Bunion Removal Surgery

If other attempts to heal the painful spot on the outside of your big toe have failed, you may benefit from bunion removal surgery.

The main goal of this surgery is to relieve pain and regain proper alignment in the joint. There are over many different surgical approaches to bunion removal, so it is a good idea to know your options and to consult with a qualified podiatrist as you plan for treatment.

Common Surgery Options for Bunion

The surgical approach that is most appropriate for your bunion will depend on the anatomy of your foot, the location and size of your bunion, and many other factors. Sometimes the best approach is to remove a section of the metatarsal bone; other times, the solution is to repair the soft tissues surrounding the metarsal that have created an imbalance.

Exostectomy (Bunionectomy)

This bunion removal procedure is used to remove the problematic section of the metatarsal head. The metatarsal is then realigned, and screws or tiny wires are inserted to stabilize the bone. Repair of the surrounding tissues may also be performed if necessary. These tissues may be too tight on one side and too loose on the other, creating an imbalance that causes the big toe to drift toward the others. Often combined with an osteotomy, the exostectomy shortens the loose tissues and lengthens the tight ones.

Osteonomy

During osteonomy, a wedge of the metatarsal bone is cut and realigned to achieve proper alignment.

Resection Arthroplasty

Used more frequently for older patients or those with acute arthritis, the goal of this procedure is to remove bone from the joint of the first metatarsal.

Most  bunion removal surgeries will take about one hour. A regional anesthetic will be used to numb the foot, and a sedative may also be administered to make you more comfortable.

Recovery from Bunion Removal

Though the estimation for complete recovery can take as long as one-year, bunion removal surgery may be the best option for some bunion sufferers. As with any surgery, recovery depends on the complexity of the surgery as well as your health and age. Some patients are able to begin walking after just a few weeks, while others cannot put weight on the affected foot for eight weeks. Be sure to follow your surgeon’s instructions for recovery and you will be able to assume your regular activities, most likely with improved movement and increased enjoyment.