Bunionectomy

What you should know

Bunionectomy (Precare) Care Guide

A bunionectomy is surgery to remove a bunion.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

You may bleed more than expected or get an infection. You could have trouble breathing or get blood clots. You may have stiffness in your toe joint and your big toe may not line up exactly with your other toes. You may still need to wear special shoes or inserts in your shoes after surgery. If you do not have surgery, your bunion may grow larger and the pain may get worse.

Getting Ready

The week before surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need blood tests before your surgery. Talk to your caregiver about these or other tests you may need. Write down the date, time, and location for each test.

The night before surgery:

  • You may be given medicine to help you sleep.

  • Ask caregivers about directions for eating and drinking.

The day of surgery:

  • Ask your caregiver before you take any medicine on the day of your surgery. Bring a list of all the medicines you take, or your pill bottles, with you to the hospital. Caregivers will check that your medicines will not interact poorly with the medicine you need for surgery.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

Treatment

What will happen:

  • You may get anesthesia to numb you below the waist or that will numb your foot. You may get general anesthesia to keep you completely asleep. A tourniquet may be put on your leg just below your knee. The tourniquet will help decrease bleeding during surgery.

  • An incision is made in your foot. The extra bone and tissue is removed. The ligament that has tightened and pulled the toe inward may be cut to help make the toe straight again. A ligament is a strong tissue that holds a joint together. A pin, screw, or rod may be placed in your toe joint. In some cases, you may need to have your toe joint rebuilt or repaired. The incision is then closed with stitches.

After surgery:

You will be taken to a room to rest until you are fully awake. Caregivers will monitor you closely for any problems. Do not get out of bed until your caregiver says it is okay. When your caregiver sees that you are okay, you will be able to go home. If you are staying in the hospital, you will be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

  • You get a cold or the flu.

  • You have questions or concerns about your surgery.

Seek Care Immediately if

  • Your symptoms get worse.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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