Bunion removal - series

Answer 1

Normal anatomy

The foot is made up of tarsal bones, metatarsal bones and phalanges.

Indications

A bunion is a painful deformity of the bones and joint between the foot and the big toe. Long-term irritation (chronic inflammation) from Arthritis, poorly-fitting shoes, or heredity causes the joint to thicken and enlarge. This causes the bones of the big toe to angle in toward and over the second toe, the foot bone (metatarsal) to angle out toward the other foot, and the skin to thicken (callus formation).

Procedure, part 1

Surgery is recommended to correct the deformity, reconstruct the bones and joint, and restore normal, pain-free function.

Procedure, part 2

Removal of a bunion is usually done while the patient is deep asleep and pain-free (general anesthesia) and rarely requires a hospital stay. An incision is made along the bones of the big toe into the foot. The deformed joint and bones are repaired and the bones are stabilized with a pin or cast.

Aftercare

The patient is advised to keep the foot propped up and protected from pressure, weight, and injury while it heals. Complete recovery may require 3 to 5 weeks.

Reviewed By

Review Date: 02/27/2012

Thomas N. Joseph, MD, Private Practice specializing in Orthopaedics, subspecialty Foot and Ankle, Camden Bone & Joint, Camden, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.