It is not uncommon for a bunion to require multiple procedures, especially if it has existed long enough to deform the joint. In your case, the surgeon started with the conservative approach by using the bunionectomy (removing the bunion) and capsulotomy (incision to release or lengthen tendons and ligaments).
Since you have continued pain and joint interferance the next logical step is the joint fusion. This is not an overly aggressive step.
The procedure is generally done under local anesthesia, on an outpatient basis.
A “below knee” cast, or walker brace, is used to
ensure non -weight bearing for 14 days. After this time, you will begin heel weight bearing with crutches (for about 2 weeks). Avoid weight
stressing the fused joint for at least 8 weeks after the surgery.
Risks include swelling, nerve injury, infection, & continued discomfort in the joint. Positioning is critical so choose a surgeon you trust.
Alternatives include:
-trimming or wearing protective padding on corns and calluses
-custom-made plastic or leather shoe inserts (orthotics)
-splints or small straps to realign the affected toe
-wearing shoes with a wider toe box to compensate
-injecting anti-inflammatory medications
It is an excellent idea to have a second opinion. For this appointment:
-Get copies of x-rays to take with you
-Request in writing, with signed release, your records be forwarded to the second Doctor's office. This may mean contacting the Doctor, & Hospital for records of visits, tests and surgery results
-Write a list of questions to have with you, and have paper to record answers
Good Luck.
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