and time that works for you and provide all the practical details including parking, access, and what to bring.
When should I see a doctor for an ankle sprain that is not healing?
Most ankle sprains settle within a few weeks with rest, support and physiotherapy. When you notice an ankle still swollen after sprain, ongoing pain, or a feeling that the ankle cannot be trusted, it is a good time to have it checked.
An earlier review is sensible when putting weight through the ankle is difficult, pain feels stronger than expected, or symptoms are getting worse. The first step is usually to see your GP. They can assess the ankle, arrange scans if needed, and guide you towards the next step, such as physiotherapy or a referral.
Ankle replacement surgery Perth
Understanding total ankle arthroplasty
Ankle replacement is about pain relief and preserving motion when arthritis has worn the joint surfaces. Careful planning and precise surgery are key to reliable outcomes.
How does total ankle arthroplasty work?
Total ankle arthroplasty replaces worn-out joint surfaces with smooth metal and polyethylene components to reduce pain and restore movement. Planning is detailed, CT-based 3D models and custom surgical guides help match your anatomy. In surgery, the goal is accurate alignment and soft-tissue balance for smoother, more natural motion.
Who is ankle replacement surgery suitable for?
It’s for people with severe ankle arthritis who want to keep ankle movement. It may not suit those with major deformity, weak bone, infection, or unstable medical conditions. We look at joint alignment, ligament support, and your activity goals before advising. The decision is shared and shaped by your lifestyle and expectations.
How long does ankle replacement surgery recovery take?
Recovery happens in stages. You’ll start in a boot with protected weight-bearing and strategies to manage swelling. Physiotherapy helps with balance, walking, and strength. Driving, work, and returning to sport are all planned based on progress and safety. You’ll be given a clear set of milestones and follow-up dates.
What are the risks of ankle replacement surgery and how common are they?
Risks include infection, wound healing issues, nerve irritation, clots, or long-term wear of the implant. We reduce these risks with preventive steps like leg elevation, calf exercises, and early movement. Your individual risk profile is reviewed and any issues are followed up promptly. Most patients report a solid improvement in pain and daily function.
How does ankle replacement surgery compare to ankle fusion surgery?
Ankle replacement keeps ankle motion, which can feel more natural on uneven ground. Ankle fusion removes pain but also stops ankle movement completely. The right option depends on age, activity level, deformity, bone quality, and the condition of surrounding joints. We’ll go through both options so you can make an informed choice.
Ankle fusion surgery Perth
Understanding ankle fusion
Ankle fusion, also known as ankle arthrodesis, aims to take away painful motion so you can walk more comfortably again. The key is careful alignment and a steady, well-guided recovery plan.
When is ankle fusion surgery recommended for chronic ankle pain?
Ankle fusion surgery is considered when severe arthritis pain persists despite structured non-operative care. It is also an option when deformity or instability make replacement unsuitable. The operation aims for predictable pain relief by joining the bones. Your goals and daily activities inform timing.
What happens during ankle fusion surgery and how are bones fused?
The damaged ankle joint surfaces are cleared, then the tibia and talus bones are aligned and secured with screws or plates. Over time, the bones heal into one. Getting the alignment right is key. It helps reduce pressure on nearby joints. We check positioning in real time during the operation.
What is the ankle fusion recovery timeline after ankle fusion surgery?
Ankle fusion recovery begins with a non-weight-bearing period, followed by gradual loading in a protective boot as the bones fuse. X-rays are used to track healing. Physio focuses on building strength and stability in the leg and hip. Driving and work are reintroduced in stages, based on function and safety.
What are the risks of ankle fusion surgery including non-union and adjacent joint pain?
Possible risks include delayed or incomplete bone healing (non-union), infection, wound complications, clots, or nerve symptoms. Over time, nearby joints may absorb extra strain and become painful. We lower these risks with precise alignment, infection prevention, and regular follow-up. Any issues are addressed early.
How does ankle fusion surgery compare to ankle replacement surgery?
Ankle fusion removes pain by stopping movement at the ankle. It’s reliable but may feel stiff, especially on uneven surfaces. Ankle replacement keeps the joint moving but comes with implant-related risks and the possibility of future revision. The right option depends on your anatomy, lifestyle, and preferences. We walk through both, so you can choose with clarity.
Ankle reconstruction surgery Perth
Understanding chronic ankle instability
Stability changes confidence. Rebuilding the lateral ligaments aims to give you a steady ankle for work, play and sport.
What is ankle reconstruction surgery for chronic instability?
Ankle reconstruction restores stability by repairing or rebuilding the stretched ligaments on the outside of the ankle, often damaged by repeated sprains. The goal is to stop episodes of the ankle giving way and protect the joint from further wear. The surgical method depends on the quality of your tissue and how your ankle is aligned. A stable ankle allows safer, more confident movement.
What is ankle reconstruction surgery for chronic instability?
If rehab and bracing haven’t worked and instability is ongoing, ankle reconstruction may be the better option over a simple ankle ligament repair. We confirm this through physical tests, imaging, and checking related issues like tendon function or foot alignment. Every case is assessed individually.
What happens during ankle reconstruction surgery?
Ligaments are either tightened or reinforced, and secured to the bone using small anchors. In some cases, nearby tissues are added for extra strength. The key is restoring stability without over-tightening. The plan is shaped around your daily and athletic demands.
What is the recovery plan after ankle reconstruction surgery?
Recovery after ankle reconstruction starts with rest and immobilisation, followed by a walking boot and physiotherapy. Rehab focuses on range of motion, calf and tendon strength, and balance training. Returning to sport or full activity isn’t based on a fixed timeline. It depends on how you’re progressing through key stages. You’ll be given a clear guide to follow.
What are the risks of ankle reconstruction surgery and how successful is it?
Risks include stiffness, nerve irritation, wound concerns, or the chance of instability returning. Most people regain stable walking and greater confidence in their ankle. Sticking to the rehab plan is vital. We’ll check in regularly and adjust things if needed to keep you on track.
Foot surgery for arthritis Perth
Understanding foot surgery for arthritis
This is where many patients get stuck. They know their foot hurts, but they do not know whether arthritis has reached the point where foot surgery is worth considering.
Who is foot surgery for arthritis suitable for?
Foot surgery for arthritis may be suitable for people with ongoing pain, stiffness or difficulty walking that has not improved with appropriate non-surgical treatment. It is usually considered when symptoms are starting to affect day-to-day life, footwear or activity levels.
What does recovery involve after foot surgery for arthritis?
Recovery after foot surgery for arthritis depends on the operation, but it often includes a period of protecting the foot, managing swelling and gradually returning to walking. Many patients are surprised by how long swelling can last, even when healing is progressing well.
When is big toe arthritis surgery recommended?
Big toe arthritis surgery may be recommended when pain at the base of the big toe is making walking difficult, limiting footwear choices or affecting exercise. It is usually considered after simpler measures such as footwear changes and activity modification have not provided enough relief.
What can big toe arthritis surgery help with?
Big toe arthritis surgery can help reduce pain, improve function and make everyday walking more comfortable. The right procedure depends on how advanced the arthritis is and what you want to get back to.
Bunion surgery Perth
Understanding bunion surgery
Who is bunion surgery suitable for?
Bunion surgery may be suitable for people with a painful bunion that is affecting shoes, walking or activity. It is not based on appearance alone. The main reason to consider surgery is symptoms that are interfering with everyday life.
What does recovery involve after bunion surgery?
Recovery after bunion surgery usually involves a period in a post-operative shoe or boot, along with swelling management and a gradual return to normal footwear. The exact timeline depends on the foot procedure and how much correction is needed.
When is bunion surgery recommended?
Bunion surgery is usually recommended when pain persists despite wider shoes, padding or other non-surgical measures. It may also be considered if the bunion is progressing and causing crowding of the toes or increasing difficulty with footwear.
What can bunion surgery help with?
Bunion surgery can help correct the position of the toe, reduce pain and improve shoe comfort. It can also help with pressure problems caused by the bunion rubbing against footwear.
Midfoot fusion Perth
Understanding midfoot fusion
Midfoot pain is often ignored for far too long because people assume it is something they just have to put up with. In the right situation, foot surgery may make a difference.
Who is midfoot fusion suitable for?
Midfoot fusion may be suitable for people with midfoot arthritis, longstanding pain or instability that has not improved with non-surgical treatment. It is often considered when walking and standing remain difficult despite supportive shoes or orthotics.
What does recovery involve after midfoot fusion?
Recovery after midfoot fusion often includes a period of limited weight bearing to allow the bones to heal properly. Swelling can take time to settle, and returning to normal activity is usually gradual.
When is midfoot fusion recommended?
Midfoot fusion is usually recommended when pain is coming from worn or unstable joints in the middle of the foot and other treatments have not helped enough. The aim is to reduce pain by stabilising the joints involved.
What can midfoot fusion help with?
Midfoot fusion can help with pain during walking and standing, improve stability and make daily activity more manageable. For the right patient, it can be an effective way to address painful arthritic joints in the midfoot.
Foot deformities Perth
Understanding surgery for foot deformities
Who is surgery for foot deformities suitable for?
Surgery for foot deformities may be suitable for people whose foot shape is causing pain, pressure areas, shoe problems or difficulty walking. It is usually considered when symptoms are affecting function and simpler treatment has not been enough.
What does recovery involve after surgery for foot deformities?
Recovery depends on the type of foot deformity and the procedure used. Most patients need a period of protection, swelling management and a gradual return to activity, with the plan tailored to the surgery performed.
When is surgery for foot deformities recommended?
Surgery may be recommended when a foot deformity is painful, worsening over time or affecting the way the foot functions. It can also be considered when footwear modifications and other non-surgical options are no longer helping enough.
What can surgery for foot deformities help with?
Surgery for foot deformities can help improve comfort, reduce pressure and make walking and wearing shoes easier. The goal is to address the symptoms caused by the deformity and improve function where possible.
Foot and ankle surgeon Perth
Booking with Dr Gerard Hardisty
Do I need a referral to see a foot and ankle surgeon in Perth?
Yes. A referral from your GP is recommended. It helps us understand your history and may enable Medicare rebates if you’re eligible. If you’re unsure what to ask your GP for, we can guide you before you book. Bringing previous scans and a medication list also helps the appointment run smoothly. We’ll confirm exactly what to bring in your reminder.
How do I book an appointment with Dr Gerard Hardisty?
Once we receive your referral, our team will contact you to book a time and location that suits you. If you have questions about timing, access, or parking, we’ll help you choose the most convenient clinic. We’ll also let you know if imaging is likely to be arranged at the visit. Your confirmation email includes directions and preparation tips.
Is the consultation bulk billed, and what does it cost?
We don’t routinely bulk bill. Consultation and imaging fees are outlined when you book, and Medicare rebates may apply with a valid referral. If foot or ankle surgery is being considered, you’ll receive a written quote covering the surgeon, hospital, and any implants. You’ll have time to review it and ask questions before moving forward.
Where are the clinics and hospitals located?
Consultations take place at several at Hollywood Private Hospital in Nedlands and St John of God Murdoch Hospital. We’ll help you select the best location and provide maps and parking information. Hospital choice may depend on your procedure and insurance. All details are confirmed before your visit.
What should I bring to my appointment?
Bring your GP referral, imaging (discs and reports), medication list, and any relevant medical history. If you use specific shoes, braces, or orthotics, bring those too. They help us assess fit and function. A list of your questions and goals makes the consultation more focused. We’ll give you written advice and next steps afterward.
