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Types Of Bunion Surgery 2020

When To Call Your Surgeon

September 10, 2020 Bunion foot surgery 5 week. Post-op

If you have these symptoms during your recovery from bunion surgery it could be a sign of a complication. Call your surgeon if you have:

  • Fever or chills
  • Redness, swelling, bleeding, or pus-like drainage from the incision
  • Increased pain around the foot or incision
  • Swelling in the calf of the leg on the side where you had surgery
  • Trouble breathing

Should I Get A Lapiplasty

If youre dealing with significant bunion pain and conservative treatments have failed to bring relief, youre an ideal candidate for Lapiplasty 3D Bunion Correction treatment. Or, you may only have visible symptoms of bunions without the pain and discomfort. In these cases, discuss with your doctor whether you should try conservative treatments or get lapiplasty to correct the problem at its root.

Different Types Of Surgeries For Bunions

Before getting bunion surgery, a doctor will take x-rays to determine the severity of your bunion. This will help inform the treatment plan and allow the doctor to better determine whether surgery is necessary. Depending on your x-rays, a doctor may recommend different types of bunion surgery. Here are the different types of surgeries used to treat bunions.

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Bunion Surgery Recovery Process

The bunion surgery recovery process varies depending on what type of surgery you’ve had. For a minor bunionectomy, you can walk immediately after the surgery. For severe surgeries like joint replacement, youll have to stay off the foot for 2 to 3 months.

In general, recovery takes anywhere from 6-8 weeks, though full recovery may not occur until four to six months after the procedure. You may have follow-up appointments with the podiatrist for up to a year after surgery.

For the first two weeks, the doctor will ask you to wear a surgical boot at all times. This boot works as a cast to protect your bone structure and limit damage to your stitches. Dont move the dressing or cast as this can damage the healing process. When showering, use a plastic bag to cover the cast.

After two weeks, youll have a follow-up with the doctor where he or she will take a look at your foot and remove the stitches. If everything looks good, hell swap out the hard boot for a softer brace, which youll need to wear for 6-12 weeks. Depending on your type of surgery, the doctor will tell you when its okay to put pressure on the foot. You can use crutches, a knee walker, or a scooter to help you get around in the meantime. Once you can put light pressure on your foot, you can also use a cane for support.

Lapiplasty 3d Bunion Correction Fixes The Root Cause And Gets You Back On Your Feet Quickly

The Sklar Bunionectomyâ¢ï¸? ð« in 2020

We are Richmond’s first Center of Excellence for Lapiplasty 3D Bunion Correction and one of only five in Virginia!

Are Bunions Limiting Your Activities and Lifestyle? Bunions can be very painful. With each step, your entire body weight rests on that bunion. Ouch! A common misconception about a bunion is that it is an overgrowth of bone that can simply be “shaved off”. In reality, bunions are complex deformities caused by an unstable joint.

Lapiplasty® 3D Bunion Correction: Relief is here. Now, there’s a new, patented treatment for bunion correction Lapiplasty 3D Bunion Correction. The Foot & Ankle Center is the first medical practice in Richmond to offer this exciting new treatment option which does more than simply remove “the bump” it addresses your bunion in three dimensions to correct the root of the problem. Advanced fixation technology is used to secure the correction in place, allowing patients to walk within days of surgery.1

Why Was Lapiplasty 3D Bunion Correction Developed?

Traditional Surgery Is A 2D Solution for A 3D Problem. Traditional bunion surgery has been limited to an incomplete, two-dimensional approach to correction cutting the bone in half and pushing the top part over to reduce the appearance of the bump. This 2D “cut and shift” approach primarily addresses the bunion’s symptoms, not the root cause the unstable foundational joint leaving the bunion significantly more likely to come back to some degree.3

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When The Mis Shoe Fits

In selecting good candidates, our team triages referrals based on each patients presentation. General indications for bunion surgery include:

  • Debilitating pain
  • Pain despite modifications and exhausting alternatives
  • Radiographic worsening

We can correct moderate-to-severe bunions with minimally invasive procedures. However, there are many parameters to consider and more than 100 approaches to bunion surgery. We select the most suitable option for the individual to get optimal results.

Minimally Invasive Vs Traditional Bunion Surgery

While the objectives of most bunion surgeries are very similar, the methods surgeons use to carry them out fall into two distinct categories: minimally invasive and traditional, open-foot surgery.

During traditional bunion surgery, the surgeon will make a large incision along the to or side of the foot. Often, they will remove the bunion and use metal screws or plates to hold the alignment of the foot in place. While this

can be an effective way to remove a bunion, it also creates lots of collateral damage and difficulties. There is generally a longer recovery due to the amount of scarring and disruption blood supply to the bones. Traditional bunion surgeries are more susceptible to infection and in many instances patients experience large scarring and stiffness along their foot as a result. Whats more, traditional bunion surgery requires general anesthesia and significant recovery time. It could take a patient months before theyre able to walk freely and without pain after traditional, open-foot surgery.

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Types Of Bunion Surgery

Many people have an understandable reluctance to undergo surgery if they can avoid it. This makes sense most of the time, but when it comes to bunions and bunion pain, surgery really is the only method capable of removing bunions and alleviating bunion pain permanently. Yet, there are actually dozens of variations on bunion surgery. Indeed, depending on the size and severity of the bunion as well as other health factors doctors may recommend any one of 40+ possible surgical options. Obviously, this might seem overwhelming to a patient. With that in mind, today well take a look at some of the most common types of bunion surgery, explain what they are, and what you as a patient can expect from them. Check it out here:

Neal M Blitz Dpm Facfas Is A Renowned Foot And Ankle Surgeon Whos Reinventing The Field Of Bunion Repair Surgery

New minimally invasive bunion surgery

He has practices in NYC and Beverly Hills and delighted patients around the globe. He developed a better way to Be Bunion Free® by creating the Bunionplasty® 360° Bunion Repair procedure, then founded Beverly Hills Golden Surgery Center to deliver an elevated surgical experience. Hes a compassionate clinician who instantly puts people at ease because he puts their needs first.

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What To Expect Afterwards

Youll need to rest until the effects of the anaesthetic have worn off. You may need to take some medicine for pain relief.

Your foot will probably be in a bandage after the operation. Your hospital will usually give you some crutches and a special shoe to wear and will advise you how much weight you can put on your foot.

A physiotherapist may visit you after your operation to show you how to move around without hurting yourself. They can also teach you how to use crutches and arrange another appointment if you need more help.

Youll be able to go home when you feel ready and the surgeon considers it safe. This may be about an hour or two after your operation. Your nurse may give you a date for a follow-up appointment before you leave.

Ask a friend or relative to drive you home and to stay with you for 24 hours.

Everyone reacts differently to having a general anaesthetic. If youve had one, you may feel particularly tired afterwards. You may also find that youre not so co-ordinated or its difficult to think clearly. This should pass within around 24 hours. In the meantime, dont drive, drink alcohol, operate machinery or sign any important documents.

You can access a range of treatments on a pay as you go basis, including physiotherapy. Find out more about physiotherapy >

It may take six months to a year for your swelling to go down completely.

Recovering From Bunion Surgery

While recovery after bunion surgery takes about six to eight weeks, full recovery from bunion removal surgery can take an average of four to six months.

For the first two weeks following your surgery, youll wear a surgical boot or cast to protect your foot. You should avoid getting your stitches wet.

After removing the cast or boot, youll wear a brace to support your foot while you heal. You wont be able to bear weight on your foot at first, and youll need crutches for assistance. Gradually, you can start putting some weight on your foot, using a walker or crutches for support.

Keep off your feet as much as you can. Ice your foot and toe to speed healing and reduce inflammation. After a week or two, you can drive if necessary.

Expect your foot to remain swollen to some degree for several months after bunion removal. Wear shoes with ample room to minimize your pain. Women should try to avoid wearing high heels for at least six months after bunion removal.

Your doctor may send you to physical therapy, where youll learn exercises that can strengthen your foot and lower leg.

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What Happens Before Bunion Surgery

Before surgery, you and your surgeon will discuss your health, activity levels and any other factors that could affect your recovery. Your surgeon will use this information to choose the best type of surgery for you. On the day of your appointment, your healthcare provider will ask you to arrive one to two hours early. Typically, surgeons perform bunion surgery with local anesthesia in addition to a light monitored anesthesia that will keep you comfortable during the procedure. Typically intubation and heavy anesthesia is not needed for this type of procedure.

Lapiplasty Bunion Surgery Procedure

Before and After Bunion Surgery Photos

Lapiplasty is a unique surgical procedure that uses specialized tools to fully realign the out-of-position metatarsal bone in three dimensions before any bones are cut or fixed.

There are a couple of huge benefits to doing it this way, when compared to more traditional bunion surgeries:

  • It allows most patients to begin bearing weight on the foot again very quicklyas early as just a few days in some cases.
  • The long-term risk of the bunion recurring after surgery is significantly lower than with standard bunion proceduresup to 12 times lower.

Most bunions are ultimately caused by instability in a normally non-articulating joint in the middle of the foot, at the base of the long metatarsal bone. This causes the metatarsal to not only shift upward and outward, but to rotate as well.

Traditional bunion surgeries generally cut and realign the bones along a 2D plane, but dont fix the rotational displacement of the metatarsal and dont stabilize the joint in the midfoot that originally caused the bunion. Lapiplasty does both, making for a more stable and permanent fix.

Check out this page to learn more about Lapiplasty, or watch the video below.

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Lapiplasty 3d Bunions Correction

Lapiplasty uses 3D technology to permanently fix the root issues that caused you to develop bunions. Rather than simply shaving off your bunion, as would happen in traditional surgery, lapiplasty derotates and shifts your out-of-place joints, stabilizing them and ensuring your bunion wont return.

After getting lapiplasty, you can expect to be putting weight on your foot, then walking in a boot, within days after the procedure. Youll be back in shoes that fit your bunion-free feet in 6-8 weeks.

Choosing The Bunion Surgery For You

Lapiplasty 3D bunions correction and PROstep MIS are both excellent bunion surgeries that produce results with less downtime for recovery. The main advantage of lapiplasty are the 3D surgical techniques that reduce your risk of recurrence, while the main advantage of PROstep MIS are the minimally invasive techniques that bring post-surgery ease.

At your consultation, our podiatrists recommend the best bunion removal surgery for you. This can depend on several factors, including the severity of your bunions and, whenever possible, your own preferences.

For help today with bunion removal from our experienced team, make your appointment today online or at 949-916-0077.

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Are You A Candidate For Surgery

In general, if your bunion is not painful, you do not need surgery. Although bunions often get bigger over time, doctors do not recommend surgery to prevent bunions from worsening. Many people can slow the progression of a bunion with proper shoes and other preventive care, and the bunion never causes pain or other problems.

It is also important to note that bunion surgery should not be done for cosmetic reasons. After surgery, it is possible for ongoing pain to develop in the affected toe even though there was no bunion pain prior to surgery.

Good candidates for bunion surgery commonly have:

  • Significant foot pain that limits their everyday activities, including walking and wearing reasonable shoes. They may find it hard to walk more than a few blocks without significant pain.
  • Chronic big toe inflammation and swelling that does not improve with rest or medications
  • Toe deformitya drifting in of the big toe toward the smaller toes, creating the potential for the toes to cross over each other.

A bunion that has progressed to deformity with the big toe crossing over the second toe. An x-ray of the same bunion shows how far out of alignment the bones are.

Reproduced from Wagner E, Ortiz C: Proximal Oblique Sliding Closing-wedge Osteotomy for Wide-angle Hallux Valgus. Orthopaedic Knowledge Online Journal: Vol 12, No 4, 4/1/2014 Accessed December 4, 2015.

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Do I Even Need Bunion Surgery At All

SPECIAL REPORT: New bunion surgery cuts recovery time

Many people mistakenly believe that surgery is the only way to treat a bunion, but that is definitely not the whole truth.

While bunion surgery is the only way to correct a bunion, our goal with any treatment plan is ultimately to make sure you can live the life you want to live, without being held back by daily pain or lack of mobility. This can often be achieved through the use of non-surgical methods like padding, wider shoes, and orthotics.

Another important point to considerif your bunion is still mild to moderate overall, then conservative treatments are much more likely to be effective. Sometimes, they can even slow the rate at which a bunion progresses, helping you delay the need for surgery indefinitely.

Check out last months blog for more in-depth information about non-surgical treatment options for bunions, as well as how we help our patients decide if and when surgery is truly necessary.

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What Are The Risks Of Bunion Surgery

As with any surgical procedure, complications can happen. Some possiblecomplications may include:

  • Delayed healing

Other complications may include recurrence of the bunion, nerve damage, andcontinued pain. The surgery may also result in overcorrection of theproblem, in which the big toe extends away from the other toes.

There may be other risks depending on your specific medical condition. Besure to discuss any concerns with your healthcare provider before theprocedure.

Does Bunion Surgery Actually Work

How well bunion removal surgery works for you will depend on a variety of factors such as the type of surgery you have and how bad your bunion is. But many people find that bunion surgery reduces joint pain, improves toe mobility, and makes it easier to walk and resume normal daily activities. And once post-surgery swelling has gone down, toes often look more normal than they did before.

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Repairing Tendons And Ligaments

If a connective tissue is too tight, it may need to be loosened. If too loose, it may need to be tightened. You typically see an imbalance where one side is too loose and the other too tight, necessitating both procedures. Usually, alignment through osteotomy is also performed in conjunction with this procedure.

As noted, there are other procedures that may be used, some much more commonly than others. Determining the best course of action will depend on a thorough evaluation of your bunion, its severity, your lifestyle goals, and a number of factors pertaining to your medical history.

Of course, you do not need to remember all the terms above nor expect to be left in the dark about our recommendations. We will gladly discuss the hows and whys of any procedure we suggest, and answer any questions you may have about them.

Convenient Care Close To Home

Before and After Bunion Surgery Photos

Our three fellowship-trained Foot and Ankle surgeons provide care across the OHSU Health system. Our surgeons see patients at locations throughout the Portland metro, including OHSU and partners Adventist Health Portland and Hillsboro Medical Center.

For mobile and active people, being off their feet for two to six weeks is one of the biggest challenges of standard bunion surgery. With the minimally invasive techniques now available at OHSU Health, we can get those patients back up and going almost immediately.

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Complications Of Bunion Surgery

Bunion surgery can cause some complications. These include:

  • a stiff toe this doesnt bother most people, but it can be important for athletes or dancers
  • a numb toe the nerves in your toe may be injured
  • an abnormal toe position your big toe may heal out of line and bend outwards or upwards it may be slightly shorter
  • an infection for which you may need antibiotics
  • pain under the ball of your foot this can happen if theres a change in the distribution of your weight
  • the bunion coming back or a corrected bunion may get worse so you may need to have another operation

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