The difference between minimally invasive and open bunion surgery

Written in association with: Professor Bal Dhinsa
Published:
Edited by: Carlota Pano

Bunion surgery is an operation to correct a bunion (hallux valgus), a deformity on the joint at the base of the big toe. There are many ways to perform bunion surgery, including using open or minimally invasive surgical techniques.

 

Here, Mr Bal Dhinsa, renowned consultant orthopaedic surgeon, provides an expert insight into minimally invasive bunion surgery.

 

 

What are the benefits of minimally invasive versus open bunion surgery?

 

Smaller incisions with minimally invasive bunion surgery mean less damage to the soft tissues (such as, the skin and the muscles) and hopefully, less swelling and pain. This also allows for the correction of larger bunions.

 

What is minimally invasive bunion surgery?

 

Open bunion surgery is performed through an approximate 8mm incision (which typically heals well and is barely visible with time), using a saw to cut the bones and realign them.

 

With minimally invasive bunion surgery, the bones are cut with a burr under x-ray guidance, which means that smaller incisions are required.

 

How long does it take to recover from minimally invasive bunion surgery?

 

The actual time between surgery to wearing normal shoes and weightbearing is the same for both techniques.

 

However, patients who have undergone minimally invasive bunion surgery theoretically have a better range of motion due to less soft tissue damage.

 

What is the success rate of minimally invasive bunion surgery?

 

I can’t put a figure on success rates as this is subjective to each patient. However, overall, surgery can achieve excellent correction of angles and deformity, and patient satisfaction is good. Complication rates remain low based on published evidence.

 

The wounds of open and minimally invasive surgery bunion correction are very similar - looking at six months - as my open surgery utilises only a small incision.

 

How much does minimally invasive bunion surgery cost?

 

The cost will depend on the hospital where the surgery will take place, as well as if any additional surgical procedures are needed at the same time. Once there is a plan made for surgery, a quote will be provided.

 

 

Mr Bal Dhinsa is a highly skilled consultant orthopaedic surgeon with over 15 years’ experience.

 

If you are considering minimally invasive bunion surgery and you would like to consult your options with an expert, do not hesitate to book an appointment with Mr Dhinsa via his Top Doctors profile today.

By Professor Bal Dhinsa
Orthopaedic surgery

Mr Bal Dhinsa is an accomplished consultant orthopaedic surgeon in the Kent and London areas, specialising in treatments of conditions in the foot and ankle including sports injuries, arthritis (osteoarthritis and inflammatory arthritis), tendon injuries, bunions, arthroscopy, and nerve injuries. Mr Dhinsa currently practices in four private clinics and East Kent Hospitals NHS Trust.

After receiving his basic medical qualification in 2004, Mr Dhinsa continued his training as a research fellow and later with higher surgical training on the Southeast Thames rotation. Whilst completing his training, Mr Dhinsa held the role of academy club doctor for the Charlton Athletic Football Club, which allowed him to gain invaluable experience dealing with sports people - the prevention, management, and care for their high calibre sports injuries.

During his approved training with the British Orthopaedic Foot and Ankle Society, he learned the most advanced and modern techniques at Guy's and St Thomas' Hospital and Malawi. Mr Dhinsa uses these learned techniques to facilitate the best treatment options for his patients. Mr Dhinsa prefers to use an evidence-based approach when treating and caring for his patients.

Mr Dhinsa maintained his passion and presence in research after his training had completed. He has also presented at distinguished international and national meetings. In addition, Mr Dhinsa has had more than 30 published peer-reviewed papers, as well as having authored several book chapters. Beyond research and sharing with fellow peers, Mr Dhinsa has ardor to educate and trains undergraduates, supervises trainees, and is on the faculty for multiple courses.

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.