Minimally Invasive Surgery (MIS) Bunionectomy
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Goals
Correct Alignment: Realign the deviated metatarsal bone and restore proper joint alignment.
Relieve Pain and Discomfort: Alleviate pain, discomfort, and pressure on the affected joint.
Restore Functionality: Improve the function of the big toe for weight-bearing activities and walking.
Prevent Recurrence: Minimize the chances of bunion reformation by addressing underlying anatomical issues.
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Risks and Complications
Infection: Any surgical procedure carries a risk of infection, although it is minimized in MIS due to smaller incisions.
Nerve or Blood Vessel Injury: Rare instances of nerve or blood vessel damage can occur during the procedure.
Delayed Healing: Some patients may experience delayed wound healing.
Recurrence: Although less common with MIS, there is a slight risk of bunion recurrence.
Stiffness: Stiffness or reduced range of motion in the big toe joint may occur post-operatively.
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Aftercare
Weight-Bearing: Gradual return to weight-bearing activities as guided by the surgeon.
Elevate and Ice: Elevate the foot and apply ice to reduce swelling.
Medications: Take prescribed pain medications and antibiotics as directed.
Follow-Up Appointments: Attend scheduled follow-up visits for wound checks and assessment of progress.
Physical Therapy: Engage in physical therapy exercises to regain strength and mobility.
MIS Procedure
Anesthesia: The patient is administered either local or general anesthesia based on their medical condition and preferences.
Incisions: Small incisions, typically less than 5mm, are made near the affected joint.
Soft Tissue Dissection: Specialized instruments are used to gently separate soft tissues, avoiding unnecessary trauma.
Osteotomy: The deviated portion of the metatarsal bone is carefully removed or realigned.
Fixation: In some cases, screws, pins, or plates may be used to stabilize the corrected position.
Soft Tissue Repair: Soft tissues are meticulously repositioned to support the corrected joint.
Closure: The incisions are closed with sutures or surgical adhesive.