Anatomy/Symptoms
Bunions are a common problem. They occur when the big toe deviates towards the other toes. Bunions are often aggravated by footwear. The bone at the base of the big toe rubs against the shoe and the skin becomes reddened. A sac of fluid (bursa) may develop in the tissue above the bone, and it is this swelling and inflammation of the tissues and the underlying bone that is known as a bunion.
Loose-fitting shoes may help ease symptoms, but if the pain is disabling, surgery may be indicated.
Operative Treatment
Bunion surgery is often done with a 1-2 night stay in hospital. The surgery involves cutting the bone at the base of the toe (osteotomy), thereby narrowing the foot. Depending on the particular procedure used, pins or screws will be used to secure the osteotomy.
Post-operative Treatment
Rest and elevation of the foot for 10-14 days is important to allow healing. You will require crutches for mobilising. The plaster cast will be removed at about four weeks, and a toe splint may be applied. Walking is increasingly encouraged from 6 weeks, but it is usually 12 weeks before healing is complete and shoes are comfortably worn.
Risks/Complications
Possible complications of bunion surgery include: