Lapidus Bunionectomy

This patient presented to our office with a large painful bunion of the left foot. During the in office consultation we noted that the 1st metatarsal was also hyper-mobile.  Hyper-mobile means that the first metatarsal moved up and down too easily with minimal pressure. Looking at the x-ray on the left you can see how…

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Case Study: A large bunion with overlapping second toe

Today I would like to share with you a surgery that I performed six months ago. This patient came in today for her 6 month follow up visit. She said she was doing great, running, yoga and wearing high heeled shoes at times. Large Bunion This patient is a 65 year old professional. She came…

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When to have bunion surgery when you are not in pain.

My usual readers will know that I do not advocate bunion surgery for cosmetic reasons. My postings usually talk about bunion surgery to relieve pain. Both kinds of pain, shoe pressure and joint pain. (That reminds me of a classic scene from the movie Blues Brothers when the bartender says, “we have both kinds of…

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The best bunion surgeon and why!

Bunion Surgery I strongly believe that bunion surgery is an art that necessitates the surgeon to adapt to the subject (the foot). Our orthopedic text books clearly define all of our named surgical procedures and outline exactly how to perform them from the first incision down to bone and back to the skin closure. Almost…

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Common misconceptions about foot surgery

While I was writing my last post on hammertoe surgery it occurred to me to write a post on common misconceptions of foot surgery. (Don’t feel like reading a long post? Skip to the last paragraph for a quick summary.) 1) The first one was one that I mentioned in my last post: that extra…

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Keep your foot dry after surgery!

After foot surgery it is important to keep your foot dry. Depending on the procedure it is usually between two and four weeks. As a convenience for my patients, I dispense a device to keep the foot dry. It works very well in the shower. (click picture to enlarge) Today, a patient came in and…

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Case Study: severe bunion surgery opening base wedge osteotomy

I am going to start posting quick case studies of interesting foot surgery and other foot problems as they come in. These posts will be shorter than my more education posts and just present the complaint, physical findings, diagnosis and treatment. The first case study is a severe bunion. This is one of the largest…

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