Bunionette Deformity Correction (Distal Fifth Metatarsal Osteotomy)
A bunionette deformity is an abnormal bump of bone on the outer side of the fifth toe. What usually seems like a small and painless problem at first could actually turn into a much larger issue over time.
When do you need Bunionette Deformity Correction?
Bunionette Deformity Correction is recommended for patients who cannot wear shoes comfortably because of the size of the bunionette or for those who cannot receive nonsurgical treatment for bunionette correction.
What is the process of Bunionette Deformity Correction?
First, the surgeon realigns the head of the metatarsal bone and removes any excess bone in order to eliminate the prominence and to give the foot a more natural shape.
To prepare for the procedure, the patient is correctly positioned and undergoes anesthesia. The surgeon then creates a small incision on the outer side of the foot in order to access the metatarsophalangeal joint where the phalanx of the toe meets the head of the metatarsal.
Once the bunnionette is located on the head of the metatarsal, the surgeon then uses a cutting instrument to remove any excess bone growth from the metatarsal. The surgeon will then carefully divide the metatarsal to free the head of the bone.
The head of the metatarsal is shifted inward and away from the outer side of the foot which reduces the overall width of the foot and provides a stable base for the fifth toe. Next, the surgeon will insert a small screw through the head of the metatarsal in order to lock it in place.
Bunionette Surgery Before and After image
Aftercare/Recovery
Once the procedure is completed, the incision is closed and the foot is properly bandaged. The patient may then be placed in a postoperative shoe which allows them to bear weight on the foot as it heals. Recovery time for most patients is between six and eight weeks.
Most Common FAQs
1. What is bunionette surgery?
Bunionette surgery is a procedure to correct the bony bump on the outside of the foot near the little toe. It involves reshaping or realigning the fifth metatarsal bone to relieve pain and improve comfort in shoes.
2. When is surgery for bunionette needed?
Surgery for bunionette is usually recommended when nonsurgical treatments like shoe changes, padding, or orthotics no longer relieve pain and the deformity makes walking or wearing shoes difficult.
3. How long does bunionette surgery recovery take?
Recovery from bunionette surgery typically takes 6 to 8 weeks. Most patients can walk in a protective shoe soon after surgery, but full healing and return to normal activities may take several months.
4. What are the nonsurgical bunionette treatment options?
Before considering surgery, bunionette treatment may include wider shoes, custom orthotics, padding, and anti-inflammatory medications to reduce pressure and pain on the little toe.
5. Is bunionette surgery painful?
Bunionette surgery is performed under anesthesia, so you will not feel pain during the procedure. Some discomfort may occur afterward, but pain is usually well managed with medication and improves as the foot heals.
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