What to know about minimally invasive bunion surgery

Written in association with: Mr Vail Karuppiah
Published: | Updated: 15/10/2024
Edited by: Conor Lynch

In this article below, revered consultant orthopaedic surgeon, Mr Vail Karuppiah, discusses minimally invasive bunion surgery in expert detail.

What is minimally invasive bunion surgery and how does it differ from traditional surgery?

The surgery involves using smaller cuts on your skin which means lesser damage to soft tissue whilst during the surgery. This is done with special tools under image (xray) guidance. In traditional surgery the surgical cuts are larger and the surgery is performed under direct vision.

 

What are the benefits and risks of minimally invasive bunion surgery?

There is minimal soft tissue stripping with this surgery which helps to reduce your swelling and pain after surgery. There is also smaller risk of wound complications after surgery. Overall, you have a better chance of quicker recovery with little down time and sooner return to regular activity.

 

How long is the recovery time after minimally invasive bunion surgery?

Most patients do well by four weeks and able to get into regular shoes and allowed to drive with some simple exercises including swimming and cycling. By six weeks, patients are allowed to do contact sports.

 

What can I expect during the minimally invasive bunion surgery procedure?

Surgery is performed as a day-case procedure under general or regional anaesthesia. You would be going home the same day with open shoe with advice to walk on it full weight bearing. You are expected to self care including showering and going to the toilet but keeping your feet elevated during rest time for the first two weeks. You will have regular follow up in the clinic.

 

How effective is minimally invasive bunion surgery in relieving pain and correcting the bunion?

Any type of bunion surgery is effective for a painful bunion. Minimal invasive surgery has an added benefit of good correction for severe deformities and quicker recovery time.

By Mr Vail Karuppiah
Orthopaedic surgery

Mr Vail Karuppiah is a leading consultant orthopaedic surgeon based in Nottingham who specialises in foot and ankle surgery. His specialities are minimally-invasive bunion surgery, first MTP joint replacement and adult-acquired flat foot as well as ankle replacement, keyhole surgery for plantar fasciitis and foot and ankle deformity correction. He privately practices at the Woodthorpe Hospital, Nottingham, and his NHS base in Nottingham University Hospital NHS Trust.        

Mr Karuppiah, who is the only surgeon to offer minimally-invasive surgery to treat bunions in East Midlands region, advocates for individualised surgery and professional care for his patients. He uses keyhole surgery for the management of bunion correction and believes that the advantages of this procedure allows for patients' early recovery. Furthermore, they have signifcantly less time off work and fewer complications.

Mr Karuppiah's practice takes a holistic approach where surgery is just one part of what's required for patients to regain their quality of life. His subspecialties also include rheumatoid foot and ankle, diabetic foot and tendo-achilles treatment as well as ankle ligament reconstruction, ankle arthroscopy and big toe arthritis (Hallux Rigidus).    

Mr Karuppiah has an MBBS in Medicine from the Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) and went on to begin his surgical career in Scotland. He completed his further training on the National Orthopaedic Training Programme in the East Midlands, working at various hospitals including the Queen's Medical Centre in Nottingham, University Hospitals of Derby and Burton and King's Mill Hospital, Mansfield. He also did international fellowships in South Africa and Australia. 

Complementing Mr Karrupiah's clinical practice and educational history, he has an esteemed teaching and academic research career. He was a clinical tutor at the University of Aberdeen, has had his work published in respected international journals and regularly organises and presents at national and international seminars.

He is a fellow (FRCS) of the Royal College of Surgeons Edinburgh and also a member of the esteemed organisation (MRCS), alongside the British Orthopaedic Foot and Ankle Society (BOFAS), British Orthopaedic Association (BOA) and the British Medical Association (BMA).

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