Bunions: minimally invasive surgery as a solution

Written in association with: Mr Tarek El Gamal
Published: | Updated: 07/05/2020
Edited by: Robert Smith

Worldwide, it is estimated that over 23% of women suffer from bunions. It’s a progressive disorder beginning with bony lumps that form on the side of the feet that often patients consider to be unsightly.
 

bunions-surgery

 

Although bunions begin as a cosmetic problem, they can rapidly become a medical problem. We recently spoke to a leading consultant trauma and orthopaedic surgeon, Mr Tarek El Gamal, to find out about minimally invasive surgery as a solution.

When is minimally invasive bunion surgery recommended to treat bunions?

Minimally invasive surgery is a brilliant technique with excellent outcomes as well as high patient satisfaction in the literature. It’s recommended for all types of bunions including bunions of the 5th toe.
 

Are there different types of MIS for bunions?

Yes, a bunion at the back (top) of the toe can be treated with MIS to shave it, with no metal work involved. This is the same for little toe bunion. MIS for the little toe aims for correction of the deformity without any metal work. For other types of big toe bunion, the surgery will entail open cuts and metal work. The metal work is designed to stay in for good.


How can a patient prepare for minimally invasive bunion surgery?

When it comes to preparation, MIS is no different than formal surgery. However, after almost all of the MIS procedures, the patient can go home a few hours after the surgery.


How is minimally invasive bunion surgery performed?

MIS is performed through 1-2 cm incisions. Through that incision we can shave bone and correct deformities all around the foot.


Is it painful during the procedure and post-surgery?

As regards to pain, the procedures are done under quick general anaesthetic. A nerve block is given during the procedure to take the edge off the pain for almost 6-12 hours. The patient should use this period to start rehabilitation exercises, which will guarantee a better outcome in the long-term.


Could other foot issues be treated at the same time?

Yes, there are lots of applications for MIS foot surgery. It can be used to manage flat feet, high arched feet, metatarsalgia as well as plantar fasciitis. MIS techniques are well supported in the literature with excellent patient outcomes.
 

If you require treatment for any feet-related issues, you may like to book an appointment with a leading orthopaedic surgeon such as Mr Tarek El Gamal. You can do this via his Top Doctors profile

By Mr Tarek El Gamal
Orthopaedic surgery

Mr Tarek El Gamal is a leading consultant trauma and orthopaedic surgeon who subspecialises in foot and ankle conditions. He is highly trained and experienced in all aspects of his field. Minimally invasive surgeries (MIS), including arthroscopic (keyhole) surgery, are just some of his specialist interests and he performs these regularly to treat conditions such as bunions, hammertoes, flat feet, high arches, foot and ankle trauma and many more.

His years of expertise make him incredibly knowledgeable in other foot and ankle conditions that are related to arthritis, the Achilles tendon, sports injuries (such as ankle sprain) and also traumatic injuries.

Mr El Gamal's orthopaedic training began at Alexandria University Hospitals in Egypt and by 2006 he had been awarded a master's degree in trauma and orthopaedics. Later, in 2012, he became a Fellow of the Royal Colleges of Surgeons in the UK. Due to his dedication and skills, he was awarded a place on one of the most prestigious and sought after advanced training fellowships for foot and ankle orthopaedics at Wirral University Teaching Hospital NHS Foundation Trust.

His research is published in renowned peer-reviewed journals. His passion for his field leads him to research topics that aim to improve the quality of care and outcomes for patients.

He is currently practising at the University Hospitals of Birmingham. He was voted Trainer of the year in 2019 across Coventry & Warwickshire deanery by the trainees.

Mr El Gamal was the clinical governance lead for trauma & orthopaedics from 2016 till 2021. 

View Profile

Overall assessment of their patients


  • Related procedures
  • Platelet-rich plasma
    Ozone therapy
    Botulinum toxin (Botox™)
    Abnormal gait
    Elbow
    Epicondylitis (tennis elbow)
    Elbow Pain
    Nerve Compression elbow
    Median nerve compression
    Radial nerve compression
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.