A bunionectomy (Chevron bunionectomy) is a specialized outpatient surgical procedure performed to correct a bunion, a common deformity affecting the big toe joint. Bunions develop due to an imbalance in pressure distribution across the foot, leading to instability in the first metatarsophalangeal (MTP) joint. Over time, this instability forces the big toe to deviate inward, causing the joint to protrude outward and form a painful bony bump.
While bunions can develop due to various factors, research suggests that the following conditions contribute significantly to their formation:
Not all bunions require surgery, but in cases where conservative treatments fail to provide relief, a bunionectomy may be recommended. Symptoms that suggest surgical intervention might be necessary include:
If left untreated, bunions can worsen over time, leading to secondary complications such as hammertoes, bursitis, and metatarsalgia.
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Before undergoing surgery, patients must undergo a thorough evaluation to assess the severity of the bunion and determine the best surgical approach. This evaluation typically includes:
Patients may be advised to discontinue certain medications, such as blood thinners or anti-inflammatory drugs, before surgery to reduce the risk of complications.
The procedure is performed under regional anesthesia, numbing the lower extremity to ensure a pain-free experience. In some cases, sedation may be administered to enhance patient comfort. The foot is then sterilized, and the surgical team positions the patient for optimal access to the affected area.
The surgeon makes a small incision along the side of the big toe joint to expose the bunion. In minor cases, removal of excess bone may be sufficient. However, in most cases, additional structural correction is required to prevent recurrence.
To correct the deformity, the first metatarsal bone is carefully cut just below its head. This controlled osteotomy allows the head of the bone to be shifted back into proper alignment. If tight tendons are pulling the toe out of position, they may be released to improve flexibility.
Once the bone is realigned, the surgeon stabilizes the correction using screws, pins, or fixation devices. These surgical implants hold the bone in place while it heals, ensuring long-term stability and improved joint function.
The incision is meticulously closed with sutures, and the area is carefully bandaged to minimize swelling and protect the surgical site. After a brief monitoring period, the patient is discharged with specific post-operative care instructions.
Recovery from a bunionectomy is gradual and requires adherence to post-operative guidelines to ensure optimal healing.
Regular follow-up appointments allow the surgeon to monitor healing progress and address any concerns.
Choosing a Chevron bunionectomy offers several key advantages, including:
If conservative treatments have not provided relief, a bunionectomy may be the best long-term solution for restoring comfort and function.