A Chervon bunionectomy is a common and effective surgical procedure used to correct mild to moderate bunions. This procedure involves a precise cut (osteotomy) of the first metatarsal bone to realign the joint and relieve the pain and deformity associated with a bunion. We typically perform this surgery under sedation in an outpatient surgical setting, meaning the patient is comfortably asleep but breathing on their own, avoiding the need for general anesthesia.
Before surgery, we thoroughly review the patient’s foot X-rays to ensure proper surgical planning. These images allow us to evaluate the severity of the bunion and any additional contributing foot issues. The Austin procedure is chosen for patients with a specific type of deformity where the bunion angle can be corrected with a V-shaped cut and realignment secured with one or more small screws.
Pain medications are prescribed and sent to the patient’s pharmacy prior to the surgery date. This allows the patient to have everything on hand before the procedure, ensuring a smoother recovery process. Most patients are given a mild narcotic for the first few days following surgery, in addition to anti-inflammatory medication and possibly something for nausea if needed.
Following the procedure, we personally contact the patient the evening of surgery to check on their status, answer questions, and ensure they are doing well. This initial follow-up call is an important part of our postoperative care process and allows us to catch any early concerns before the first office visit.
One of the unique aspects of our protocol is that patients are responsible for changing their own bandage during the early recovery period. Detailed instructions are given to ensure they are confident and safe while doing so. We typically advise gentle dressing changes beginning a few days after surgery, depending on the specific case.
The first postoperative appointment is scheduled for two weeks after surgery. At this visit, we evaluate healing, remove any sutures if needed, and take follow-up X-rays to confirm that the bone is healing in the correct position. We also assess swelling, skin condition, and range of motion at the joint.
Perhaps the most important part of recovery from an Austin bunionectomy is early range of motion exercises. We strongly emphasize that patients begin gently moving the big toe joint within the first week after surgery. This helps prevent stiffness and accelerates the return to normal function. The goal is to restore motion while still protecting the surgical correction.
Most patients wear a postoperative boot and are allowed to bear weight on the heel or outer edge of the foot, depending on their individual case. Over time, as swelling decreases and healing progresses, we transition patients back into regular footwear.
With proper surgical technique, pain management, and structured follow-up, the Austin bunionectomy offers excellent outcomes for reducing pain and improving alignment. Our comprehensive approach—combining precision surgery, close monitoring, and active patient participation—sets the stage for a successful and comfortable recovery