Bunion correction, also known as bunion surgery, bunionectomy or hallux valgus correction, is a surgical treatment for a bony bump that develops on the outside of the base of the big toe. This condition can cause persistent pain and interfere with daily activities, leading to the need for surgery.

There are several surgical procedures available for correcting bunions, each involving one or more of the following techniques: realigning the bone to straighten the big toe, removing a section of bone to straighten the big toe, removing swollen tissue around the big toe joint, or fusing (arthrodesis) the affected bone. Dr Kilian will determine the most suitable technique for your specific case.

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There are various types of bunion correction surgeries available, each with the objective to remove the bony deformity and realign the big toe. The type of surgery that is best suited for you depends on the size of the bunion and its underlying cause.

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The most commonly performed bunion correction surgeries are:

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1. Osteotomy - In this procedure, a cut is made into the base of the big toe joint, and the toe is realigned to its normal position.

2. Exostectomy - In this procedure, the bony bump is removed, but the toe is not realigned.

3. Arthrodesis - In this procedure, the deformed parts of the joint at the base of the big toe are removed, and the foot bone is fused to the bottom big toe bone with screws. New bone grows over 12-14 weeks and fuses the bones together.

 

Bunion correction surgery is generally performed under local anesthesia, and it is usually an outpatient procedure, which means you can go home a few hours after the surgery.

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Foot Trauma

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The foot and ankle consist of 26 bones, all of which can be susceptible to fractures. Treatment for a fracture depends on the location and severity of the injury, as well as the patient's age and overall health, which can affect the healing process.

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Non-displaced fractures can often be treated conservatively with a cast or splint and pain medication. However, displaced and unstable fractures typically require surgical treatment. Toe fractures are generally not treated surgically. Compound fractures, where broken bone pieces protrude through the skin, require immediate surgery.

Dr Kilian will work with you to determine the best treatment plan for your specific situation.

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Fracture treatment typically involves realigning the bones and holding them in place with internal fixation using pins, screws, or plates. Open surgery is usually necessary to expose the bones and fragments, enabling them to be repositioned anatomically.

Following surgery, your lower leg will be placed in a cast, and some patients can go home the same day, while others may need to stay overnight. Your therapist will show you how to care for your cast and walk safely with crutches before leaving the hospital.

During the healing process, you will have use of your foot or ankle thanks to the surgery that holds the bones in place. The cast will immobilize your foot or ankle for a couple of weeks, after which you will be fitted with a removable boot that can be taken off for washing, allowing you to walk.

After the bones have fully healed, you can resume normal activities. Physiotherapy may be beneficial in regaining full movement and strength as early as possible.

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