You don't have to lump it: All about bunion surgery

Written by: Mr Andrew Skyrme
Published:
Edited by: Karolyn Judge

Do you need bunion surgery? It offers relief from the pain and remove the lump that’s developed. We speak to leading consultant orthopaedic surgeon Mr Andrew Skyrme all about what’s involved in bunion removal surgery in this informative article.  

Feet after bunion surgery

What is a bunion?

A bunion is a protuberance from the inside of the great toe. Patients see it as a large lump on the inside of the great toe, which they've often had for some years. This causes other problems in turn, such as crowding, hammering and sometimes crossover of the lesser toes

 

 

What causes bunions?

It's generally caused by:

 

  • Ill-fitting, narrow shoes and; 
  • Genetics.

 

 

How is it treated?

The primary pathology of bunions needs to be examined. This is that the first metatarsal and the second metatarsal diverge. As this happens, it leads to protuberance of the great toe. Surgery involves reducing that divergence, which involves breaking and re-straightening the big toe, and fixing it with small screws

 

 

What's the most effective surgical option for bunion removal?

SCARF is the best technique and most widely-done surgery done by foot and ankle surgeons in the UK. The operation is a day-case procedure and afterwards, the patient is in bandages for six weeks. We check the wounds in week one, two and six.

 

 

What's involved in recovery for bunion removal?

If it's needed after six weeks, physiotherapy is organised to aid recovery and enhance a more normal walking gait

 

 

If you're looking for expert bunion surgery in Crowborough, Brighton, Eastbourne or Seaford, arrange a consultation with Mr Skyrme via his Top Doctors profile. 

By Mr Andrew Skyrme
Orthopaedic surgery

Mr Andrew Skyrme is a highly-experienced and respected consultant orthopaedic surgeon based in Crowborough, Brighton and Eastbourne as well as Seaford. He specialises in lower limb disorders, taking in hip replacement, knee replacement and foot and ankle surgery alongside knee arthroscopy, bunion surgery and sports injuries, privately practising for Horder Healthcare and Sussex Premier Health at clinics in Crowborough, Eastbourne and Seaford as well as the Michelham Private Patients Unit at Eastbourne District General Hospital (DGH) and Nuffield Health Brighton Hospital. His NHS base is DGH at East Sussex Healthcare NHS Trust.  

After qualifying in medicine with an MBBS from Guy's Hospital in 1993, Mr Skyrme underwent specialist further training at the Royal College of Surgeons, England, in the south east of England and at the renowned Mater Hospital in Sydney, Australia. Here he worked with Dr Bill Walter who is one of the in-demand hip surgeons in the world. 

Following this, Mr Skyrme established himself as one of the busiest joint replacement and foot and ankle surgeons in the south east, regularly carrying out over 650 foot operations per year. Much of the forefoot and hip replacement surgery he performs are carried out as a day-case procedure, using specialist anaesthetic and surgical technique to allow for rapid recovery. 

Mr Skyrme's clinical research has been published in various peer-reviewed journals and subsequently he became the associate editor of the Journal of Bone and Joint Surgery in 2013. Furthermore, he is the joint author for the book 'Common Spinal Disorders Explained'. He is also passionate about training young surgeons during their training and has been the Royal College Tutor for Eastbourne DGH since 2005. 

He is a respected name in delivering quality service and is the south east representative at the National Joint Registry. He is also an active member of various professional organisations, including The British Hip Society (BHS), British Foot and Ankle Society (BOFAS) and the British Orthopaedic Association (BOA). Furthermore he has membership at the Medical Protection Society (MPS), the British Medical Association (BMA) and is a fellow of the Royal College of Surgeons (RCS).

He also undertakes medico-legal work, completing three medical reports a week in the principal areas of lower limb injuries, spinal problems and whiplash. 

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