Foot Bunion Orthopedic Surgery Guidelines

  Due to the strong pulling of the bunion muscle, the bunion is shifted outward, the first metatarsal near the bunion is tilted inward, and the bursa is formed on the medial side of the first metatarsal head and the local subcutaneous bursa is created, thus forming the bunion deformity. This disease is mostly seen in adult women and can be caused by a variety of factors, but is mainly associated with wearing shoes with a narrow toe.  In severe cases of bunion, foot pain can occur in the medial bunion bursa, second metatarsal plantar, and little toe. Long-term deformities can cause osteoarthritis of the first metatarsophalangeal joint, which in turn can lead to pain and swelling there, and will cause difficulty in wearing shoes and walking, significantly affecting the patient’s quality of life.  Conservative treatment of foot bunion Where the symptoms of bunion patients are not obvious, conservative treatment can be used, allowing patients to wear wider shoes, along with flatfoot patients can be used flatfoot insoles. Surgery is only considered when the patient has significant local pain symptoms and walking difficulties. However, surgery should only be performed after the local bursal inflammation has subsided.  The surgical treatment of foot bunion and the choice of foot bunion surgical modalities amount to more than 100 kinds, and there are more than 30 kinds commonly used. They are broadly divided into two categories: soft tissue surgery and bone surgery.  Before surgery, the angle of the key bones and joints of the foot in the orthopantomogram needs to be measured, and the surgical plan is designed according to the degree of abnormality of each angle.  Foot bunion deformities and deformities that may accompany other parts of the foot often require simultaneous surgical correction, and sometimes require staged surgical correction.  A, the general process of foot bunion surgery: 1, routine pre-surgical examination, including blood tests, general anesthesia or epidural anesthesia requires a few more tests.  2.Measure the angle of the key bones and joints in the orthopantomogram of the foot, and design the surgical plan according to the degree of abnormality of each angle.  3.Check in the day before the surgery day.  4.No diet is prohibited on the surgery day, and the operating room nurse will access the operating room.  5.Intravenous input of antibiotics before surgery.  6.General anesthesia, epidural anesthesia or nerve block anesthesia of the foot and ankle can be chosen. No catheterization is required and intraoperative cardiac monitoring is needed.  7.Surgery, suturing and dressing according to the design plan.  8.Postoperative intravenous antibiotic input.  9.Postoperative anesthesia effect can usually be maintained for nearly 10 hours, and pain medication can be added if necessary.  10.The next day after surgery, you can generally wear forefoot weight-free shoes to the ground.  11.Postoperative review of X-rays.  12.Usually you can be discharged 1-3 days after surgery.  13.The stitches are generally removed 2 weeks after surgery, during which the medication is changed in the outpatient clinic, and the period depends on the situation.  Second, the foot bunion surgery rehabilitation considerations: 1, the removal of stitches: the foot skin healing slow, it is generally recommended that the removal of stitches later. If there is poor healing and a small fissure after the removal of the stitches, use butterfly tape to pull together.  2, crutches and weight-bearing problems: such as simple surgery, after surgery can not crutches; such as complex surgery, or osteotomy orthopedic surgery, the need to wear forefoot weight-free shoes for 2-3 months after surgery.