A bunionectomy, or hallux valgus surgery, is a procedure to correct a bunion—a bony deformity at the base of the big toe—aiming to alleviate pain and restore proper alignment. Preparation: Before surgery, patients are advised to wear wide, comfortable shoes to reduce pressure on the bunion and may use bunion pads or orthotic devices to manage symptoms. Pre-operative assessments will evaluate overall health, and discussions about current medications are essential, as some may need adjustment. Patients should arrange for transportation home post-surgery and ensure support is available during the initial recovery period. Procedure: Typically performed under general or local anaesthesia, the surgeon makes an incision over the affected joint to remove or realign the bony prominence. The specific surgical technique depends on the severity of the deformity and may involve cutting and repositioning bones (osteotomy) or fusing joint surfaces. Fixation devices like screws or plates may be used to maintain proper alignment during healing. Recovery: Post-operatively, the foot is usually protected with a bandage or surgical shoe, and patients are encouraged to keep the foot elevated to reduce swelling. Weight-bearing is often limited initially, with gradual increases as healing progresses. Follow-up appointments are essential to monitor recovery, remove stitches, and assess the need for physical therapy to restore strength and mobility. Complete recovery can take several months, during which adherence to rehabilitation protocols is crucial for optimal outcomes.
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