Before your surgery:
Here are some handouts to consult before your surgery:
The following questionnaire will be given at your pre-operative appointment:
What to know before your matricectomy:
Before your matricectomy procedure: This will be a short procedure done in our office under local anesthesia around the base of the toe. You can drive yourself, but you will leave with a 'wooden toe' feeling on the toes that were operated on. It is very important to go right home and get off you feet for that day. Time to be a 'couch potato'. You can return to regular activities and even possibly athletic activities the next day. We will ask that you soak your foot or feet once or twice a day, put on a drop of an antibiotic prescription and apply a bandaid. Most patients will not need prescription pain medication for this. We'd like to evaluate healing in a couple of weeks.
Please bring with you a sandal, slipper, or extra large size shoe that can accommodate a rather bulky gauze dressing!
Preoperative planning for a bunionectomy
Here are the following measurements we take from a standing AP x-ray of your foot before your bunionectomy:
Intermetatarsal angle- the angle between the first and second metatarsals.
Proximal articular set angle- the angulation of the cartilage of your first metatarsal.
Hallux valgus angle- the angle between your 1st metatarsal and proximal phalanx.
Step off distance- the uncovered area on the medial side or the first metatarsal from the shifting hallux.
Metatarsal protrusion distance- the relative lengths of the first and second metatarsal.
Your bunion correction is planned preoperatively by measuring the angular correction desired ( the pink lines). This angle is put in a simple trigonometric equation with the width of the metatarsal wedge osteotomy:
tangent of (angular correction desired) X wedge width= Wedge thickness
This equation gives your surgeon the desired thickness of the angular base wedge needed to correct your first metatarsal into anatomic (normal) position.