Percutaneous bunion surgery is a minimally invasive surgical technique used to correct hallux valgus, commonly known as bunionette surgery. This procedure has become popular due to its numerous advantages over traditional surgery, such as less postoperative pain, minimal scarring and faster recovery. In this article, we will explore in detail what this surgery involves, who are the ideal candidates and what the recovery process is like.
What is Hallux Valgus?
Hallux valgus, or bunion, is a deformity in which the big toe deviates toward the other toes, forming an abnormal angle at the joint. This condition can cause pain, swelling and difficulty walking. The severity of hallux valgus varies and is classified as mild, moderate and severe, based on specific angles measured by x-rays.
Causes of Hallux Valgus
The causes of bunions can be diverse and are divided into intrinsic and extrinsic factors:
Intrinsic Factors:
Genetics: There is a significant hereditary component.
Sex: It is more common in women.
Age: It usually develops between 40 and 60 years of age.
Foot conditions: Flat feet or Egyptian feet may predispose to deformity.
Extrinsic Factors:
Inappropriate footwear: Use of narrow or high-heeled shoes.
Overload: Obesity and activities that place high demands on the feet.
What does Percutaneous Bunionectomy consist of?
Percutaneous surgery is an innovative technique that involves making small incisions, usually 2-3 mm, through which surgical instruments are introduced. This procedure is performed under local anesthesia and uses fluoroscopy (real-time radiography) to guide the surgeon.
Surgery Steps:
Local anesthesia: A truncal block is administered to numb the area.
Minimal incisions: Small incisions are made to access the bone and tissues.
Deformity correction: With specific tools, the position of the bone is corrected.
Closure and Bandage: The incisions are closed with small sutures and a special bandage is applied.
Advantages of Percutaneous Surgery
Less invasive: Small incisions reduce tissue trauma.
Rapid Recovery: Generally, patients are able to walk shortly after surgery.
Less Pain and Scarring: Compared to open surgery, postoperative pain and scarring are significantly less.
Ambulatory: No hospitalization is required.
Ideal Candidates for Surgery
Percutaneous surgery is suitable for patients with mild to moderate hallux valgus. Ideal candidates are those who have not responded to conservative treatments such as proper footwear, orthotics and anti-inflammatory medications. In addition, it is crucial that the patient has realistic expectations and is willing to follow postoperative instructions to ensure a successful recovery.
Postoperative and Recovery
Recovery varies by patient, but generally includes:
Special Footwear: A postoperative shoe that relieves the weight of the forefoot is used.
Mobility: Early mobilization is encouraged to prevent stiffness.
Incision Care: Keeping incisions clean and dry is essential.
Medical check-ups: Periodic visits to the podiatrist to evaluate progress.
Most patients can return to normal activities in approximately 6 weeks, although this may vary depending on the severity of the deformity and adherence to postoperative recommendations.
Innovations and Future of Percutaneous Surgery
Technology in percutaneous surgery continues to advance. New instruments and techniques are being developed to further improve outcomes and reduce recovery time. Studies continue to demonstrate the effectiveness and safety of this approach, promising a bright future for hallux valgus patients.
Conclusion
Percutaneous bunionectomy is an excellent option for those seeking a less invasive solution to correct hallux valgus. With its many advantages and faster recovery, this technique is revolutionizing the treatment of bunions. If you suffer from bunions and are considering surgery, contact us at Clínica San Román for a personalized consultation and find out how we can help you improve your quality of life.
Sigo acudiendo a esta clínica porque la gente que trabaja aquí es muy profesional. Te ayudan con cual quier cosa que necesites de verdad.
Response from the owner:Miguel, que siga confiando en nosotros visita tras visita es el mejor termómetro que tenemos. Se lo trasladamos al equipo, que es quien se lo ha ganado. Aquí nos tiene para lo que necesite. Gracias por escribirlo.
Considero que encontrar aparcamiento es sencillo, lo que facilita las citas. La atención es siempre buena, sin fallos.
Response from the owner:Gracias, Darío. Nos alegra que venir a consulta sea fácil: estar en pleno centro, en la Av. del Dr. Ramón y Cajal, ayuda bastante. Y que la atención le resulte constante visita tras visita es justo lo que perseguimos. Un saludo.
Dudé si venir, pero el dolor desapareció por completo. Me lo explicaron todo perfectamente.
Response from the owner:Iker, gracias por contarlo tal cual. Esa duda antes de dar el paso la tienen muchísimos pacientes, y por eso dedicamos la primera visita a explicar el porqué de cada cosa antes de tocar nada. Nos alegra saber cómo le ha ido. Cada pie es distinto, pero entender el tratamiento siempre ayuda a llegar más tranquilo. Aquí seguimos para lo que necesite.
Cualquier duda que tuve me la aclararon al momento, mucha profesionalidad.
Response from the owner:Gracias, María. Resolver dudas sin prisas forma parte del tratamiento, no es un extra: quien entiende lo que le van a hacer llega mucho más tranquilo. Si le queda cualquier cosa por preguntar, llámenos al 965 92 11 56 o escríbanos a info@clinicasanroman.com. Un saludo.
Perfect als je van je hallux valgus af wil komen zonder pijn en zonder krukken, rolstoel of rollator. Minimaal inclusieve ingreep, je gaat lopend de clinic uit en voelt direct resultaat. Goede nazorg en vakkundigheid. Kon 2 weken later alweer werken om de dag. Bij mij na 1 maand verband eraf en speciale schoenen uit en weer mijn eigen schoenen aan. Dus twijfel niet doe het bij deze vakkundige kliniek ipv 6weken gips en totaal 8 weken herstel en 6 maanden leven in pijn want dat is niet nodig!
Response from the owner:Ontzettend bedankt voor dit geweldige verhaal! 😊 Dat je na een maand al weer je eigen schoenen aan had en zo snel kon terugkeren naar je werk, is precies wat we beogen met onze minimaal invasieve techniek. Jouw ervaring zegt meer dan wij ooit kunnen vertellen. Bedankt dat je dit deelt en anderen helpt de juiste keuze te maken! 🦶✨
Estoy muy contenta con la atención recibida en esta clínica. Todo el equipo ha sido muy profesional, amable y cercano desde el primer momento. Las instalaciones están impecables. La operación fue un éxito y el resultado ha superado mis expectativas. Sin duda, recomendaría esta clínica a cualquier persona que busque calidad Muchas gracias por todo!
Response from the owner:¡Muchísimas gracias por tus palabras! 😊 Que la operación haya superado tus expectativas y que hayas sentido esa cercanía y profesionalidad desde el primer momento es exactamente lo que buscamos para cada paciente. Gracias por recomendarnos y por confiar en todo el equipo. ¡Aquí seguimos cuando nos necesites! 🦶✨
Me operé de los dos pies, teniendo lo que se llama vulgarmente juanetes y un dedo largo en garra. Me vio el Doctor Israel San Román y me aconsejó operar ambos pies a la vez. Como confíe en él desde el primer momento y su padre y él son para mí Ronaldo y Messi en la Podología no lo dudé.
El post operatorio fue perfecto, salí andando y el resultado aún mejor.
Agradecer a todo el personal y equipo de la clínica que fueron muy simpáticos y amables en el proceso. Estaré siempre agradecida de haber confiado en vosotros.
Response from the owner:¡Estimada Merete! Muchísimas gracias por compartir tu experiencia con nosotros. Nos ha sacado una gran sonrisa tu comparación del Dr. Israel y su padre con Messi y Ronaldo; para ellos es el mejor de los elogios venir de una paciente que ha confiado algo tan importante como su salud y movilidad en sus manos.
Nos hace muy felices saber que el postoperatorio de ambos pies fue perfecto y que pudiste salir caminando desde el primer momento, ya que ese es nuestro principal objetivo. Transmitiremos tu agradecimiento a todo el equipo, quienes se esfuerzan cada día por ofrecer ese trato amable que mencionas.
¡Gracias por recomendarnos y por tu confianza en la Clínica San Román! ⭐⭐⭐⭐⭐
I suffered from Hallux Valgus and claw toes for over 20 years and could no longer walk without orthopedic shoes. In the Netherlands, I didn't dare undergo surgery because they only wanted to work on one foot at a time, with a recovery period of at least six months per foot, partly due to the use of pins and screws in the foot. At Clinica San Román, however, things are very different: both feet at the same time, without screws or pins, and you walk out the door! Furthermore, the information provided by the doctor and nurses is very complete and extensive, before, during, and after the treatment. Now, after three months, I can easily walk kilometers at a time without pain. My advice: don't hesitate, definitely do it!
Response from the owner:Dear Jenny,
Thank you so much for taking the time to share your incredible experience with us! 😊 We are absolutely thrilled to hear that after 20 years of discomfort, you are now walking kilometers pain-free. That is exactly why we do what we do.
Our minimally invasive technique is designed precisely for that: to allow patients like you to have both feet treated simultaneously without the need for pins or screws, ensuring an immediate and smooth recovery. We are also glad that our medical and nursing team provided the complete support and care you deserved throughout the entire process.
Your recommendation means the world to us and will surely give confidence to many other international patients who are still hesitating. 🌟
Enjoy every single mile! A warm embrace from the doctor and the entire Clinica San Román team. 🚶♀️💫
The most skilled hands to entrust your feet to !
An excellent operation and very good aftercare by dedicated and skilled professionals.
Wish I could give you all 10 Stars !!
Response from the owner:Dear Lydia, thank you so very much for your wonderful words and for those virtual 10 stars! ✨ It is a true honor for our entire team to know that you felt so well cared for during your surgery and aftercare. Your trust means the world to us. We are thrilled to see you recovering so beautifully. Wishing you all the best! 🦶😊
SAN ROMÁN CLINIC
Discover Clínica San Román
We want you to get a closer look at how we work and what you can expect when you visit us. In this video we show you our facilities, our medical team and how we approach each case in a personalized way.
We are specialists in the diagnosis and treatment of all types of foot problems, from common ailments to surgical interventions with minimally invasive techniques. We are committed to close attention, unhurried and focused on you.
If you have discomfort when walking or are looking for a lasting solution for your feet, this is your place. Press play and get to know us.
Clínica San Román es un centro especializado en podología y cirugía del pie con más de 45 años de experiencia. Nuestro equipo médico, liderado por expertos en cirugía mínimamente invasiva, comparte información confiable y actualizada sobre el cuidado de los pies, tratamientos innovadores y consejos para mejorar tu bienestar.
