A Bunionectomy with Osteotomy is a surgical procedure to treat bunions, which are painful bony bumps that form on the joint at the base of the big toe. Bunions often develop due to genetic predisposition, abnormal foot mechanics, or prolonged pressure from footwear, causing the big toe to drift toward the other toes and leading to joint misalignment.
The surgery involves two main components:
1. Bunionectomy: The surgeon removes the enlarged bone (bunion) and any inflamed tissue around the joint, relieving pressure and discomfort. This part of the procedure targets the visible bump and the soft tissue around it.
2. Osteotomy: In this step, the surgeon cuts and realigns the first metatarsal bone (the long bone leading to the big toe). Depending on the severity of the bunion, different types of osteotomies may be performed, such as Chevron, Scarf, or Ludloff osteotomies. Small screws or pins are typically used to stabilize the bone in its new alignment, allowing it to heal correctly and restoring the natural alignment of the toe.
Recovery usually involves keeping weight off the foot and wearing a protective boot for a few weeks. Physical therapy may also be recommended to restore mobility and strength. This combination approach addresses both the cosmetic and functional issues of the bunion, significantly reducing pain and preventing recurrence of the deformity.