What is a bunion?

  A bunion is a toe deformity in which the thumb of the foot is deflected to the outside, mostly caused by a dislocation or subluxation of the first metatarsophalangeal joint (the root of the thumb), not by a bag growing on the inside of the foot.  A bunion is usually a manifestation of a foot disease and usually does not exist alone. It is like coughing with pneumonia, there may be fever, runny nose and sore throat at the same time, and the infection is the culprit, if only treating the cough is not enough, similarly bunion is not enough to treat the bunion, it will definitely recur.  Conservative treatment of foot bunion is futile and ineffective.  Whether it is a variety of tools or a variety of functional exercises are conjectural and claptrap, because a bunion is one of the many manifestations of a foot disorder and treating the bunion itself alone is not enough, how can treating a cough without anti-infective treatment for pneumonia work, and the same goes for a bunion.  Surgery for bunions Surgery is the only way to completely cure bunions and is the only way to treat them.  There are many different surgical methods, and the choice of surgical plan is a decisive factor in determining the success or failure of the surgery and whether or not the surgery will recur, and is a key indicator of the level of the surgeon. The choice of surgical plan should not only solve the problem from the root of the disease and prevent recurrence, but also correct the deformity locally, taking into account the function of the foot and the aesthetics of the foot.  (1) Simple bony excision or soft tissue balancing surgery, small surgical incision, small injury, fast recovery, but poor surgical correction effect, especially easy to bunion recurrence, basically can not treat bunion alone.  (2) Toe bone osteotomy, also known as the traditional Killer surgery, is to amputate one-third of the proximal phalanges to relieve the pressure on the first metatarsophalangeal joint and reduce the degree of bunion, which ends in the shortening of the bunion and loss of grip.  (3) Osteotomy of the first metatarsal bone to correct its inversion deformity and thus the bunion, which is more corrective and is an optional procedure for patients without metatarsocuneiform instability. It can be divided into distal osteotomy of the first metatarsal, interrupted osteotomy, and proximal basal osteotomy, etc. It is the most popular and widely used surgical method.  (4) First metatarsal cuneiform joint fusion, the indications for the first metatarsal cuneiform joint instability, in fact, the first metatarsal cuneiform joint instability is the most common cause of bunion, at the same time, the first metatarsal cuneiform joint has the greatest ability to correct the first metatarsal inversion and the greatest ability to correct the bunion, that is, to treat the cause of the disease and treat the appearance, belongs to the method of both the symptoms and the root cause, is my most applied surgical method.  Fear of pain is one of the reasons why many patients are afraid of surgery. Modern medicine can basically ensure that patients will not have pain or any other discomfort during surgery, and patients will not have much pain after leaving the operating room with the application of various post-operative analgesic methods, whether they are 90 years old or a few years old.  After the surgery, the patient will be able to walk in normal shoes after 6 weeks of rest.  Will the surgery lead to disability? Any surgery has complications, relatively speaking, foot bunion surgery usually does not occur serious complications, will not cripple, the most common complications are local skin numbness, slow wound healing, swelling of the foot, etc.  The criteria for successful surgery bunions are corrected, no metastatic metatarsalgia or bunion stiffness, and no recurrence, which are actually still difficult to achieve, and this is what leads to a patient satisfaction rate of about 80% after bunion surgery, because the foot structure is complex and it is difficult for doctors to recreate a foot like God, but the main problems can still be solved.  Bunions in diabetic patients Bunions in diabetic patients should be treated early, after delaying the surgery and other diabetic vascular neuropathy may lead to irreparable damage, the more diabetic patients should do bunion surgery early.