Removal of a Bunion
Bunions can progress to the point where surgery is required to realign the toe, ease pain and correct deformity, according to the American Academy of Orthopaedic Surgeons. Surgical options for bunion removal include osteotomy, exostectomy, resection arthroplasty, arthrodesis and repair of tendons and ligaments.
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Osteotomy
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A bunion is a bump on the inner side of the big toe that consists of bone and soft tissue. Bunions are usually caused by wearing tight, narrow shoes that force the toe into an unnatural position. One procedure for removing a bunion is an osteotomy, It involves cutting and realigning the joint.
Resection/Removal
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Resection arthroplasty consists of removing the damaged part of the toe joint. This procedure is more suitable for those who have severe arthritis, a history of bunion surgery, or are older. Arthrodesis is the removal of the affected surfaces of the joint. Wires, plates, or screws are then inserted to hold the joint together. Arthrodesis is used for more severe problems.
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Tendon Repair/Exostectomy
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Sometimes repairing the tendons and ligaments on one side of the toe is performed in combination with an osteotomy. An exostectomy, which removes just the bump on the toe, is rarely used because the big toe will continue to be displaced.
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