In this episode of The PODdoctors podcast, Dr. Damien Dauphinee, a board-certified foot and ankle surgeon, and Dr. Raafae Hussain, a fellowship-trained foot and ankle surgeon, discuss bunion surgery and its various outcomes, especially focusing on revision bunionectomy. They explore the numerous techniques to correct bunions, emphasizing the importance of matching the surgical approach to the patient's specific condition. The doctors also suggest that one solution does not fit all, and the choice of procedure can greatly impact long-term satisfaction and functionality. They also suggest personalized surgical plans, which are crucial for achieving the best outcomes in foot and ankle health.

Quotes

• "The difference between doing an open versus MIS is minimally incisional surgery. The benefit is that you don't have a long incision.” -Dr. Raafae Hussain

• “Most bunion surgeries that fail, are a failure of the choice of the bunionectomy.” -Dr. Damien Dauphinee

Top Takeaways:

• The success of bunion surgeries largely depends on selecting the proper procedure that aligns with the patient's degree of deformity and clinical presentation.
• The Lapidus Bunionectomy: among other techniques, is becoming increasingly popular for treating severe and hypermobile bunions
• Minimally invasive surgeries (MIS) for bunions require careful patient selection, with ideal candidates being young, healthy, and free of complicating factors like smoking or diabetes.
• Revision bunion surgeries are sometimes the consequence of an initial procedure that did not sufficiently address all aspects of the deformity
• Fusion of the big toe joint can be a highly effective solution for long-term relief in patients with recurring bunions or persistent joint breakdown.

What You Will Learn:

• Different options for revision bunion surgery
• Common complications and concerns
• Patient Selection Criteria for MIS Bone Healing
• How to Choose the Right Bunion Surgery and Surgeon

Resources:

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