CASE STUDY PRESENTATION
Minimally Invasive Bunion Procedure
Welcome to Ramos Foot and Anklce Center, your minimally invasive foot & ankle specialist.
We’re confident you’ll find an unmatched quality of care at Ramos Foot and Ankle Center.Foot pain is never normal. Bearing the brunt of your entire body’s weight, when your feet ache, your entire body aches. With proper diagnosis and treatment, most foot and ankle problems can be treated successfully. We will listen to your symptoms and provide you with an individualized treatment plan to return you to those activities you enjoy the most!
This is a case of a elderly male who suffered for many years with a painful bunion. He did not want to have traditional surgery because was afraid of going under anesthesia. Fortunately, we were able to fix his bunion while the patient was fully awake and pain free during the procedure!
A bunion is a deformity characterized by a "bump" and the deviation of the big toe. As pressure is applied, the tissues around the joint may become 😡swollen, red, stiff, and tender; the great toe is forced inwards towards, and sometimes under or over, the other toes.
In this video, Dr. Fausto Ramos explains:
🔹What is a bunion
🔹why is it happening
🔹how to treat it
Please read on.
Bunions develop from abnormal foot structure and mechanics, both of which are inherited features. People with flat or over-pronated feet appear to be more prone to an instability of the big toe joint and have a higher incidence of bunions
There are conservative treatment options such as using wide shoegear, orthotic devices, stretching, or physical therapy.
However, if conservative options don't alleviate the problem, then surgical correction may be advised by foot specialists.
Dr. Fausto Ramos focuses on minimally invasive options as explained in this video.
So, what is Minimally Invasive Bunionectomy? 👨🏼⚕️
It involves making a small incision less than 3mm to remove the bony exostosis or bump located along the side of the foot. He then makes another small incision on the top of the big toe to bring it into proper alignment or position. The small surgical incisions enable the surgeon to use fine specially designed instruments to obtain the best cosmetic result.
Sometimes additional procedures may be required such as correcting a second hammertoe or low metatarsal bones often seen in conjunction with bunions. These procedures are also done with the minimally invasive incision surgery and the doctor would be able to determine if this is needed during your foot exam, which would involve x-rays unless you have had some recently taken.
Surgery is performed under Fluoroscopic viewing. There is generally less trauma to the tissue and surgical times are lessened with this technique, reducing pain and recovery time. Less suturing is necessary and often times no sutures are used. Postoperative patients ambulate immediately and are often placed in a surgical shoe or boot to aid ambulation.
Minimally invasive surgeons are able to rely on an external compression dressing with taping/splinting for stabilization immediately after surgery, often times eliminating the need for pins or screws enabling immediate ambulation. Most of the time it is unnecessary to fuse the toe joints.
Getting back into regular type shoes depends on rate of healing and amount of swelling, which is very individual. You will have a bulky dressing the first week.
Dr. Ramos usually likes to see the patient back at the clinic after 3-4 days for redressing. In one week your dressing is changed to taping/splinting, a spongy material toe separator and disposable ace bandage type wrap which you yourself change daily. This dressing is worn three to four weeks. No dressing is usually required after this.
Before and After Minimally Invasive Bunion Surgery