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 !!
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