bunion surgery
Displaying items by tag: bunion surgery
Monday, 12 October 2020 21:25
Dr. Brandon Nelson Discusses Head Procedures for Bunionectomies (Austin bunionectomy)
There are many different types of bunion surgeries that can be performed. However the majority of bunion procedures are classified as either a head procedure or base procedure. Head procedures are all performed distally or at the tip of the first metatarsal. Procedures that are called base procedures are performed at the base of the metatarsal or at the metatarsal cuneiform joint. There are many different names for head procedures. However all of them involve some sort of cut in the bone or osteotomy. The osteotomy can be performed in many different fashions, however one of the most stable procedures is called an Austin or Chevron cut.
This cut performed exactly is prescribed in a Chevron type fashion. The bone is then shifted towards the second metatarsal reducing the large bunion. Often times screw fixation is performed and some additional shaving for burring of the bony prominence this time. There are many modifications you can perform to this type of bunionectomy that can help correct other pathologies of the first metatarsal as well. I recommend seeing somebody who performs a lot of bunionectomies as often times these procedures can be more complex than appreciated. If you have a bunion and are interested in surgical correction we are happy to help you schedule a consultation today. Give us a call at 425-391-8666 or make an appointment online.
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Tuesday, 06 October 2020 02:12
Dr. Timothy Young Talks About Joint Fluid and Bunion Surgery
Surgical bunion correction is a common procedure at our clinic and our surgical center. During bunion surgery after the skin incision, subcutaneous layer is also dissected and then the joint capsule. The joint capsule serves multiple functions. One is to help stabilize the joint–much like the ankle joint has ligaments that stabilize your ankle. The inner layer of the joint capsule produces synovial fluid to lubricate the joint. During surgery this joint fluid comes out during the procedure.
It can be helpful to replenish this joint fluid to help get the joint functioning properly again and moving like it should. There are different ways to accomplish this. We often inject sympathetic joint lubricant into the joint during the early postoperative time frame. The brand that we utilize is called Supartz. This was originally FDA cleared to help protect the knee joint and treat knee joint symptoms. We use Supartz in many different applications within the foot and ankle. But after bunion surgery to get the joint moving again, is certainly one of them. This can also be very helpful if the patient has arthritis of the great toe joint and has to have a joint cleanup procedure to remove some of the bone spurs and repair cartilage.
Tuesday, 06 October 2020 01:57
Dr. Brandon Nelson Discusses How to Find The Best Bunion Surgeon
Bunion surgery can be a complex surgery. It depends on the nature of the bunion deformity and the overall foot structure. There are many factors that go into bunion deformity correction. Complicating factors can include overall flatfoot for high arch foot or lesser digital deformities including hammertoes. However some bunions are straightforward and are easily corrected. It is important to see a foot and ankle specialist that does or has done a large number of bunion deformities.
I also recommend trying to find a physician that has a surgery center as this is a huge cost-savings and time-savings for the patient. The majority of bunion procedures can be divided into head procedure or base procedure. The larger bunion deformities require base procedure and a smaller bunion deformity can be corrected with a head procedure. I also recommend patients make a list of questions regarding their foot in the overall correction recovery process. It is very important that patients choose a physician that they are comfortable with. I currently have been practicing for about 15 years and have fixed too many bunions count. If you have a bunion deformity and are contemplating getting it corrected nursing once available for conservative measures give us call today at 425-391-8666 or make an appointment online.
Monday, 28 September 2020 23:09
Dr. Timothy Young Talks About Joint fluid and Bunion Surgery.
Surgical bunion correction is a common procedure at our clinic and our Surgical Center. During bunion surgery after the skin incision, subcutaneous layer is also dissected and then the joint capsule. The joint capsule serves multiple functions. One is to help stabilize the joint–much like the ankle joint has ligaments that stabilize your ankle. The inner layer of the joint capsule produces synovial fluid to lubricate the joint.
During surgery this joint fluid comes out during the procedure. It can be helpful to replenish this joint fluid to help get the joint functioning properly again and moving like it should. There are different ways to accomplish this. We often inject sympathetic joint lubricant into the joint during the early postoperative time frame. The brand that we utilize is called Supartz. This was originally FDA cleared to help protect the knee joint and treat knee joint symptoms. We use Supartz in many different applications within the foot and ankle. But after bunion surgery to get the joint moving again, is certainly one of them. This can also be very helpful if the patient has arthritis of the great toe joint and has to have a joint cleanup procedure to remove some of the bone spurs and repair cartilage.
Monday, 21 September 2020 23:34
Dr. Brandon Nelson Discusses Common Questions Regarding Bunion Surgery
Do I need bunion surgery?
Quite a few patients ask this question. There are many factors that go into whether I think a patient should undergo surgery. Pain is the primary factor that I like to use for patients deciding whether or not they need bunion surgery. Another factor includes whether or not their second toe is affected from the bunion with something like a hammertoe occurring. Another important factor to consider is that a bunion is a progressive deformity and at some point usually requires to be fixed.
How long doesn’t take to recover from bunion surgery?
This is a much harder question to answer because there are many variables that play into this. The most important variable is the type of bunion surgery that was performed. It also depends on one's definition of recovery. Majority of patients we see are walking within 1 week and can return to normal activities as quickly as 6 weeks or as long as 3 months.
Doesn’t hurt to have bunion surgery?
I find this question very easy to answer yes bunion surgery can be uncomfortable. However, at our office we typically perform 3-5 bunion surgeries every week and are very well-versed in helping patients with pain management. Any type of surgery will typically produce pain as this is a normal an inflammatory response. The majority of people that we treat typically will take pain medications for approximately 1-3 days.
Can I still Drive after having bunion surgery?
This question really depends on the type of bunion surgery that is performed. A large majority of bunion surgeries the patient can drive as soon as they feel comfortable. The majority of patients will drive in a stiff shoe however some patients with larger reconstructions may not be able to drive for approximately 4-6 weeks.
Tuesday, 15 September 2020 16:10
Dr. Timothy Young Talks About When to Do Bunion Surgery Continued
We have talked previously about timing for bunion surgery and how bunions progress over time. The challenge is that it is never the right time for bunion correction surgery. So what are your alternatives, how can you buy some time. There are some different options.
What to do while you are waiting for bunion surgery:
-If it is joint pain, then we can put sympathetic joint lubricant into the joint to protect the joint and reduce pain. This can last for many months with no down side as far as the cartilage and joint status goes.
-Prescription orthotics. Especially if it's not yet a severe bunion, orthotics can shift pressure off the joint and improve gait. They will not reverse a bunion but they can slow the progression down in some cases.
-Very roomy shoes that have a stiff forefoot. These can also help protect the joint and at the same time keep pressure off the joint.
-Various bunion splints and great toe spacers made of silicone gel.
-Topical pain relieving gels and anti-inflammatories such as Voltaren gel.
What not to do while you are waiting for bunion surgery:
-Avoid cortisone injections as they can damage the joint.
-Avoid tight fitting shoes and unsupportive flip-flops or sandals.
Tuesday, 15 September 2020 15:58
Dr. Brandon Nelson Discusses the Best Options for Bunion Surgery
Contemplating bunion surgery can be an overwhelming task. Often times we see patients that have visited multiple practitioners. The best piece of advice I can give my patients is to be comfortable with the physician. There are many different types of bunion surgeries. The majority of bunion procedures can be broken up to either head or base procedures. The way to think about it is really large bunion deformities as base procedures and smaller bunion deformities can utilize head procedures.
The most common head procedures performed are the Austin bunionectomy or some form of a Chevron osteotomy. The most common of base type procedure is the Lapidus or arthrodesis of the metatarsal cuneiform joint. The procedure performed really dictates the postoperative recovery. The majority of patients we see are walking within the first week and usually do not take more than 3-5 days off of work. Another great things about Issaquah Foot and Ankle Specialists is we have an on-site surgery center which really reduces the cost and time. If you are contemplating bunion surgery we would happily discuss it with you and help you come up with the best available options.
Give us a call at 425-391-8666 or make an appointment online today.
Monday, 31 August 2020 03:48
Dr. Nelson Discusses When to Have Bunion Surgery
The most common surgical procedure I perform by far is a bunionectomy. The bunionectomy procedure itself can be very rewarding for patients and physicians like. Often times patients come in with a significant amount of foot pain and a history of multiple conservative modalities have been attempted all to no avail. These people are obviously good candidates for surgical correction. Additionally I see a lot of patients that are currently not in pain however have a hard time fitting shoe gear or have a large bunion a family history of bunion deformities.
Surgical intervention is often warranted for patients that have a family history of bunion deformities or have a hard time fitting in shoes. A few patients come in with a large bunion that doesn’t have pain. Initially it is important to evaluate the patient from a clinical standpoint and radiographic standpoint. Often times on the x-ray we’ll see the beginning of arthritis and correcting the bony can help reduce the chance of long-term arthritic changes. I recommend patients that have a bunion to release be evaluated. That way we can at least implement conservative measures.
Sunday, 23 August 2020 22:44
Dr. Timothy Young Talks About How Long to Wait for Bunion Surgery
There are multiple factors to consider on timing for bunion surgery.
One consideration is that over time the bunion gets worse and it’s possible that a more corrective procedure will be needed that will take more time to heal, causing more downtime. Therefore "putting it off" can mean more concerns in the future. Another factor is the fact that this is surgery and it’s helpful to have family help for the first week afterwards. Some of our patients just can’t wait because the bunions are so bad. Then it’s helpful to have a family member help, especially if for example it’s a mother with small children.
Another factor as I mentioned is that the longer you wait the more other problems can develop. It’s not uncommon over time with a bunion to also develop a hammer toe with the second toe. So now there is another procedure that needs to be addressed surgically.
Overtime there is adaptation of the great toe joint with a bunion and more potential for adaptive changes and arthritis.
If you have a bunion and want to discuss treatment options and surgical treatments, please make an appointment to consult with my self - Dr. Timothy Young, or my partner - Dr. Brandon Nelson.
Sunday, 09 August 2020 18:37
Dr. Brandon Nelson Discusses How to Get the Most Out of Your Bunion Surgery
At Issaquah Foot and Ankle Specialists we average about 3-5 bunion surgeries every week. We find a lot of variation in bunion deformities from pediatrics bunion to Tailor's bunions. Bunions can have many different causes and it’s important to address all these deforming forces in order to maximize outcomes. Some people benefit from what's called a distal or metatarsal head procedure, others will need a more proximal or base procedure.
The majority of bunion procedures we performed patients are usually walking the first day after surgery. The limiting factor is usually swelling or pain at the operative site. We try to encourage patients to ambulate early and do functional range of motion quickly to maximize outcomes. The majority of bunion surgeries we provide at our clinic have great and quick outcomes. If you have bunion pain additionally we have many conservative options that we can provide for patients.
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