Bunion correction surgery is an operation to improve the position and alignment of the big toe. A bunion, or hallux valgus, refers to the appearance of the big toe when it increasingly turns toward the smaller toes. When the big toe turns toward the smaller toes, it creates a bump on the inside of the toe that can make shoe wear painful and difficult.
Bunion correction surgery comes in many different forms. Family Footcare offers many different surgical procedures to correct bunion deformities including exostectomy (shave prodecure), osteotomies (cutting bone and shifting into better position), Lapidus procedure and/or 3D lapiplasty (cutting and fusing joint to achieve larger correction)and great toe joint fusions for arthritic bunions. Which type of surgery is right for a given patient depends on many factors including magnitude of the bunion deformity, the presence of arthritis in the big toe joint and the space between the first and second metatarsal, age, activity level and health. Plain radiographs are necessary to determine what type of bunion surgery is indicated for each patient:
- Mild bunion. For this type of surgery, the surgeon may remove the enlarged portion of bone and realign the muscles, tendons, and ligaments surrounding the joint. (Exostectomy/Shave Procedure)
- Moderate bunion. For a moderate bunion, the 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. (Bone/Metatarsal Osteotomies)
- 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 through a midfoot fusion (Lapidus, Lapiplasty 3D procedures)
- 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. This allows the bones to heal together and eliminate movement and pain. Occasionally, joint replacement implants may be used in the reconstruction of the big toe joint.
In almost all bunion surgeries, some form of cutting of the bone is necessary, and some use of metal pins, screws, and/or plates are needed to hold the bones in the right position while they are healing. If you are suffering from bunion pain, numbness, stiffness along your great toe joint give us a call and make an appointment to discuss your options.