Traditional vs Keyhole Surgery: Which is Better for Treating Bunions

A bunion is an unsightly and painful bony bump that forms on the base of the big toe joint. While pain medications and special footwear can help relieve symptoms, surgery remains the only effective and lasting way to get rid of bunions. Bunion surgery in Singapore can involve one of the following techniques:

• Osteotomy – The bunion surgeon creates incisions on or removes a small wedge from the big toe bone, which allows the toe to be straightened and the joint to be aligned back into place. The straightened toe and joint are then fixed in place using metal pins, screws or plates. Osteotomy may also be done with soft tissue repair.
• Exostectomy – This procedure, which is also called a bunionectomy, shaves or saws off the bony bump. An exostectomy is typically done with an osteotomy to realign the joint and repair soft tissue.
• Resection Arthroplasty – Recommended for older patients with severe cases of bunions, this procedure involves removing the damaged portions of the affected joint, which gives more space between the toe’s bones. This is generally considered to be the last resort, as it reduces the function and strength of the joint.

The bunion doctor in Singapore can help advise which technique is most suitable for the patient. He or she may perform the procedure traditionally via open surgery or via keyhole (minimally invasive) surgery.