What is a Chevron Osteotomy for Bunions in the Feet?

A **Chevron osteotomy** is a surgical procedure commonly used to correct **bunions** (hallux valgus), a deformity where the big toe deviates toward the other toes, causing a bony bump at the base of the toe. Here's a concise overview:

• What is a Chevron Osteotomy?
• Definition**: A V-shaped cut (resembling the Chevron logo) is made in the first metatarsal bone (the bone behind the big toe) to realign it and correct the bunion deformity.
• Purpose**: To reduce pain, improve toe alignment, and restore function by shifting the bone and soft tissues to a more natural position.
• Procedure

1. Anesthesia**: Typically performed under local or general anesthesia.
2. Incision**: A small incision is made near the big toe.
3. Bone Cut**: The surgeon makes a V-shaped cut in the first metatarsal, allowing the bone to be shifted laterally to correct the alignment.
4. Fixation**: The bone is stabilized with screws, pins, or plates to hold the new position during healing.
5. Soft Tissue Adjustment**: Surrounding ligaments or tendons may be tightened or released to support the correction.
6. Closure**: The incision is closed with sutures, and the foot is bandaged.

• Benefits
• Corrects the bunion deformity and improves toe alignment.
• Reduces pain and discomfort associated with bunions.
• Typically allows for a relatively quick recovery compared to other bunion surgeries.
• Performed as an outpatient procedure in many cases.
• Recovery
• Timeline**:
• Weight-bearing: Partial weight-bearing with a surgical shoe or boot may begin within days to weeks, depending on the surgeon’s protocol.
• Full recovery: Typically 6–12 weeks, with swelling subsiding over several months.
• Post-op Care**:
• Keep the foot elevated to reduce swelling.
• Follow physical therapy or exercises to restore mobility.
• Avoid high-impact activities for several months.
• Return to Normal Shoes**: Usually possible within 6–8 weeks, but wide-toed shoes are recommended initially.
• Risks and Complications
• Infection at the surgical site.
• Recurrence of the bunion (less common with proper technique).
• Stiffness or reduced range of motion in the big toe.
• Nerve irritation or numbness.
• Delayed bone healing or nonunion (rare).
• Indications
• Moderate bunions causing pain or difficulty with footwear.
• When conservative treatments (e.g., orthotics, padding, or shoe modifications) fail.
• Good candidate: Patients with a flexible deformity and no severe arthritis in the toe joint.
• Alternatives
• Non-surgical**: Orthotics, bunion pads, proper footwear, or physical therapy.
• Other surgeries**: Depending on the severity, procedures like a Lapidus fusion, scarf osteotomy, or Akin osteotomy may be considered.
• Considerations
• Surgeon Consultation**: An orthopedic or podiatric surgeon will assess the bunion’s severity (via X-rays and physical exam) to determine if

a Chevron osteotomy is appropriate.

• Outcomes**: Studies show high success rates (85–90% patient satisfaction), especially for mild to moderate bunions.

If you’re considering this procedure, consult a foot and ankle specialist to discuss your specific condition, X-ray findings, and whethera Chevron osteotomy is the best option. Would you like me to search for recent studies or patient experiences on X about this procedure?

Craig Payne is a University lecturer, runner, cynic, researcher, skeptic, forum admin, woo basher, clinician, rabble-rouser, blogger and a dad.