Blog's main page The images may appear relatively straightforward on initial inspection. However, some crucial points can allow revisional, or any, bunion surgery to have a greater chance of long-term success. The image is of a patient who presented with a history of failed bunion surgery. The surgery would never be successful, as the main underlying [...]
Blog's main page This 16-year-old had been struggling since he commenced walking – marked and multiple symptoms on the foot, including lateral midfoot and rearfoot pain, and bunion formation. However, his main symptoms were being experienced on the medial longitudinal arch. The non-weight-bearing image was taken on the day of his surgery, but, when he first [...]
Blog's main page This is a patient who is approximately eight months postoperative from an Austin/chevron bunionectomy and correction of plantar plate pathology with medial drift of the 2nd, 3rd and 4th toes at the MTPJs. Typically, this would have involved large incisions, long recuperation and scarring with possible K-wires coming out of the toes. With [...]
Blog's main page This lady presented with marked shooting pain in the right dorsal medial 1st MTPJ. She has endured this pain for approximately 12 months, with little relief from anti-inflammatory medication (both orally and topically), orthotics, deflective pads and corticosteroid injection. On examination, the pain was reproducible specifically over the dorsal medial bony prominence of [...]
Blog's main page The images are from a case that underwent surgery a few weeks ago. The patient had a painful 1st MTPJ, but the main symptoms were felt on the lateral hallux and medial 2nd toe, involving pain and a corn formation. The conservative care had failed to provide enough relief. Note the signs of [...]
Blog's main page This case shows just how strong genetics can play in the development of bunions. This is the foot of a 16-year-old. The parents and podiatrist have been diligent with orthotics and ID wedging from an early age. There is a strong family history of bunions, and the genetic predisposition for the first metatarsal [...]
Blog's main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She had been treated for her bunion via rest, orthotics, mobilisation, medication and various splints. No pain relief was achieved, and she noted that the joint was becoming slightly stiff and more symptomatic. X-ray assessment showed a [...]
Blog's main page This patient has presented with concerns about painful bunions. He also suffers from gout. On questioning, he has been less than conscientious with his taking of gout prophylactic medications. On the clinical images on the left, he does look as though he has bunions, plus he has painful 1st MTPJs that could be [...]
Blog's main page There have been marked improvements in bunion surgery over the years to the point where, typically, the procedure is day surgery, the pain is controlled and long-term good results are achieved. Keyhole surgery, better known as minimally invasive surgery, is very much the "flavour of the month". It does have a place, but [...]
Blog's main page This is a great example of how poor biomechanics impacts foot pathology. This is a case of juvenile bunions with flat feet that has recently been presented in my rooms. I have successfully corrected the mother's bunions and she is now showing concern for her daughter's painful feet. Pain in the long medial [...]
Blog's main page I have carried out surgery on three patients recently who have had moderate bunions on X-ray, however, clinically they appear to be much worse. On X-ray, you can see "shadowing" of the gouty tophaceous deposits on the medial aspect of the joint, which gives the impression clinically that the actual osseous deviation is [...]
Blog's main page Bunion surgery has advanced markedly in recent years. Traditionally the surgery has had a bad name. Procedures involved long recovery, large incisions, marked pain and poor outcome. This has all changed now; however, sadly, there still exist many surgeons who have not progressed. This case is a perfect example. This was brought to [...]
Blog's main page This case will hopefully outline the importance of utilising all your knowledge and not solely relying on other professionals' reporting. I carried out bunion correction on this 25-year-old, 4 years ago, with an excellent outcome. He has then presented subsequently in a CAM boot with a 6-month history of severe midfoot pain and [...]
Blog's main page A recent review of a very happy bunion patient. This just shows you how foot surgery has advanced over the years, particularly bunion surgery. Modern procedures allow for small incision, quick recuperation, and research confirms long-term results are achievable. Typically the surgery is day surgery, incisions are much smaller now and recuperation is [...]
