Bunions: minimally invasive surgery as a solution

Worldwide, it is estimated that over 23% of women suffer from bunions. It’s a progressive disorder beginning with bony lumps that form on the side of the feet that often patients consider to be unsightly.
 

Although bunions begin as a cosmetic problem, they can rapidly become a medical problem. We recently spoke to a leading consultant trauma and orthopaedic surgeon, Mr Tarek El Gamal, to find out about minimally invasive surgery as a solution.

When is minimally invasive bunion surgery recommended to treat bunions?

Minimally invasive surgery is a brilliant technique with excellent outcomes as well as high patient satisfaction in the literature. It’s recommended for all types of bunions including bunions of the 5th toe.
 

Are there different types of MIS for bunions?

Yes, a bunion at the back (top) of the toe can be treated with MIS to shave it, with no metal work involved. This is the same for little toe bunion. MIS for the little toe aims for correction of the deformity without any metal work. For other types of big toe bunion, the surgery will entail open cuts and metal work. The metal work is designed to stay in for good.

How can a patient prepare for minimally invasive bunion surgery?

When it comes to preparation, MIS is no different than formal surgery. However, after almost all of the MIS procedures, the patient can go home a few hours after the surgery.

How is minimally invasive bunion surgery performed?

MIS is performed through 1-2 cm incisions. Through that incision we can shave bone and correct deformities all around the foot.

Is it painful during the procedure and post-surgery?

As regards to pain, the procedures are done under quick general anaesthetic. A nerve block is given during the procedure to take the edge off the pain for almost 6-12 hours. The patient should use this period to start rehabilitation exercises, which will guarantee a better outcome in the long-term.

Could other foot issues be treated at the same time?

Yes, there are lots of applications for MIS foot surgery. It can be used to manage flat feet, high arched feet, metatarsalgia as well as plantar fasciitis. MIS techniques are well supported in the literature with excellent patient outcomes.
 

If you require treatment for any feet-related issues, you may like to book an appointment with a leading orthopaedic surgeon such as Mr Tarek El Gamal. You can do this via his Top Doctors profile