Bunion (hallux valgus) surgery is a common procedure for deformity of the big toe. Commonly lesser toe deformity such as claw toe or crossover toe are associated.
Shoe modification should be trialed for symptomatic bunions. A flat padded shoe with a wide toe box may give relief.
Bunion surgery involves straightening of the big toe and removal of the prominent bump. This involves releasing the tight ligaments that cause the deformity and realigning the big toe by cutting then re- fixing the bone in the correct alignment. Lesser toe deformity such as claw/ hammer toes are commonly treated at the time of bunion surgery, most commonly with a PIPJ fusion.