Presentation
A variation of the McBride bunionectomy is presented using a minimal traumatic technique, and a retrospective study of 80 cases is presented. [ncbi.nlm.nih.gov]
Entire Body System
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Asymptomatic
Radiographic findings consistent with osteonecrosis were noted of one patient, one foot, although the patient was clinically asymptomatic. The objective findings were as follows: dorsiflexion, mean, 60 degrees; plantarflexion, mean, 14 degrees. [ncbi.nlm.nih.gov]
A radiographic non-union is one in which the bones are not mended on X-rays and the patient is asymptomatic. [podiatrytoday.com]
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Fishing
Eat well by maintaining a high-calorie, high-protein diet for optimal wound healing (fish, poultry, and lean meat, cottage cheese, tofu, yoghurt, protein-enriched whole grain cereals, lentils, milk). [brochures.mater.org.au]
Skin
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Night Sweats
Acute infections typically present a few days after surgery and may present with symptoms such as increased pain, warmth, fevers, chills and/or night sweats. [podiatrytoday.com]
Musculoskeletal
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Muscular Atrophy
Cast and crutch use can cause unanticipated consequences, such as lower limb muscular atrophy and upper extremity fatigue that must be remedied with weeks of physical therapy. [healingfeet.com]
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Ankylosis
L97.501 - L97.529 Non-pressure ulcer of other part of foot [toes] [Open blisters, pressure sores, and skin ulceration overlying the bunion when the bunion is not the cause of the skin lesion or secondary to peripheral vascular disease] M24.671 - M24.676 Ankylosis [aetna.com]
Neurologic
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Localized Numbness
During the surgery, a local numbing medicine similar to Novocain is placed in the foot to help keep patients comfortable. [patrickhalldpm.com]
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Involuntary Movements
movements while sleeping that might jostle my foot. [lermagazine.com]
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Dizziness
While providing similar analgesic efficacy, tapentadol IR 50 mg was associated with lower rates of nausea (46.3% vs. 71.6% for oxycodone HCl IR 10 mg), dizziness (32.8% vs. 56.7%), vomiting (16.4% vs. 38.8%), and constipation (6.0% vs. 17.9%), and a similar [ncbi.nlm.nih.gov]
Treatment
We found no difference between the treatment groups with regard to the prevalence of complications or the stability of fixation. [ncbi.nlm.nih.gov]
Basics of Bunion Treatment The specialists at miVIP will work with you to determine which treatment will be best for you. [mivip.com]
Etiology
The authors describe the etiology and pathomechanics of the more commonly encountered complications of the Keller bunionectomy with an unusual case report wherein a patient sustained spontaneous fractures of all lesser metatarsals after the Keller procedure [ncbi.nlm.nih.gov]
The choice of osteotomy performed is dependent upon both the perceived etiology of the condition and the amount of correction required. [aetna.com]
Prevention
A pilot drill with a built-in stop to prevent overpenetration is used first and then the screw can be inserted with jig, or it may be inserted manually if the osteotomy is stablized temporarily with a Kirschner wire. [ncbi.nlm.nih.gov]
Ice helps prevent tissue damage and decreases swelling and pain. Activity: You may need to limit activity for the first 3 days after surgery. Ask your healthcare provider when you can safely be active. Activity will help prevent a blood clot. [drugs.com]
The main goal of the surgery is to remove painful deformities, restore normal bone alignment, and prevent recurrence. This surgery involves shaving the inflamed tissue around the big toe joint using a shaving drill. [pauldefrinomd.com]