Bunion Surgery Main Description

We offer a range of up-to-date evidence-based, surgical techniques for the correction of bunions (hallux valgus). Our aim is to get you back to work and back to the gym as soon as possible. Using modern local and general anaesthetic techniques, we make the surgery as safe and painless as possible.

Our consultant has over 26-years of surgical experience in bunion corrective surgery. The consultation will cover the condition, how the correction is undertaken, rehabilitation, post-surgical recovery requirements and the risks of the surgery.

Bunion Quotes

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MRS J H, LONDON:

"I had both my bunions removed by Mr Hargrave earlier this year. The whole experience went beyond my expectations and; I was really happy with the results. Whenever i was worried or concerned about any thing I called and some one was there to help and advice me. I would definately recommend the Centre . I am so pleased with the results I have now recommended Mr Hargrave to my sister."

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Bunion Surgery Patients

Bunion Surgery Patients

  • To show correction of little toe joint Tailor's bunion
  • Before and after bunion correction by scarf osteotomy
  • Before and after a scarf osteotomy procedure
  • Correction of mild bunion and long hallux
  • Left foot Tailor's bunion correction 2-months post-surgery
  • Correction of a moderate bunion deformity on a young Afrocaribbean female patient. This is 2-months after surgery.
  • Our trademark Cinderella surgery to remove the bunion and shorten and straighten the middle toes
  • The 'Foot Face Lift' - both big toe and little toe join bunions are corrected together to narrow the foot

Article Free Consultation

  • FREE Consultation Offer

  • We are offering FREE consultations from now through to the end of January.

  • ENQUIRE NOW
 

Conservative (nonsurgical) Treatment

Conservative (nonsurgical) Treatment

Medical evidence has demonstrated that this deformity can only be reversed or corrected by surgery. However, some treatments are provided that can help give temporary relief to the symptoms caused by a malaligned big toe joint. For example, if the joint is very inflammed, an injection of cortisone (steroid) helps to temporarily reduce pain and inflammation in around 50% of cases. Changing your footwear to accommodate the wider forefoot, can also help to reduce pressure on the joint. Some clinicians believe in prescribing orthoses (insoles) for hallux valgus, although one large PhD study found that the orthoses made the problem worse in children.

Bunion Surgery

Bunion Surgery

Bunion surgery is one of the most common procedures carried out on the foot. The techniques we use are tried and tested and have a high success rate (~93%), and a much lower complication rate, such as reducing the incidence of vein clots and joint stiffness. They also reduce the need for time off work, with many patients being able to return after 2-weeks.

The procedure takes between 30 and 40 minutes depending on the severity of the condition.

The surgery can be carried out either under local anaestheic and sedation or full general anaestheic and be allowed to go home on the same day.

In simple terms an incision is made along the side of your foot (to make the scar less obvious). Because this is a bony deformity, the big toe joint is anatomically realigned by cutting and sliding the bones into the corrected position. They are then held in the new corrected position by using special bone screws, pins or plates. The foot is then stitched and a heavy protective bandage is applied for the first week . A post operative shoe will also be provided . Your first checkup appointment will be around 7-10 days, where a smaller dressing will be applied. You must keep the wound dry for the first 10 days. The stitches will be removed between 10 and 21 days following surgery. Providing the wound is healing without complication, you may then commence normal bathing. Further information regarding walking and exercising will be provided.

The Bunion Surgery Procedure We Use

The Bunion Surgery Procedure We Use:

The bunion surgery procedures we use can be undertaken under local anaesthetic and sedation or full general anaesthetic (still be allowed home on the same day). We will normally perform a scarf (z-osteotomy) or in severe and unstable hallux valgus, fuse the base of the long 1st metatarsal bone (modified Lapidus procedure). Both these surgeries involve fixing the bones with special bone screws and or plates and remove the need for patients to have to wear a plaster cast following surgery.

New ReLine Plate For Bunion Surgery

New ReLine Plate For Bunion Surgery:

For hallux valgus surgery we are now using the new ReLine plate from the USA. This is allowing smaller incisions and less scarring, quicker return to footwear with less swelling. There is no need for post-op walker boots as the small fixation plate is very strong, and we want patients back in a trainer after two weeks. The procedure is for mild-moderate bunions only and is not suitable for severe and or unstable hallux valgus.

Tailors Bunion Deformity

Tailors Bunion Deformity:

This is very similar to the bunion deformity (hallux valgus) of the big toe joint but less common. In effect the 5th metatarsal (long bone to the little toe) protrudes, making the foot wider (splaying) and the little toe joint becomes inflamed when being rubbed in footwear. It can be managed by wearing sensible wider footwear to prevent the rubbing. Surgery is usually straightforward where the 5th metatarsal is cut and slid back into correct alignment to reduce the splaying, remove the lump and re-align the little toe joint.

The guidelines are very much the same as bunion surgery.

Call us today on0207 870 1076

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