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For one week after bunion surgery, you need to keep your leg raised when resting. This allows the swelling to settle. You will be in a plaster cast or restrictive dressing for up to six weeks. We often give you crutches or a walking frame to use temporarily. After about eight weeks, we may replace the plaster cast with a removable boot. You can then start to put weight on your foot. Because there are other conditions that can mimic a bunion, it’s important that you see your GP to get your feet examined. X-rays confirm a diagnosis of hallux valgus and give you an idea of how severe your bunion is. Preventing a Bunion and its Complications. Pain from bunions develops over the bony bump due to shoe irritation, and in the other toes due to crowding and altered mechanical forces in the ball of the foot. As bunions vary in shape and size, there are many different procedures to treat them. Your foot and ankle surgeon considers your X-ray results, age, activity level and general health. They then discuss which procedure suits you best.
The physical bump on the side of your foot is the main sign to look for when working out if you have a bunion. Additional signs and The following is a rough guide of what to expect when you come out of surgery for some common procedures (note this may change depending on individual considerations).
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Move your hip and knee regularly as this prevents them from becoming stiff and the muscles from wasting irritation to the fluid-filled sac (bursa) that cushions the joint, leading to inflammation and swelling, then pain and tenderness. The Boesch technique is very commonly used to correct a bunionette, and probably the most popular method across the globe today. It is minimally invasive, performed under local anesthesia, and causes minimal bone, and soft tissue trauma. Eighty-six percent of patients are free of pain at their final follow-up. Radiographic findings after surgery are described as excellent to good. [ 10] Recovery Timetable After Bunionette Surgery Week 1.
Some complications can arise sooner, such as deep vein thrombosis (DVT). Any kind of lower limb surgery carries with it a small risk of developing DVT, but it’s rare after bunion surgery. Your wound should remain bandaged for two weeks, and the surgical shoe given to you after surgery can be used to protect your bandaging during this time. It isn’t necessary to clean and redress the wound each day, but you should aim to allow air to get to the wound for a short period every few days. Should you need to clean your wound during this time, do so with clean hands using a clean face cloth, soap and water. It’s important not to disturb any scabbing on the wound, and instead allow it to flake off naturally on its own.
Surgery Plasters
Bunions are more common in women, older people and anyone whose job involves a lot of standing or walking, such as hairdressers and nurses. Fixing your toe bone in place with metal screws or staples put under your skin. These are often left in permanently. You should allow 6-8 weeks off work if you have a manual job or you need to be on your feet all day.
A cut is made on the side of the bunion. The big toe joint is opened and the bony lump is removed. The first metatarsal is cut through, repositioned and fixed with one or two screws. Sometimes a second cut is made between the first and second toes to free up the tight tissues on this side of the toe. The soft tissues on the other side of the joint are tightened to correct the deformity and the wound stitched up. The foot is dressed in soft bandages. You will be helped onto your feet by your nursing team and a physiotherapist, who will assess your needs for additional walking aids such as crutches. You will be discharged with a copy of your operation note, which will have detailed post-operative instructions. It will also outline the follow-up after your surgery. At the same time, the lax soft tissues are reinforced with surgical stitches to support the alignment of the big toe.There are several types of bunionectomies. Some involve removal and realignment of the bones in your foot. Mild bunion problems can sometimes be resolved using soft tissue release or tightening. For some very severe cases bones of the big toe are fused or the bunion is cut out along with some of the bone at the base of the toe. Be sure and discuss which type of operation you will have with your surgeon. Fusion of major joints– NWB for up to eight to twelve weeks in plaster cast followed by FWB in a removable boot Hammertoe is a bend in your second, third or fourth toe that is caused by the extra pressure your big toe is putting on your other toes. This can look like you’re “crossing your toes” and leads to further discomfort when walking or putting on footwear. https://www.nth.nhs.uk/content/uploads/2017/08/Comm10181-hammer-toe-surgery-arthroplasty-arthrodesis.pdf
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