Surgery of foot deformities. Bunion
Surgery of hallux valgus
Surgery of hallux valgus (bunion) is performed in case of deformity of the big toe, which causes permanent pain, calluses, fatigue, redness, and swelling of the feet as well as problems in choosing footwear and conservative treatment is not effective.
During the surgery, the bone axis and the bony outgrowths are removed and the metatarsal position is corrected and fixed using metal elements. The bone is cut and pushed into the correct position and fixed by special screws. The surgery generally takes around 45 minutes.
If special footwear is worn, the patient can tread on the heel on the next day after the surgery. The patient remains incapable to work for around 1 month after the surgery and the capacity to work is fully restored in 1.5–3 months. Physical activity must be restricted for 8–12 weeks. During the post-operative period, exercising the big toe is essential and must be started 10–12 days after the surgery once the incision heals.
Hammer toes are a deformity where one or several toes are bent and the patient cannot extend them. Surgical treatment is generally necessary, when the patient suffers pain or the deformity causes problems in choosing footwear and conservative treatment is not effective.
During the surgery, the surfaces of the interphalangeal joints are removed and the phalanges are fixed by Kirschner wire or other special implants. Plastic surgery of tendons is also performed.
The surgery is generally performed under regional anaesthesia and takes from 20 minutes to 1.5 hours depending on the degree of deformity.
The post-operative wound has to be redressed once a week. The foot must be cooled for 20 minutes several times a day for one week. The capacity to work is generally fully restored in 1.5–3 months.
* The precise scope of surgery, treatment and care of wounds, medication, and rehabilitation are discussed during surgeon’s consultation taking into account the complexity and duration of the surgery and the patient’s health condition. The total price of the surgery is calculated by adding up the following components:
- Cost of surgery;
- Cost of anaesthesia;
- Additional means necessary for certain surgeries (optic fibre, screws, etc.).