• New Advances in Bunion Surgery

    by Howard Kimmel, DPM
    on Apr 4th, 2018

Many patients suffer from big toe pain or sometimes called a bunion. There are different types of bunions. Some of these bunions have a decrease range of motion, but also have pain with range of motion. This is a form of arthritis that is sometimes called Hallux Limitus or Rigidus. The best way to explain the problem is that there is a loss of cartilage on either side of the joint. You might have heard the expression bone on bone. Cartilage helps the joint glide smoothly, but when this is worn out there is pain when the joint moves. One surgical treatment is fusion of the joint. In this surgery, any cartilage  that is left on either side of the joint is removed and the toe is fused where it doesn't move anymore. This an option but it sometimes makes it difficult to do certain types of activities. Recently a new product called Cartiva has been developed to allow pain free range of motion in the big toe joint. Cartiva is made of a synthetic organic polymer that allows the joint to glide. The implant should last a lifetime and usually doesn't have to be replaced. Compared to fusion, the recovery is a lot quicker and you are allowed to bear weight on the day of surgery.

What if you have more of a traditional type of bunion? These are the type that have the metatarsal bone out of alignment and the big toe moves towards the second toe. The traditional surgery for this usually involves being in a cast and not bearing weight for 6 weeks. Most surgeon's do a two dimensional correction, meaing that it only addresses 2 planes of the bunion. There is a new procedure that corrects all three planes and is fixated with newly developed hardware. This is called a Lapiplasty. Dr. Kimmel is the only trained surgeon in the Cleveland area that does this surgery. So what are the advantages of a Lapiplasty. Some of them are no cast, you can bear weight usually in the first week, and all three planes of the bunion are corrected.

Give Buckeye Foot Care a call to schedule an appointment to discuss this further.

Author Howard Kimmel, DPM Dr. Howard M. Kimmel, DPM provides advanced care for foot problems for patients in Brook Park, Willoughby, and Cleveland, Ohio. Dr. Kimmel offers wound care, orthotic devices, comprehensive foot and ankle surgery, and several other forms of Podiatric treatment at Buckeye Foot Care. He is the only podiatrist in the state of Ohio to have a residency in pediatric foot and ankle problems. Dr. Kimmel is dedicated to providing patients in Ohio with top-notch care for foot and ankle problems, wound care, and other related issues. He also continues to build on his knowledge of podiatry and remains up-to-date on the latest technology and treatments in the podiatry field.

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