Bunion removal
| Normal anatomy |
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The foot is made up of tarsal bones, metatarsal bones and
phalanges.
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| Indications |
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A bunion is a painful deformity of the bones and joint at the
base of the big toe. Long-term irritation (chronic inflammation)
from arthritis, poorly-fitting shoes, or inherited problems 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 |
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Sometimes, surgery is recommended to correct the deformity,
reconstruct the bones and joint, and restore normal, pain-free
function.
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| Procedure, part 2 |
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Removal of a bunion is usually done while the patient is deeply
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 |
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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 - 5 weeks.
|
Review Date: 3/4/2009
Reviewed By: Linda Vorvick, MD, Family Physician, Seattle Site
Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of
Physician Assistant Studies, University of Washington School of
Medicine; and C. Benjamin Ma, MD, Assistant Professor, Chief,
Sports Medicine and Shoulder Service, UCSF Dept of Orthopaedic
Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director,
A.D.A.M., Inc.
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