Silver bunionectomy

Silver bunionectomy:
Removal of medial prominence – “bumpectomy”. Commonly used in conjunction with other procedures (osteotomies). Only used as isolated procedure if large exostosis is present and IM <10°.
Indicated when “bump” pain is the presenting problem; range of motion should be adequate and no crepitus. Does not affect hallux position (patient should be aware of this pre-operatively).

• 5cm incision centred over eminence
• Dissect to identify dorsomedial cutaneous nerve
• L-shaped capsulotomy
• Expose medial eminences resected with microsaggital san blade- also do adductor tenotomy and lateral capsule release

Post op- compression dressing; stitches removed at 2 weeks; passive extension exercises started; stiff soled post op shoe for 4 weeks; sport at 8 weeks

Recurrence can be common, as pathomechanics not addressed (can be combined with Akin osteotomy for better result – especially in the young and active)

Other Bunion Surgery Procedures:

Capsule/Tendon Balance ProceduresHallux ProceduresDistal Metatarsal Procedures (DMO)Neck ProceduresShaft Procedures
Derotational abductory transpositional osteotomy (DRATO)Ludloff
Volgar/Off-set V osteotomy
Base ProceduresCapsulotomies
LapidusWashington monument
Proximal AustinLenticular
Oblique base wedge osteotomy (Juvara)Inverted L

Comments are closed.