Bunion and Claw Toe Surgery

Bunion surgery

Bunion is a foot deformity that changes the shape of the foot causing the big toe to turn inward, towards the second toe leading to pain and inflammation. A bunion is caused by incorrect footwear, joint damage, arthritis, and genetic disposition. Some of the commonly observed symptoms are pain, inflammation, bony bump on the side of the foot.

Bunion may be corrected with conservative treatment or surgery. If the conservative treatment does not treat the bunion pain, then your surgeon may recommend bunionectomy, surgical removal of a bunion. The main goal of the surgery is to remove painful deformities, restore normal bone alignment, and prevent recurrence.

This surgery involves shaving the inflamed tissue around the big toe joint using a shaving drill. A part of the bone in big toe is cut to straighten the toe (osteotomy). Ligaments are tightened and adjusted in a proper direction. Screws and pins are used to fuse the bones together. After the surgery, your surgeon may instruct you to wear crutches to prevent weight bearing. Some of the complications of the surgery include infection, stiffness of the toe, loss of blood supply to the toe, and over-correction. Over-correction leads to turning of the big toe outward (Hallux varus). However, these complications can be corrected.

Claw Toe surgery

Toes are the digits in your foot and are associated with walking, providing balance, weight-bearing and other activities. A variety of toe deformities occur in children’s feet.

Claw toe is a rare deformity but occurs in association with cavus foot, Charcot-Marie-Tooth disease or myelomeningocele. It affects all the toe joints and results from hyperextension of the metatarsophalengeal (MTP joint or 1st joint) and flexion at the PIP (2nd joint), and DIP (3rd joint) joints. It results from altered structural anatomy and /or neurologic disorder that cause muscle imbalances.

Toe deformities are firstly treated with conservative treatment measures, to restore or maintain walking ability, relieve pain and also to delay the progression of the deformity.
When conservative treatment fails to relieve symptoms or the deformed toes becomes rigid and immovable, and then surgical treatment is recommended. The main objective of the surgery is to restore normal toe alignment and return the foot to normal pain-free function.

Surgical procedures are used, according to the stability of the deformed toe, whether flexibility is there or not.

If some flexibility exists in the toe, then surgeon will make an incision over the deformed toe joint and realign the tendons and ligaments. Pins may be placed to keep the toe in position while healing. Finally the incision is closed with sutures and covered with sterile dressing.

In case if the deformity is rigidly fixed, then surgeon will make the incision over the joint of the deformity, realign the tendons and ligaments, and also perform an osteotomy, which is the removal of bone pieces. Pins are also inserted to keep the toes aligned while healing. Finally incision will be closed with sutures and covered with sterile dressing.