Scott C. Nelson, DPM

Foot & Ankle Surgery

Omaha, Nebraska

16909 Lakeside Hills Court
STE 208
Omaha, NE 68130
ph: 402-758-5690
fax: 402-758-5699
admin@nebraskafootandankle.com

Hallux Valgus (Bunion) Surgery

Bunion or Hallux Abducto Valgus (HAV) as it is classically described is a bump on the inside part of the foot. There are a number of factors that affect the creation of a bunion and genetics, foot wear, activity level and increased pronation are implicated the most. Surgery is designed to correct the deformity at the most appropriate level. There are a number of pre-surgical angles and clinical findings that I look at prior to determining the best type of procedure for the patient. We also tend to take into account the patients best wishes and activity level to ultimately guide us for the final decision.

Overall , bunion surgery is very successful with reproducible outcomes if the recommended guidelines are followed.

Surgical Bunion
- Pre-Operative Bunion
- Post-Operative Bunion
The above surgery is a classic Lapidus type bunion surgery that is designed to treat a moderate to severe bunion deformity.
Patient A: clinical photos
- Another patients clinical pre-operatively
- Post-operative photo
Pre- and Post-operative photos of a bunionectomy patient. Note a well healed incision site, swelling still present which is a common issue and will eventually resolve.
Patient A: Radiographic photos
- Pre-op radiographic photo
- Post-op radiographic photo
This is a typical illustration of the postoperative findings with a midfoot fusion/Lapidus type of bunionectomy. This is for moderate to severe bunions with a larger intermetatarsal (angle between 1 and 2) angle. Note the 2 sesmoid bones are realigned under the head of the metatarsal as they should be normally.
Patient B clinical photos
- Pre-operative Bunion
- Post-operative Bunion
Patient C: Clinical Correction (Immediate Post-op)
- Pre-op severe bunion and hammertoes
- Immediate postoperative correction
Patient E: Radiographic Improvement
- Pre-operative "Moderate" Bunion Deformity
- Post-Operative "Double Osteotomy" Bunionectomy
This double osteotomy bunionectomy is a good procedure to choose for a moderate bunion and still allows patients to be weight bearing on the foot post-operatively.