Bunion Correction Surgery
Bunion correction surgery is one of the most common foot surgeries performed in the UK. Many different techniques exist, but the common theme amongst them all is the cutting of bones that realigns the big toe.
Why have the surgery?
Bunions can cause pain on the bump itself or under the second toe due to a transfer metatarsalgia. The reason to operate is therefore pain and dysfunction from the bunion.
How is surgery performed?
The operation is typically performed under a general anaesthetic, and can be performed either with a minimally invasive (keyhole) technique or via an open approach. The bones are then cut, realigned and held with screws.
What are the benefits?
The operation carries a greater than 85% of resolving big toe pain and improving function in the appropriately selected patient. By realigning the toe, function such as standing, walking and wearing shoes become easier.
What are the risks?
All operations have risks, but the commonest and most concerning for this surgery are: - Recurrence, meaning that the bunion comes back. This is more common in younger patients, severe deformity and those with underlying hypermobility. - Stiffness and swelling is very common, and is often underplayed by surgeons and websites. It is not uncommon for severe swelling to take four months to settle and full resolution to take 12 months. - Metalwork irritation, which occurs because the skin is very thin is this area. Once the bones have healed, the metalwork can be removed, usually without concern. This list is not exhaustive and Mr Patel can talk you through them all in more detail during a consultation.
What recovery is involved?
All surgeons have different protocols after surgery. Mr Patel typically keeps the toe dressed in bandages for two weeks but allows patients to bear weight fully in a rigid removable sandal for six weeks. After this time, it is appropriate to start range of motion exercises and transition in to soft, wide-fitting shoes.
Any other considerations?
Bunion surgery is in general a painful operation since the toes are highly innervated with nerve endings. Surgery is therefore not a quick fix, but part of a long-term strategy to get better.