Surgery for foot deformities

"Surgical correction is the only effective solution for hallux valgus".

DR. RAFAEL LLOMBART BLANCO
SPECIALIST. ORTHOPEDIC SURGERY AND TRAUMATOLOGY DEPARTMENT

How are bunions treated?

The hallux valgus or bunion consists of a deviation of the first toe towards the rest, to the extent of causing the overlap of the first and second toe. The surgical correction is the only effective solution to solve this problem.

The surgical intervention has as purpose:

  • To correct, as far as possible, the deformity of the toes.
  • To prevent pain on the sole of the foot, under and behind the toes (vaguely called metatarsalgia).
  • To avoid the appearance of other deformities and problems that occur more or less in a chain.

The most common are claw toes, hyperkeratosis or calluses, subluxations of the joints between toes and metatarsals and Morton's syndrome. Surgery, in this case, also aims to improve the biomechanics of the forefoot and the disappearance of the pain. 

Imagen del icono de la consulta de Segunda Opinión. Clínica Universidad de Navarra

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When is surgery for foot deformities indicated?

Initially it is treated with anti-inflammatory drugs, painkillers, physiotherapy, local application of heat or cold and avoiding repetitive activities that aggravate the symptoms.

It is very important to use adequate footwear, avoiding shoes with narrow toe boxes or high heels. Choose footwear with a broad last that does not rub against the bunion, with soft and adaptable upper leather.

If these measures do not work, local infiltration can be beneficial.

If all this is not successful, surgical correction is the definitive option. 

<p>Imagen preview del infogr&aacute;fico sobre los juanetes</p>

Learn about hallux valgus and how it works (only in spanish)

Most frequent indications:

Do you have any of these problems?

Surgical treatment may be necessary

How is foot surgery performed?

The operation can be definitive as long as, after the intervention, deforming footwear is no longer used.

It is performed under regional, general or spinal anesthesia and can be done following different procedures, depending on the magnitude of the problem and the amount of problems to be treated.

The most commonly used method at this time is called inverted distal V metatarsal osteotomy and consists of the section of the metatarsal head, one of the five long bones that form the skeleton of the foot.

Post-operative recovery is highly variable, but usually does not require rest.

In general, you can walk immediately, with some adaptation according to the type of operation.

The postoperative can last up to a month and a half or more, but is usually very comfortable.

Possible complications of unsatisfactory outcome of the operation include incomplete correction of the deformity and recurrence of hallux valgus (especially if deforming footwear is still worn).

Where do we do it?

IN NAVARRA AND MADRID

The Department of Orthopedic Surgery and Traumatology
of the Clínica Universidad de Navarra

The Department of Orthopedic Surgery and Traumatology covers the full spectrum of congenital or acquired conditions of the musculoskeletal system including trauma and its aftermath.

Since 1986, the Clinica Universidad de Navarra has had an excellent bank of osteotendinous tissue for bone grafting and offers the best therapeutic alternatives.

Organized in care units

Imagen de la fachada de consultas de la sede en Pamplona de la Clínica Universidad de Navarra

Why at the Clinica?

  • Experts in arthroscopic surgery.
  • Highly qualified professionals who perform pioneering techniques to solve traumatological injuries.
  • One of the centers with the most experience in bone tumors.

Our team of professionals

Traumatology specialists with experience in bunionette surgery