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Bunion surgery basics

Bunion deformities are one of the more common foot conditions that we see in our practice. Bunions typically are inherited. You may remember a time when your parents or grandparents complained about Bunions or Tailor Bunions when you were growing up. Several years ago the standard of care was hospitalization for a few days following bunion surgery with a prolonged post operative course. Techniques have changed over the years with respects to bunion surgery. More minimally invasive techniques have been utlilized in recent years that makes the post operative course faster and easier to recover from.

We would let to set your mind at ease and say that for some of our patient population bunions can be managed conservatively without surgery. Change in shoe gear, NSAIDS, lower impact exercises, and custom foot orthotics can manage some milder cases of bunion deformities. If bunion surgery is needed then the standard of care is oupatient surgery at a surgery center or hospital. The procedure depending on the radiographic and clinical findings takes about one hour and patients are usually weight bearing in a walking boot within a couple of days and go home the same day of surgery. Mild narcotic and anti-inflammatory medication controls pain for the first few days. Our foot specialists use long acting local anesthestics the keep your comfortable following surgery.

The most common procedure that are foot surgeons utilize for mild to moderate bunions is the Austin Bunionectomy which is a "V" shaped bone cut in the metatarsal bone that moves the bone over to correct the bunion and is fixated with a wire or screw internally. Patient's are typically in a walking boot for 6-8 weeks and then transferred into a sneaker. Our foot specialists have state of the art digital x-ray in each office to obtain clear x-ray images of the foot and ankle during your visits.

For larger bunions a "Lapidus procedure" is performed which would involve patients being non-weightbearing for 4-6 weeks.

The trend in our profession is moving towards more minimally invasive procedures  that lessen the amount of recovery time for patients while still obtaining the desired results. Dr. Brown and Dr. Saffer stay current in these reconstructive foot techniques through various reconstructive foot and ankle national meetings and seminars.

For more information on bunions please refer to our website: carolinafootspecialists.net