BUNION SURGERY in FRANCE
Surgical techniques for correcting distortions
The main principle is not simply "shave the bump", but tackling the issue, ie reducing the metatarsophalangeal angle. This requires bringing the first metatarsal in the second, and align the joint of the big toe in its extension.
- In order to reducethis angle,the interventionconsists of:
1. osteotomy translation of your first metatarsal, two fragments will slide one over the other and will be fixed by two screws.
2. Possibly an osteotomy of the proximal phalanx of the big toe that may require a clip for attachment.
Thus the distortion disappears completely.* The osteosynthesis material (screws or staples), which ensure the correctness of your front foot won’t be removed only if you want to and only after a year, however the consultation after one year s essential to check good tolerance of the material.
In some situations, it is possible to treat hallux valgus percutaneously.
The scar is less but the consequences are often more difficult because the osteotomies are set only by the bandage.
This is a possible solution for small deformations of the young women. In contrast, it is often proposed solution to the very elderly, with significant distortion.
The major deformations and / or hallux valgus instability with the base of the first metatarsal (foot spread when loading) may require a different treatment with a correction at the base of the first ray. Often, a double osteotomy is performed.
It is a more serious surgery but large deformations can be corrected in very good condition l
This technique generates additional constraints:
• Protection of the support by crutches for 2 weeks.
• 1 month post-operative shoe.
This technique also called "Lapidus technique" is useful for large deformations with instability of the joint at the base of the first metatarsal.
This is observed in large losses of the first support beam, in certain arthritis or flat feet.
Again, the consequences are more serious because you can not use the forefoot (press allowed) for 45 days..
If the deformation or cartilage damage required, it is not possible to keep the metatarsophalangeal joint of the big toe.
The operation is performed arthrodesis and consists of a full and final locking of the joint. this surgery is effective and well tolerated. We are of course at your disposal to answer any questions you will ask if this technique is offered.
Postoperatively, you should not use the link that must merge