Houston Podiatrist | Manage Foot Heel Pain, Neuroma, Ingrown Toenails & Bunions

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Mini Tight Rope Procedure

Before Mini Tight Rope

After Mini Tight Rope

Bunions are large bony prominences at the base of the big toe (first metatarsal). This is usually an inherited condition and can cause the big toe to become misaligned in relation to the rest of the foot and leg. Trouble wearing certain shoes, swelling and pain in and around the joint are typical complaints from those suffering with bunions. Some bunion pain can be relieved by custom orthoses and other conservative treatments; however, to relieve the pain and aggravation of bunions, surgical procedures should be considered.

Surgical correction of a bunion traditionally involves cutting through the first metatarsal bone while using bone screws to maintain the bone in a corrected position. If done successfully, the prominence no longer exists and the big toe appears straightened. A protective shoe is worn for a few weeks post-surgery while the bone heals. Crutches are usually prescribed for a period of time.

A new surgical procedure is being performed for the correction of painful bunion deformities. This procedure is called the "Mini-Tightrope" bunionectomy. Tiny holes are drilled into the first and second metatarsals and a strong,  fiber-wire is strung between the first and second metatarsal bones in order to correct joint misalignment.  Advantages of this “mini-tightrope” procedure include immediate weight bearing, where some corrective bunionectomies require non-weight bearing activity for weeks. This innovative procedure is said to prevent the recurrence of bunions that can sometimes presents with traditional bunionectomy. Less post operative pain is claimed by most patients and due to the rapid recovery, return to normal activity happens much quicker.

View Mini-tightrope procedure


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