Keyhole Bunion Surgery

What is Keyhole Bunion Surgery?

Keyhole bunion surgery is a modern technique to fix painful bunions without using a large incision to expose the bones before cutting and resetting them.

The surgeon will make tiny little holes through a very small cut, no more than 3 to 4 mm on the inside part of your foot.

The small incisions are used to be able to cut the bone involved in forming the bunion deformity. Using a specialised bur specifically made for keyhole bunion surgery. Once the bone is cut, it is reset under direct x-ray visualisation into the corrected position, thus reducing the deformity of the bunion and realigning the big toe in a straight position.

Specialised screws for bunion surgery are used to hold the bone in the new position whilst it heals.

All this is done through small incisions without exposing the bone and under direct X-ray visualisation.

The benefits of keyhole bunion surgery over traditional surgery are generally that you get much less post-operative pain. You can weight bear immediately with or without crutches in a specialised sandal.

Specialised screws for bunion surgery are used to hold the bone in the new position whilst it heals.

All this is done through small incisions without exposing the bone and under direct X-ray visualisation.

You will need to rest and elevate just like traditional surgery, but much less. There are less likely surgical wound problems, you are less likely to get joint stiffness and hence return to all sports and high heels without having the significant risk of joint stiffness with traditional surgery.

You can also correct the deformity when it comes to large bunions much more fully without a fusion procedure of the midfoot.

The risks of joint stiffness are also reduced due to early mobilisation. Physiotherapy is not necessary post-operatively, and the outcomes are more favourable than the traditional bunion techniques.

Why Choose Our Bunion Surgery?

Minimal pain
Small incisions
Faster healing
Less complications
No hospital stay

Who is a Suitable Candidate?

Bunion surgery can be performed in most bunion deformities whether small or large. Typically, you will require good bone quality, so it is unsuitable for patients who have osteoporosis. This is due to the nature of the operation requiring small incisions and less exposure of bone, therefore the quality of bone is important to be able to manipulate and reset it.

Furthermore, if you have arthritis in the big toe joint, then you do have a chance of joint stiffness and not suitable for minimally invasive bunion surgery if this is significant. Those patients may need to opt for a more traditional operation such as a fusion operation.

Preparing for Keyhole Bunion Surgery - Procedure

Step 1

A small 2mm incision is made allowing the first metatarsal to be cut.

Step 2

The head of the first metatarsal is repositioned, to partially minimise the bony prominence.

Step 3

Two screws are used to fix both sections of the metatarsal in its new position.

Step 4

A wedge is removed from the first proximal phalanx to reposition the toe into a straighter alignment. This is also fixed in place with a screw.

Step 5

The protruding bone is cut away and flattened to a natural outer arc.

Week by Week Recovery

First 3 Days

It is important to rest as much as possible with the leg elevated for the first 3 days.

3-14 Days

Between 3-14 days mobilise up to 10 mins an hour with the use of crutches and a post-operative shoe.

Two Weeks

An in person appointment for suture removal will be arranged, absorbable sutures may be used during the surgery.
At this stage, you should be able to move into sandals or rigid sole trainers.

Four Weeks

Four weeks following surgery you can increase activity to 30 mins an hour and can start to drive.

Six-Eight Weeks

Six-eight weeks review in clinic with X-rays, high impact activities can continue.

Twelve Weeks

High heels can typically be worn at 3 months post-op, tighter heels may not be possible until 4 months.

Cost & Insurance for Keyhole Bunion Surgery

Self-funding Patients

For self-funding patients we have the below fees for the minimally invasive bunion surgery:

Description

Fee

Consultation with Mr Kaser Nazir

£250

X-ray of one foot

£160

X-ray of both feet

£264

Keyhole bunion to one foot under sedation

Approx. £5800

Keyhole bunion surgery to both feet at the same time under sedation

Approx. £8500

Following surgery further X-rays will be carried out.

Insured Patients

Minimally invasive keyhole bunion surgery can also be covered by medical insurance.

Initially, contact your insurance provider to request authorisation for a consultation with Mr Kaser Nazir and X-rays. Typically insurance companies will request a referral letter from your GP.

Following your appointment, our team will provide you with details on how to authorise the procedure.

Frequently Asked Questions

Keyhole bunion surgery has much less post-op pain. Most patients will complain of very little if any pain. You may require pain relief for two to three days, which is more of a simple pain relief rather than heavy opioids. You will remain mobile. There is much less soft tissue damage and therefore the pain is much less.

The initial recovery with the use of crutches is typically two weeks following surgery, though after 3 days you can start to mobilise 10 minutes an hour. High impact activities can start between six-eight weeks following X-rays and a review with your surgeon.

The risks following bunion surgery include joint stiffness, over/under correction, pain in the ball of the foot, recurrence of deformity, non-union of bunion, fixation problems with the screws/ pins, fracture or displacement of the metatarsal bone.

Before and After Keyhole Bunion Surgery

Bunion and toe correction

Before and After Bunion Surgery

Hallux Valgus Surgery - Before and After

Bunion Correction - Before and After Surgery

Scarf and Akin Osteotomy - pre and post surgery

Before and After Bunion Surgery

Before and After Hallux Valgus Surgery

Bunion, Tailor's Bunion and Hammertoe Surgery - Before and After

Hallux Valgus Surgery - Before and After

Bunion Surgery - Before and After

Before and After Hallux Valgus Surgery

Before and After Bunion Surgery

Hallux Valgus Surgery - Before and After

Bunion Surgery - Before and After

Bunion Correction Surgery - Before and After

Hallux Valgus Surgery - Before and After Procedure

Bunion Correction - Before and After Surgery

Mini Scarf Procedure - Before and After Surgery

Bunion Correction - Before and After Surgery

Hallux Valgus Correction - Before and After

Bunion Surgery - Before and After

Bunion Surgical Correction - Before and After

Bunion Correction - Before and After Surgery

Bunion + Tailor's Bunionette Correction, as well as 4th-5th Toe Separation

Bunion Corrective Surgery - Before and After

Bunion Surgery - Before and After Surgery

Bunion Correction - Before and After Surgery

Bunion & Hammertoe Correction - Before and After Surgery

Bunion Correction Surgery - Before and After Surgery

Bunion Correction - Before and After Surgery

Bunion Correction - Before And After Surgery

Bunion and Hammertoe Correction - Before & After Surgery

Bunion Correction - Before And After Surgery

Bunion Correction and Toe Shortening - Before and After Surgery

Bunion Correction - Before And After Surgery

Bunion and Hammertoe Correction - Before and After Surgery

Bunion and Toe Correction - Before and After Surgery

Bunion Correction - 3 Months Before & After Surgery

Bunion Correction - Before and After Surgery

Bunion Correction - Lapidus Procedure - Before After Surgery

Bunion Correction - Scarf & Akin Osteotomy - Before After Surgery

Bunion Correction with removal of damaged big toenail - Before and After Surgery

Bunion Correction - Before and 18 Months After Surgery

Bunion Correction - Before and After Surgery

Blogs

Minimally Invasive Bunion Surgery

Keyhole Bunion Surgery or Minimally Invasive Bunion Surgery Minimally Invasive...

KNOW MORE

Bunion Surgeon London – Mr. Kaser Nazir

Kaser Nazir, is a specialist foot surgeon who performs at...

KNOW MORE

Bunion Surgery Recovery Tips Week by Week

Bunion Surgery A Bunion is a common foot deformity that...

KNOW MORE

Bunion Surgery Treatment

Bunion Surgery is the only way to correct a bunion....

KNOW MORE

Bunion Surgery in Dubai

Bunion surgery for corrective bunion operation is available in Dubai....

KNOW MORE

Bunion surgery: All you need to know

A bunion can be defined as a type of bony...

KNOW MORE

Bunions: Diagnosis, Cause and Treatment

What Causes Bunions A Bunion is a common foot complaint,...

KNOW MORE

Is Summer the Best Time to Have Bunion Surgery?

All bunion specialists now agree that whilst bunion corrector type...

KNOW MORE

Common Types of Toe Surgeries

Introduction The foot and ankle encompass a complex set...

KNOW MORE

Mr. Kaser Nazir

Consultant Podiatric Surgeon

Mr. Nazir is a Consultant Podiatric Surgeon with more than 20 years NHS experience. He was appointed as an NHS Consultant Podiatric Surgeon and departmental lead at Guys & St Thomas’ NHS trust and performs reconstructive and corrective foot and ankle surgery. He also leads departmental audit & research ensuring that the department is consistent in providing a modern and high quality foot and ankle service. He is also the incumbent Dean of the Faculty of Podiatric Surgery in the United Kingdom in 2021.