Pre and Postop Juvenile Bunion and Flaftfoot Correction Together
Preop and Postop Dorsal Approach Bunionectomy with 1st Met Osteotomy
Pre and Postop McBride Bunionectomy
Picture of first metatarsal osteotomy for bunion correction
X-rays demonstrating correction of bunion deformity with the great toe deviated laterally (left image) and notice the position of the sesamoid bones which are the small round bones near the joint. The post-surgical film (right image) depicts alignment of the great toe significantly improved and the position of the sesamoids is underneath the 1st metatarsal head where it should be. This is a case where two surgical screws were used to fixate the correction.
Bunion deformities, as a results of multiple factors such as genetics and abnormal mechanics, cause the great to shift towards the lesser toes which leads to pain, difficulty with walking and daily activities, as well as difficulty with wearing shoes (left). Correction of the bunion with surgery results in straigtening of the great toe and removal of painful bump (right).
During surgical correction of the bunion a v-shape bone is made in most cases to translate the head of the 1st metatarsal laterally which creates an overhang of bone from the previous position of the bone (pictured left). The overhang is remove and the new position of the bone is held with some type of fixation which varies from screws, staples, or pins which is the case here. The pin is buried left in permanently (pictured right)