What is a proximal osteotomy?

A proximal metatarsal osteotomy is a cut made in the first metatarsal bone, near one end of the bone called the base of the first metatarsal bone which is the one that is near the midfoot. After this cut is made, the rest of the bone is manipulated or pushed inwards and rotated to correct the bunion deformity.

How successful are Bunionectomies?

Almost 95% of patient surveyed 6 months after bunion surgery would not only do it again, but would recommend it to their friends and family. That’s a pretty good success rate. Patients must have realistic expectations.

Why is my big toe not straight after bunion surgery?

Same patient immediately post op. Note cosmetic correction of joint with natural appearance of great toe and no excellent alignment of joint.

What is the best age for bunion surgery?

You can be operated on at any age but 35-45 is still my best age with least risks and optimism.

What is a closing base wedge osteotomy?

The closing base wedge osteotomy is a powerful procedure that preserves first ray range of motion while correcting hallux valgus deformities that may not be amenable to distal metatarsal osteotomies.

What is wedge osteotomy?

A closing wedge osteotomy involves an incision on the lateral side of the knee and removes a small wedge of the tibia bone before reattaching the two remaining ends with a metal plate and screws.

What is the newest bunion surgery?

Lapiplasty not only is revolutionizing bunion surgery for the surgeon, but also for the patient. The new procedure allows most patients to start bearing weight and walking on the affected foot in two to three days. That’s much quicker than after traditional bunion surgery.

What is the most successful bunion surgery?

The Chevron Osteotomy has been one of the most commonly performed bunionectomies over the years. How it works is a bone-cut is made on the head of the first metatarsal, just behind the big toe joint.

Should I wiggle my toes after bunion surgery?

o If you had surgery on your toes, don’t wiggle them. It’s fine to move your ankle back and forth as long as it doesn’t hurt. Don’t worry about wiggling your toes. We’ve bandaged your toes in a specific position for alignment during recovery.

Should screws be removed after bunion surgery?

Your in-office screw removal -It is necessary to remove the 2 screws (around 3 months after your bunion surgery) since they cross over a functioning joint. If we don’t take them out, there will be a low grade ache and eventually they will both break.

Can you be awake for bunion surgery?

Most bunion surgery is performed under ankle block anesthesia, in which your foot is numb, but you are awake. Occasionally, general or spinal anesthesia is used.

What is an Akin osteotomy?

The Akin osteotomy is a medially based closing wedge osteotomy of the proximal phalanx described by OF Akin1 in 1925. It is usually performed for the correction of a hallux valgus deformity in conjunction with a first metatarsal osteotomy, hallux interphalangeal deformity, and long proximal phalanx.

When to have a proximal metatarsal osteotomy for bunion deformity?

A proximal metatarsal osteotomy is indicated for patients with a moderate to severe painful bunion deformity that has failed non-surgical management. Procedure. The first metatarsal is cut near the base of the first metatarsal bone and rotated.

When to use a chevron or proximal metatarsal osteotomy?

Bone cuts in the proximal (nearer to the ankle) part of the first metatarsal can more easily correct a larger bunion (greater deformity) than a distal Chevron osteotomy, performed in the more distal (nearer the big toe) aspect of the first metatarsal. Commonly performed proximal metatarsal osteotomies for bunion correction include:

Which is the correct name for an akin bunionectomy?

an Akin bunionectomy as CPT 28298 (correction, hallux valgus – bunion – with or without sesamoidectomy; by phalanx osteotomy) and CPT 28306 (osteotomy, with or without lengthening,

What is the CPT change for first metatarsal base osteotomy?

CPT change. first metatarsal base osteotomy (CPT 28299). appealing to the payer. Just my opinion. type bunionectomy. That is the “law of the