Bunion surgery is a procedure in which the bursal sac under and around the big toe joint is excised. This removes painful bone spurs, corrects deformities of your feet, relieves arthritis pain on other joints of the foot that are caused by pressure from these bony growths, and reduces stress to soft tissues such as tendons or ligaments within your toes.
A minimally invasive bunion surgery technique called arthroscopic bunionectomy is used in most bunion surgeries. This allows surgeons to utilize a microscopic surgical instrument, called an arthroscope, to see and operate on the blood vessels and nerves of the foot. In a minimally invasive bunion surgery in Singapore, the surgeon makes an incision in the skin over your big toe joint at a slight angle from the side of your foot, along with cutting your Achilles tendon.
The arthroscope is then inserted into this incision so that it can be used for visualization and surgery. After this incision is completed with the guidance of the arthroscope, most surgeons will make sure that you are wearing shoes that fit properly before proceeding with surgery. If a bunion has formed in your big toe joint at some point in time after birth and you have had previous attempts at treating it, then you may require the surgeon to remove any pieces of bone spurs or possibly clear any loose ligaments within your joints during this procedure as well.
The opening created by your surgeon is then used to place a small piece of tissue designed specifically for scarring and healing that will remain in the arthroscopic tunnel created by the arthritic surgeon. The surgeon will then slide this small piece of tissue into this tunnel, and make another incision just above where you were previously cut so that an incision can be made in your soft tissues.
Using small instruments, your surgeon will remove any pieces of bone spurs or loose ligaments within your joints before making a “donut” ring around the base of your big toe joint. Then using a bigger instrument, he or she will make an incision over where he or she previously made the small incisions for placing the tissue inside the arthroscopic tunnel. This allows for enough range for his or her hand to be inserted into this “donut” ring which contains all of these mini-incisions so that it can be removed from under your skin once a complete repair has been made within your foot.
After all the surgery is completed, you will have stitches placed on top of these wounds to hold them closed until they have completely healed. You may experience some soreness after this surgery, but as long as you are advised to keep your foot elevated and wear shoes that fit, you will be able to recover with little or no problems. If the surgery is a success, the arthritic surgeon will often make an incision in your soft tissues and then glue the end of your big toe back onto its proper place so that it can heal.
In most cases, after you have one or two operations in which pieces of bone spurs are removed from within your joints, resting on how long you have had this bunion, it is possible to have surgery to repair the surrounding ligaments and tendons as well. This will allow for a more proper fit around your big toe joint.