The Austin Bunionectomy is one of many different procedures that are carried out to surgically manage bunions. The actual procedure uses several steps to remove the enlarged bone and realign the metatarsal.

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Bunions, or even more correctly, hallux valgus or hallux abducto valgus occurs in numerous shapes or forms. The problem is one of an enlargement of the great toe joint of the foot (bunion) and an pointing over of the great toe or hallux laterally in the direction of the smaller toes (abduction and valgus). They become painful as a result of arthritis like symptoms from the deviation of the big toe as well as from strain on the lump of the bunion from the shoe. They are one of the more frequent reasons for pain in the foot and are caused by a mixture of inherited features, poor biomechanics together with shoe fitting issues. While there are conservative measures including pads, splints, better shoe fitting, exercises and pain relief drugs that can be used, they don’t make the bunion go away or straighten the hallux in the longer term. Often surgery is the only long term solution to bunions or hallux valgus. Even then, unless the actual cause of the problem was attended to at the same time there is a likelihood that it may occur again.

There are many different joints and bones involved in the development of bunions and each and every situation is different as differing amounts of each bone and joint are involved. Because of this the operative repair should be directed at the bone or joint that is involved. If the great toe joint is just involved, then a simple removal of the enlarged bone is perhaps all that is needed. If the angle of differing bones can be a issue, then a wedge is going to need to be taken out of the bone and the bone reset. There are so many different ways of doing that and it’s been stated that this condition has more operative choices for it when compared with all other conditions!

The Austin bunionectomy is only one kind of procedure. This procedure entails removing the lump of bone and taking a v out of the head of the first metatarsal to reposition it and hold it in position with a screw so it can heal. A special shoe or boot will need to be worn during the first couple of weeks following the surgery and return to your standard footwear after about 4 weeks. It usually takes around 8 weeks to get back to full activity levels after this surgery.

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