Am I off my feet after bunion surgery? Most Bunion surgery allows patients to be on their feet immediately following the procedure. In these instances, patients are expected to wear a protective post-operative shoe over their bandaging in order to protect the surgical site. In the first 3-7 days, patients are expected to rest and elevate their foot as much as possible even when they are able to walk. During this time, applying an ice pack or ice pack slippers is highly beneficial for pain management.
At your first post-operative review (approximately 7 days following the procedure), Dr Kim will discuss with you your progress and anticipated recovery, as well as your progression into normal footwear such as runners(recommend HOKA One One) and flat casual shoe gear such as Ecco or Naot or Birkenstocks. For the majority of patients, a return to normal footwear occurs at around 4 weeks following the procedure although this does vary from patient to patient. Visit footsurgery.com.au for more information.
“Bunions have been shown to reduce health related quality of life, make fitting footwear difficult and increase the risk of falls and balance problems”. Bilateral bunion surgery can be performed safely as an outpatient procedure in selected patients with acceptable levels of patient satisfaction. Bunion surgery has also been found to be the most effective intervention in scientific studies.
Bunion surgery is unlikely to be painful as long as patients follow postoperative instruction, as the use of minimal incision techniques and better medications given during the surgery, significantly reduce postoperative pain. Also, because you can walk straight after surgery, postoperative swelling is reduced. Most patients are back into supportive footwear by week 4 and at week 8 can resume most activities. Residual swelling can take several months to completely subside.
Bunion surgery involves: Bone limiting joint motion and/or protruding from the joint is removed and the big toe is realigned. Usually a bone cut is made to allow for realignment of the metatarsal bone. Tight soft tissues are released on the inside of the joint and loose soft tissues on the outside of the joint are tightened. A combination of bone and soft tissue procedures allow the big toe to be properly aligned. A pin is used under the skin to hold the bone in its new position. Occasionally these pins need to be removed although this is rare. The majority of bunion surgery is performed as day surgery and allows for immediate walking after surgery.
Dr Kim specialises in bunion operation and he performs five different techniques; Distal Chevron, MICA(Minimally Invasive Chevron Akin), Proximal Chevron Osteotomy, Scarf Osteotomy and Lapidus bunionectomy, depending on severity of patients bunion deformity as well as underlying causes of their bunion deformity.