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What Happens During a Bunionectomy With Soft Tissue Release?

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Presentation: Bunionectomy With Soft Tissue Release
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Reviewed By: Arthur Schoenstadt, MD
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Based on the mild severity of your bunion deformity, your doctor will perform a soft tissue release and repair. This allows a moderate redirection of the big toe without redirecting the bones.
Now let's discuss your procedure.
After the anesthesia has taken effect, a tourniquet or blood pressure cuff, will be used to temporarily stop the blood flow to your foot. This may be a cuff around your thigh or a tight band around your ankle. This allows your doctor to see the surgical area clearly.
To help reduce the chance of infection, the area will be scrubbed with a special soap, and you will be covered with sterile sheets. The only area exposed will be the site where the procedure is being performed.
For a moderately deformed bunion, your doctor will begin the procedure by making a 2-3 inch incision on the inside of the foot over the bunion. Once the bone is exposed, the bump of the inside of the metatarsal which forms the bunion is removed with a saw.
Since the bunion is caused by both a deformity of the MTP joint and the bump, it is important to correct the soft tissues as well.
The tight tissues on the outside of the MTP joint are released through the initial incision by looking through the joint or by making a second incision on the top of the foot between the first and second toes.
This allows the big toe to be moved to the straight position. The stretched out tissue on the inside of the joint is then tightened to hold the toe in the correct position.
The skin incisions are then closed with stitches and a sterile bandage is applied to your foot.

Bunionectomy With Soft Tissue Release


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