Minimally Invasive Bunion Surgery


What is a bunion?

A bunion occurs when the big toe turns inwards toward the 2nd toe and forms a bump on the foot.

What is a bunionectomy?

A bunionectomy is a surgical procedure used to remove a bunion and can help relieve pain.

Types of bunionectomy procedures:

  • The decision to perform one type of surgery or another is based on the severity of the bunion deformity and the presence of arthritis in the big toe joint.
  • Bunion is rarely treated by simply “shaving” down the bump on the side of the big toe: if done alone, the deformity will recur and the bunion pain will return
  • The bunion is typically corrected by cutting the 1st metatarsal (which is called an osteotomy) and then re-aligning the bone.
  • Typically the re-aligned bone is held in place with screws and/or a plate and screws
  • The osteotomy (bone cut) can be made at the end of the 1st metatarsal (distal osteotomy) or at the base of the 1st metatarsal (proximal osteotomy)
  • One of the most common distal osteotomies is called a Chevron or Austin osteotomy. A screw is used to hold the re-aligned 1st metatarsal and following the surgery, weight bearing is permitted in a special surgical shoe until the bone is healed
  • One of the most common proximal osteotomies, used for more severe deformities is a “ludloff ” or a “lapidus”. These osteotomies are held in place using a special plate and screws
  • If the big toe has arthritis as well as a bunion, an osteotomy is not usually performed. The bunion and arthritis is corrected with a fusion of the joint or simply removing a portion of the joint and replacing it with an implant.

Minimally Invasive Bunion Surgery

Minimally invasive bunion surgery is an alternative to traditional surgery that can reduce post-surgical scarring, swelling, pain and offers patients the easiest recovery.

Advantages of MIS:

  • No general anesthesia (our anesthesia is similar to dentistry sedation – relaxed but not put to sleep
  • Minimal scar tissue, less post-surgical pain, scarring and swelling and faster healing
  • No damage to the tissues crossing the big toe joint, eliminating the complication of joint stiffness
  • After surgery the foot is wrapped in a soft dressing; no cast & no crutches needed
  • After surgery patients can walk right away, go back to work soon, drive a car, etc...Most patients transition to regular shoes by 6 weeks.
  • We are able to obtain the same results we had before with traditional surgery but with far less pain

             Tradional Surgery Incision                                              MIS Incision



Click on link below for more information on Minimally Invasive Bunion Surgery:




Before Surgery                                                          After Surgery



Minimally Invasive Bunion Surgery

Dr. Steven Neufeld discusses minimally invasive bunion surgery. An alternative to traditional surgery that reduces post-surgical scarring, swelling, and pain and offers a faster recovery.



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