This website requires JavaScript
The intervention bunion, operate and when you need to know

The intervention bunion, operate and when you need to know

Top Doctors
Top Doctors editorial
Top Doctors
Created by: Top Doctors editorial Sources: Top Doctors CO
Edited by: TOP DOCTORS® at 27/05/2022

Patients with hallux valgus ( bunion ) surgery usually think when a lot of pain at the level of what is known as&ldquo appears;exostosis” ( bulk ), accompanied by difficulty with footwear. And almost more often when they go to see the consequences that the bunion has on the rest of the forefoot, whether the hammer toes metatarsalgias (pain in the foot ) or Morton neuromas ( a painful nerve inflammation of the foot ).

If a forefoot presents multiple deformities and among them is the bunion, it must always be operated and, if possible, while the rest of the forefoot, as the big toe acts like a real pole prevents the collapse and deform rest. Remember that if we correct a hammer toe we do with hallux valgus, these fingers will return to deform in all probability. Only in patients with advanced age and poor health we can skip this rule.

not only have to remove the lump

Just remove the lump represents one of the most frequent and serious errors. In most cases this would lead us to a totally inadequate reduction, if not zero, since the origin of the deformity comes from two elements: the deviation of metatarsal and finger in cusp of the two found the&ldquo,&rdquo exostosis ;, the bulge. That is to correct the hallux valgus must cut the metatarsal ( osteotomy ) and the first joint of the big toe varying its position to get straighten completely. Finally, obviously also called lump be removed.

Another common mistake is to think of i ntervenir both feet at the same time ( if the patient suffers from both feet ). In most cases I recommend doing one foot, usually the most painful, so recovery is faster because you can use the other foot normally. In general, the recovery time can be extended to rather more than double. Formerly they made two at a time because of foot surgery was an extremely painful experience, and so was a way that the patient suffered once. Today, minimally invasive techniques we use, like Percutaneous surgery, allow this suffering is infinitely smaller.

No pain

Today no foot surgery is almost no pain through the use of less aggressive surgical techniques such as percutaneous surgery and the good work of our anesthetists who use some techniques“lock” nervous getting a long duration of anesthesia, aided by the use of some anesthetic drugs also long lasting. For this reason most of our patients can go to your home the same day of surgery.

Current percutaneous surgery allows us to correct about 90 % of the hallux valgus, while the rest requires open surgery. These evolving techniques allow us to use screws, for example, in the most serious cases without“open&rdquo ;, and this can get quite comparable results to open surgery, with the advantage that the scars are minimal, the postoperative more pleasant, no income, the pain is minimal and, what is very important, the degree of mobility of the big toe is very good, which greatly favors a rapid recovery and use of normal footwear very early, even with a high heel.

Traumatology and Orthopedics