Bunion SurgeryBunion Surgery(for severe bunions) (for severe bunions)

Rhode Island Foot Care, Inc.Rhode Island Foot Care, Inc.

What is a Bunion?What is a Bunion?

20o1o

Reverdin

Reverdin

Reverdin-Green

Reverdin-Green

Reverdin-LairdReverdin-Laird

Reverdin-ToddReverdin-Todd

AustinAustin

KalishKalish

VoglerVogler

Youngswick

Youngswick

Decompressional

DecompressionalCheile

ctom

y

Cheile

ctom

y

McbrideMcbride

KellerKeller

ImplantImplant

AkinAkin

Closing Base WedgeClosing Base Wedge

ArcuateArcuateLapidusLapidus

LudloffLudloff

Opening Base Wedge

Opening Base Wedge

Saggital plane ZSaggital plane Z

ScarfScarf

MauMau

Bunion Surgery (mild bunion)Bunion Surgery (mild bunion)

Requirements:Requirements:

IM angle less than 14IM angle less than 14oo

Minimal arthritis Minimal arthritis Reasonable bone qualityReasonable bone quality

With 50% translation, Maximum correction isWith 50% translation, Maximum correction is6600 for males, 5 for males, 500for femalesfor females

Severe Bunions…Severe Bunions…

IM over 14IM over 14oo

HypermobilityHypermobility

25o

Closing Base WedgeClosing Base Wedge

Bunion bump is Bunion bump is removedremovedA wedge is A wedge is removed from the removed from the metatarsal.metatarsal.The osteotomy is The osteotomy is closed and held closed and held together with together with screwsscrews

LapidusLapidus

LapidusLapidus

Opening Base WedgeOpening Base Wedge

Requires bone graft Requires bone graft

Only to be used with short 1Only to be used with short 1stst metatarsal metatarsal

Thank You !!Thank You !!