Doctor insights on:
Screw Removal After Bunion Surgery
Can Stay: Internal fixation screws can stay in place indefinitely assuming they are not causing any problems. Rarely if there is pain from the hardware the screws can be removed. ...Read more
I've had 2 surgeries within 3 days of eachother for bunion removal. My screws keep backing out and bone incongruent. Do I need the joint fused?
Screw loose.: Something is not right. Either the fixation was questionable or there was too much activity post surgery. You had better get a second opinion before the situation gets out of hand. Properly done, it would take more than 2 days to fail unless there was aggravating circumstances. Clearly, you would know if your post operative activity was at play here and if not, you should take action accordingly. ...Read more
Painful, remove it: If a screw breaks after bunion surgery, the time frame after the surgery that it broke and the position of the broken screw will determine if it needs to be removed. If the osteotomy site has not yet healed, it needs to be removal and another one inserted. If the osteotomy has healed, then it is a question as to whether the screw is symptomatic. If it isn't leave it in and monitorits position. ...Read more
Usually not needed: Usually screws are left in unless they are causing you discomfort or your surgeon has a good reason for doing so. Discuss with your surgeon. Dr L ...Read more
Possibly...: If they are really what is causing your pain, they can be removed by the same surgeon who put them in. ...Read more
Not usually: Screws are generally left in place after bunion surgery. Sometimes the screw head is prominent and can be irritated by shoes. Occasionally, even after the bone is healed, there can be a vague aching sensation. This is because the screw and bone flex differently. These would be cases where you would want to consider removal. This is often done through a small incision under local anesthesia. ...Read more
Can surgical screws come loose? I have a screw in my big toe from a surgery to fix my dislocated big toe and bunion. I feel pain and grating lately.
YES: THEY COULD BECOME LOOSE. IF YOU FEEL PAIN YOU SHOULD SEE YOUR SURGEON ASAP. GET IT REMOVED OR REPLACED IF NEEDED. ...Read more
I had surgery about 7 years ago, on my foot because I had a bunion and a hammertoe! I have screws now I got cysts in my knees painful walking it screw?
Surgery: The right first thing to do is speak to your surgeon about that. We don't know what was done or when it was done. Your surgeon does. ...Read more
Yes: Foot surgery to correct bunions (bunionectomy) is a common procedure performed successfully for many. You should see podiatric or orthopedic foot & ankle surgeon to determine the proper bunionectomy procedure that is right for you. ...Read more
I'm having bunion removal surgery in 2 days but bunion area and bottom of feet are peeling. Would that be a problem?
Varies: There are a lot of possibilities from contact dermatitis, to an area of dry skin or callus related to the bunion, to a systemic reaction to something. I would certainly let your surgeon know as it may be that your surgery may need to be rescheduled if your skin changes are severe. ...Read more
Generally yes: Surgery for correcting bunions are commonly performed on an outpatient basis and can provide good results. Like any other surgery, complications such as infection, swelling, pain, recurrence of the deformity, limited motion, excessive scarring can sometimes arise. Talk to your foot surgeon about this. Provide a detailed medical history, and be compliant with all of the postoperative course. ...Read more
Good: Your pain should be gone and you should be able to wear you shoes with comfort. ...Read more
Depends on deformity: Decision to perform surgery depends on a variety of factors. If they bother on a regular basis or limit activity, it is time to consider surgery. Good shoes with support can slow down the process and poor shoes can speed up and/or aggravate the problem. See your podiatrist to discuss options. Visit ACFAS. Org. Dr l. ...Read more
Bunions: First you will need to get weight bearing x-rays. Based on how severe your bunions are your surgeon will discuss procedural options and post operative coarse. ...Read more
Surgery: Is only way to remove structural deformity. However, there are other possible treatments to attempt to alleviate symptoms. Discuss with podiatrist. ...Read more
Not unusual: It is common to have some discomfort and swelling for 4-5 months after foot surgery. Usually it will take a year to go through the complete healing process. Don't get discouraged. It should gradually improve over time. Discuss with your surgeon. Follow all directions. Dr L ...Read more
Once you are healed: You can skydive after bunion surgery as long as it is far enough out from surgery. You would need to make sure your foot is completely healed before attempting any type of sport that requires use of the feet. However, if you landed too hard or landed wrong you can injure the foot and possibly require further surgery. This could happen whether or not you have had previous bunion surgery. ...Read more
See below: There is no non-operative cure, but several things may alleviate symptoms and halt progression: wide, low healed shoes or custom made shoes; orthoses to improve support and alignment; night splinting to improve toe alignment, stretching to maintain joint mobility; bunion pads to decrease irritation; application of ice after activity to decrease inflammation; analgesics. Good luck! ...Read more
Good: The outcome of any surgery depends on several things. The right procedure must be chosen, the surgeon, well trained and the patient must be conscientious in following post-op instructions. Retrospective studies put bunion surgery success at ~85% good to excellent results, but that also includes those patients who did things they were told not to do after surgery. Most patients do quite well. ...Read more
It depends: Certainly, if the bunion surgery was on your left foot (and you drive an automatic transmission), you can drive almost immediately. The anesthesia has to clear your system and you should not be driving while taking pain meds. If it is your right foot, it depends on the procedure. Usually, I allow my patients to drive about 10 days post-op. It does vary patient to patient. No recreational walking. ...Read more
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