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Bunion surgery is one of the most common types of foot surgery performed. In the majority of cases, the bone involved in the deformity must be cut and moved over towards the central part of the foot. Simply shaving the bone bump will not correct the deformity, as the bunion will continue to develop over time, with some patients having a return of their symptoms in as little as a few months. The bone that is cut during a bunion procedure is the 1st metatarsal, the long bone whose head creates the bunion bump at the base of the big toe. This bone is angled too far away from the 2nd metatarsal next to it, owing to a very complicated and slowly developing series of events related to one s foot structure. The bone position must be moved back over so it is in proper angle alignment with the 2nd metatarsal (essentially parallel to it, not angled outwards). The area where the bone is cut in surgery is dependent on how big of an angle the bone creates. If the angle is generally under 14-15 degrees, a cut in the area near the head of the bone can correct the bunion. This has an advantage of being easier to heal, as it is more stable. If the angle is more than 15 degrees, a cut in the bone back at the base of the bone (near the mid-length aspect of the foot) is needed in order to fully correct the abnormal angle. This area is not as stable, and recovery usually demands non-weight bearing until the bone heals.
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