CME OnDemand: 2022 AOFAS Annual Meeting-Controversies in Bunion Surgery

Video Transcription

Video Summary

In this video, Lauren Ganey, a member of the Allied Health Task Force's education committee, introduces the topic of bunions and the controversies surrounding their treatment options. Dr. Dana then provides an overview of bunions, discussing their causes and the domino effect of changes they cause in the foot structure. Conservative treatment options such as wider toe box shoes and bunion caps are mentioned before the focus shifts to surgical techniques. The traditional open metatarsal osteotomy is described, highlighting its potential for powerful correction but also drawbacks such as a large scar and risk of vascular necrosis. The minimally invasive distal osteotomy, which offers improved cosmesis and range of motion, is presented as an alternative. Lastly, the lapoplasty procedure, which involves fusion of the first TMT joint and is considered more controversial due to nonunion risk and altered gait mechanics, is discussed. The video concludes by emphasizing the importance of individualized discussions with patients to determine the best procedure for their specific needs and concerns.

Keywords

bunions

treatment options

surgical techniques

open metatarsal osteotomy

minimally invasive distal osteotomy