The simple cutting away of the protruding bone to reduce the bunion bump.
Technical Concept
Bone-shaving to narrow the forefoot
Shortcomings
For temporary relief from mild bunions
The 'break-n-shift' concept that realigns and reshapes the first metatarsal bone in various locations.
A cut in the distal third section of the first metatarsal, easier to perform, for mild to moderate bunion corrections.
Technical Concept
A distal close-wedge resection to redirect big toe
Shortcomings
Realigns the big toe but not the first metatarsal bone
Technical Concept
A step-cut, controlled correction, good stability
Shortcomings
Excessive bone shortening, increased metatarsalgia risk
Technical Concept
Sagittal oblique cut, sliding for flexible correction
Shortcomings
Unstable, poor correction control, shortening and metatarsalgia risk
Technical Concept
Correction in all 3 planes
Shortcomings
Technically very difficult and unproven benefits
Technical Concept
Inverted "V" cut, good stability, less bone loss and shortening
Shortcomings
Possible metatarsal head bone death, correction limitation
For greater bunion deformity correction but more complications.
Technical Concept
Greater correction from the first metatarsal base
Shortcomings
Technically imprecise, fixation problem, bone shortening
Technical Concept
A semi-circular cut for unrestricted correction without shortening
Shortcomings
Technically difficult and more complications
Technical Concept
Can gain bone length, easy approach
Shortcomings
Requires special metal implant and bone graft
Technical Concept
A "V" cut, good stability, less bone loss and shortening
Shortcomings
Correction limitation
Provides greater bone-cut contact surface for greater stability and correction.
Technical Concept
Horizontal oblique cut, MPV correction by distal angulation
Shortcomings
Increase in DMAA and residual hallux valgus
Technical Concept
Long horizontal "Z" cut, rediscovered in 1995 to reduce DMAA effect
Shortcomings
Technical difficulties in cutting and fixation
Same bone-breaking concept but performed through smaller incisions.
Technical Concept
Smaller incisions
Shortcomings
Less correction and control
Break-n-tilt of big toe.
Technical Concept
To supplement insufficient correction by metatarsal break-n-shift procedures
Shortcomings
A cosmetic endeavor without proven function benefits
Fusing the tarsometatarsal joint to prevent recurrence.
Technical Concept
Fusing a mobile joint to improve stability and prevent recurrence
Shortcomings
Reduced movement and function of medial column, not for the young and active
Technical Concept
A new surgical jig for 3-D correction
Shortcomings
Similar to Lapidus Procedure
Bone realignment without osteotomy or arthrodesis.
Technical Concept
Mainly to help big toe look straighter without breaking bones.
Shortcomings
Underlying MPV culprit unchanged, recurrence rate high
Technical Concept
Pathology-specific approach, minimal surgical trauma, maximum function restoration and recurrence prevention, for all bunion corrections
Shortcomings
Syndesmosis formation is constant and permanent but requires 3 months of limited walking
Technical Concept
Non-bone-breaking, meant to be minimal-invasive originally
Shortcomings
Tricky technique, fracture complication, now an open procedure