Bunion surgery has been around for over 100 years. Historically, there were about 120 different types of bunion surgeries that could be performed. This has changed over the years as long-term data became available and we could see different outcomes with different procedures. This has shaped bunion surgery and now there are only about 4 commonly used procedures in the United States with 2 of the 4 being the most popular.
The first one is called an Austin bunionectomy. This procedure is executed at the head of the 1st metatarsal. It involved cutting the bone and realigning the joint. It is usually secured with 1 or 2 screws. Most patients can walk on this in a boot following surgery. The average time to heal is typically 4-8 weeks. This procedure is primarily reserved for smaller bunions. It is the most popular bunion procedure done to date.
However, some of us surgeons that do a lot of bunion surgery have been utilizing a procedure called the Lapidus bunionectomy. It is a little more technically challenging but has better long-term outcomes. This type of bunion correction holds up the best and is best for people with large bunions or young children. Recently Treace Medical has come out with a system to make the Lapidus easier and more reproducible for surgeons. This system is called Lapiplasty. I have found it can be helpful and is getting a lot of traction in health care currently.
If you have bunion pain I can help, call to make an appointment with me at 425-391-8666 or fill out a contact form online.
Sincerely,
American College of Foot & Ankle Surgeons
