PROstep™ Minimally Invasive Surgery | Florida Orthopaedic Institute
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PROstep™ Minimally Invasive Surgery for Bunions

If foot pain is limiting your everyday activities, PROstep™ minimally invasive surgery can significantly reduce foot pain and get you back to your favorite activities faster than traditional surgery.

Bunion pain is one of the most common foot problems. A bunion is a misalignment of the bone at the big toe. Bunions can change the shape of your foot, limit your daily activities, and can be very painful.

PROstep is a minimally invasive surgical technique developed by Wright Medical, the leader in foot surgery. It is used to correct bunions (hallux valgus), hammertoes, hallux rigidus, and other foot conditions.

PROstep is different when compared to traditional bunion surgery because patients have:

  • Less post-operative pain.
  • Earlier return to function.
  • Smaller scars.

With PROstep, the surgeon uses micro incisions (needle-puncture of the skin), rather than using an “open” approach where inner tissue is exposed. These micro incisions (percutaneous) cause far less damage to the foot.


Commonly Asked Questions About PROstep Minimally Invasive Surgery

When is surgery right for bunions?

When foot pain significantly impacts the activity and quality of your life, and other alternatives have proven ineffective. Then you and your doctor can determine the correct course of treatment, including surgery.

Do bunions return after surgery?

PROstep minimally invasive surgery focuses on the underlying structural causes of bunions and is very successful. But bunions can return after surgery. To reduce this risk, make sure to follow all your doctor’s recovery instructions.

Will this surgery improve the appearance of my feet?

Since a PROstep surgery is minimally invasive, scars are typically smaller than a comparable open procedure. It also is highly successful at removing and reducing the size of bunions, which can improve your foot’s looks. It is always best to discuss your expectations with your doctor.

Will I gain flexibility in my toe?

The flexibility of your big toe joint may either increase or decrease, depending on the type of surgery you choose. The PROstep procedure is “extra-articular,” meaning that it is designed not to violate the joint. This can result in more initial flexibility and a better range of motion.

When will I be walking after surgery?

Compared to an open procedure, PROstep will have you active faster. Patients are usually placing weight on their foot immediately after surgery with a rigid flat orthopedic shoe.

When can I wear regular shoes again?

If x-rays show signs of bony union, your doctor will allow full weight-bearing in normal shoes typically at 6 weeks. Patients return to regular shoes faster with PROstep than with an open procedure.

Is bunion surgery painful?

PROstep procedures have less post-operative pain when compared to traditional open bunion procedures. This is because the surgeon uses micro incisions (needle-puncture of the skin), rather than by using an “open” approach where inner tissue is exposed. These micro incisions (percutaneous) cause far less damage to the foot.

PROstep minimally invasive surgery is a procedure performed by specially-trained PROstep surgeons. Contact one of these PROstep specialists at Florida Orthopaedic Institute.

REFERENCE: Lam P, Lee M, Xing J, Di Nallo M. Percutaneous Surgery for Mild to Moderate Hallux Valgus. Foot Ankle Clin N Am 2016; 21: 459-477 (data only with respect to chevron osteotomy procedure). Lee M, Walsh J, Smith MM, Ling J, Wines A, Lam P. Hallux Valgus Correction Comparing Percutaneous Chevron/Akin (PECA) and Open Scarf/Akin Osteotomies. Foot Ankle Intl 2017; 38(8): 838-846 (data only with respect to chevron osteotomy procedure). Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C. Bosch Osteotomy Scarf Osteotomy for Hallux Valgus Correction. Orthop Clin North Am. 2009 Oct;40(4):515-24, ix-x. doi: 10.1016/j.ocl.2009.06.003.

The following Florida Orthopaedic Institute physicians specialize in PROstep™ minimally invasive surgery:

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