Posted On: December 30, 2021
What is bunion surgery?
Bunion surgery is done to reduce the pain and correct the deformity caused by a bunion. A bunion is an enlargement of the bone or tissue around a joint at the base of the big toe or at the base of the little toe. Bunions often form when the joint is stressed over a long period of time. Bunions are generally causes from your Genetics and really has very little to do with the shoes you wear.
Before surgery is considered, our doctors at Graff Foot Ankle and Wound Care will perform a thorough examination and discuss which procedure is best for you.
Conservative treatments for Bunions include:
• Wider Shoe Gear
• Occasional injections into the bursal sac
Since bunions are progressive deformities that always get worse unless fixed, we usually suggest fixing the problem. The type of surgical procedure performed depends on the severity of the bunion, your age, general health, activity level, and the condition of the bones and connective tissue. Other factors may influence the choice of a procedure used:
• Mild bunion – For this type of surgery, our surgeon may remove the enlarged portion of bone and realign the muscles, tendons, and ligaments surrounding the joint.
• Moderate bunion – For a moderate bunion, our surgeon may cut the bone and shift it to its proper position. Whether or not the bone is cut depends on the severity and location of the deformity. In addition, the surrounding tendons and ligaments may need to be repositioned.
• Severe bunion – For a severe bunion, surgery may involve removing the enlarged portion of the bone, cutting and realigning the bone, and correcting the position of the tendons and ligaments.
• Arthritic bunion or big toe joint – If the joint is damaged beyond repair, as is often seen in arthritis, it may need to be fused or replaced. At Graff Foot Ankle and Wound Care we usually perform a joint replacement since the recovery is minimal and the patients are able to maintain Range of Motion.
• It should be noted that Graff Foot Ankle and Wound Care normally want to fix the underlying deformity with an osteotomy of some type and rarely just shave off the bump.
What techniques do the surgeons at Graff Foot and Ankle use:
Our surgeons treat each patient individually and therefore no one technique is used. We like to examine the patient and let all factors determine the proper surgical technique.
Our Surgeons frequently perform the following types of Bunionectomies:
• Austin Bunionectomies
• Minimally Invasive Bunionectomies
• Lapiplasty Bunionectomies
• Akin Bunionectomies (usually performed with one of the above osteotomies)
Why might I need bunion surgery?
• Pain over the Bunion area when wearing the shoes you WANT to wear
• Very Large deformity which affects your other toes
• Difficulty fitting into shoes
• History of blisters or wounds over your bunion
What type of Recovery can you expect?
After the surgery patients are normally able to weight bear same day in a walking boot. You are able to drive after surgery in a surgical shoe. We normally have you wear the walking boot for 3 weeks followed by a surgical shoe for 2-3 weeks than into a normal shoe and normal activities.
Patients normally take pain medicine for the 1st week followed by Ibuprofen the following week.