We use the Infinity which is a more modern ankle with better features to the star but I have a lot of patients with the star ankle who are still doing very well.

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.

It reduces the chance of arthritis developing and improves the pain coming from these lesions.

@@spattro recovering from a bi mal fracture with dislocation so I’ve been told arthritis is in my future

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.

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.

Edinburgh - UK. Visit www.Orthopaedicworld.com for more details.

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.

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.

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.

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.

بالتوفيق دائما.

Keller’s operation

I wish I had someone push me to do mine sooner but everyone told me to wait. I am finally going to have it done in two weeks and it will be a little more complicated case than it had to be.

Mr Hisham Shalaby , Edinburgh - Scotland - UK.

Deborah Benabu all the best.

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

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