hi iv got a bunion and it's very pain full I was just wandering could it effect the other bones as I have wear on my cartilage in my knee and I have mild osteoarthritic is this because of the bunion I'm waiting to see the surgeon for my bunion
Sometimes the bunion is part of a low arch which can affect the rotation of the leg and therefore the knee. The knee can also be affected if you are walking awkwardly.
Thank you for watching. Now surgery is done also minimally invasive with much smaller incisions. Less scaring means less stiffness and better outcomes. Patients are weight bearing fully from day one.
Would you recommend this in age group above 80? As the risk are higher and as during the rehabiliation you may deprive the patient of mobility which could lead to decreasing the quality of life.
It will depend on how symptomatic the patient is. If this is just a mere inconvenience then obviously no need for surgery. But if the patient is having pain and specifically if the skin is endangered because of rubbing against the shoes, there could be a risk of infection, and if the patient is in reasonable health, then Surgery can be justified. Also patients are fully mobile from day one, so the mobility is not significantly curtailed.
As someone that's had surgery before and a young someone I am only looking at this not because I have this problem but because if it rises I want to know how mobile I can be after. If the surgery will change my athleticism
And why are they taking a piece or a segment of healthy bone only to press the correction not fix the correction which I feel deals with your muscles right crawling all the way up to the back? It's almost as if they didn't adjust the point of the Apex but rather took the big toe and deformed that as well.
I am very sorry for not replying. So regarding the mobility, You get a forefoot offloading shoe for 6 weeks. But you are fully weight bearing from day one. All physical activities are built up gradually. Swimming and cycling @ 6 weeks. Cross trainer before treadmill. Running can take 3-4 months. And so on. I understand why you think so. But this correction is very sound because it take in consideration a lot of things. First the translation lowers the first ray a fraction. This corrects the abnormal loading that pushes weight to the ball if the foot. Next the cuts impact perfectly to make the breaks stable. This allow early weigh bearing. The translation also allow the dislocated sesamoids (the 2 small bones under the joint) to go back we’re they belong. So what appear like just a muscle problem is actually far more complicated. That’s why in the past old operations had very poor outcome. They simplified the problem. Like just shaving the bunion that really never works.
In 6 weeks the patient start swimming and cycling and we introduce jogging very gradually usually after the first 8 weeks adding small increments every day. Thanks for watching. H SHALABY
@orthopaedicworld is Bunions and CP related (cerebral palsy) if so what causes it? Based on the videos I watched i believe i have a Stage 4 bunion Thank you for hopefully replying 😊
Thank you for watching. Hallux valgus is a descriptive of the deformity. Cerebral palsy is a neuromuscular condition. CP patients could present with HV and would usually need different treatment that what is described in this video to address the muscle imbalance.
Running can take 3-4 months. You can swim and cycle at 6 weeks. You build activities gradual in small increments. This is a very common procedure. It is also done minimally invasive now with smaller incisions that those described in the video.
Self funding patients can get an inclusive care package quote from the hospitals. Visit www.orthopaedicworld.com and Communicate with us and we can advise you further.
Thanks for watching. You obviously need to be examined and assessed clinically and with x-rays. Depending on you symptoms and the severity you could be offered this surgery or a different technique. The ankle swelling is not usually the result of the bunion and could be part of another local or systemic problem. Sometimes if you have an inflammatory problem like gout for example the ankle can swell. Another cause is in the tendons around the ankle are inflamed e.g. in low arch.
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I like how this video has been honest with those who want to do it in terms of its consequences! Thank you.
Thank you Mr Shalaby this is an excellent illustration
Deborah Benabu all the best.
شكرا على هذا الفيديو 💗
بالتوفيق دائما.
Good surgery
Do it before it gets away, sometimes can't operate
My same problem
hi iv got a bunion and it's very pain full I was just wandering could it effect the other bones as I have wear on my cartilage in my knee and I have mild osteoarthritic is this because of the bunion I'm waiting to see the surgeon for my bunion
Sometimes the bunion is part of a low arch which can affect the rotation of the leg and therefore the knee. The knee can also be affected if you are walking awkwardly.
The video that I Watched my big toe is exactly the same I can't bent my toes fully and the top of my big toe really hurts
ياريت تحكيلنا شو التقنيات الجديدة في الجراحة اليوم
Thank you for watching. Now surgery is done also minimally invasive with much smaller incisions. Less scaring means less stiffness and better outcomes. Patients are weight bearing fully from day one.
Would you recommend this in age group above 80? As the risk are higher and as during the rehabiliation you may deprive the patient of mobility which could lead to decreasing the quality of life.
It will depend on how symptomatic the patient is. If this is just a mere inconvenience then obviously no need for surgery. But if the patient is having pain and specifically if the skin is endangered because of rubbing against the shoes, there could be a risk of infection, and if the patient is in reasonable health, then Surgery can be justified. Also patients are fully mobile from day one, so the mobility is not significantly curtailed.
As someone that's had surgery before and a young someone I am only looking at this not because I have this problem but because if it rises I want to know how mobile I can be after. If the surgery will change my athleticism
And why are they taking a piece or a segment of healthy bone only to press the correction not fix the correction which I feel deals with your muscles right crawling all the way up to the back? It's almost as if they didn't adjust the point of the Apex but rather took the big toe and deformed that as well.
Am I seeing this wrong?
I am very sorry for not replying. So regarding the mobility, You get a forefoot offloading shoe for 6 weeks. But you are fully weight bearing from day one. All physical activities are built up gradually. Swimming and cycling @ 6 weeks. Cross trainer before treadmill. Running can take 3-4 months. And so on.
I understand why you think so. But this correction is very sound because it take in consideration a lot of things. First the translation lowers the first ray a fraction. This corrects the abnormal loading that pushes weight to the ball if the foot. Next the cuts impact perfectly to make the breaks stable. This allow early weigh bearing. The translation also allow the dislocated sesamoids (the 2 small bones under the joint) to go back we’re they belong. So what appear like just a muscle problem is actually far more complicated. That’s why in the past old operations had very poor outcome. They simplified the problem. Like just shaving the bunion that really never works.
مرعبة 😢
Great video. Just wondering what the usual recovery time would be for a 32 year old healthy male to start jogging?
In 6 weeks the patient start swimming and cycling and we introduce jogging very gradually usually after the first 8 weeks adding small increments every day.
Thanks for watching. H SHALABY
@orthopaedicworld is Bunions and CP related (cerebral palsy) if so what causes it? Based on the videos I watched i believe i have a Stage 4 bunion Thank you for hopefully replying 😊
Thank you for watching. Hallux valgus is a descriptive of the deformity. Cerebral palsy is a neuromuscular condition. CP patients could present with HV and would usually need different treatment that what is described in this video to address the muscle imbalance.
I have a bunion. I'm afraid of surgery. Is it ok to take surgery. May I run as usually after 6 weeks of surgery
Running can take 3-4 months. You can swim and cycle at 6 weeks. You build activities gradual in small increments. This is a very common procedure. It is also done minimally invasive now with smaller incisions that those described in the video.
What is this surgery's name, I can't find it.
Keller’s operation
I need this surgery which country you are ??
Edinburgh - UK. Visit www.Orthopaedicworld.com for more details.
What fees
Self funding patients can get an inclusive care package quote from the hospitals. Visit www.orthopaedicworld.com and Communicate with us and we can advise you further.
sir i had a question ,. I have it in both my feet. and my second toe is affected now. in the other foot my ankle has swelled up . wat should I do
Thanks for watching. You obviously need to be examined and assessed clinically and with x-rays. Depending on you symptoms and the severity you could be offered this surgery or a different technique. The ankle swelling is not usually the result of the bunion and could be part of another local or systemic problem. Sometimes if you have an inflammatory problem like gout for example the ankle can swell. Another cause is in the tendons around the ankle are inflamed e.g. in low arch.
Where comes the speaker from?
I think he are from finland or russia or other slavic country!
Mr Hisham Shalaby , Edinburgh - Scotland - UK.