Contact ustoday to learn more about how PRESENT
can transform the way you deliver residency education!
Bunion Correction Survey Results are In...
Thanks to each of you for taking time to complete the online
Bunion Correction Survey.
We had a great response with over 175 responses so far. If you have not yet submitted your reply, please click on this
LINK to take the brief survey and add
your opinion to the data.
I have pasted the full survey results below. In summary, most of you responded that the preferred procedure is a long dorsal
arm chevron osteotomy with 2 screw fixation and immediate post operative weight bearing in a surgical shoe.
It was, however, very interesting to see the diverse responses to many of the questions. In particular, the answers were very
evenly spread between the choices on the actual post operative weightbearing instructions provided to the patient. The answers were also
scattered for the number of weeks that many would keep their patients off weightbearing from the day of surgery.
Enjoy the rest of your week.
John Steinberg, DPM
PRESENT Editor
POLL'S RESULTS
1. What is your distal metaphyseal osteotomy of choice?
Members
%
Traditional chevron
62
34.64
Long dorsal arm chevron
108
60.34
Mitchell
1
0.56
Reverdin
6
3.35
177
2. If you perform a long dorsal arm chevron osteotomy, what form of internal fixation do you use?
Members
%
K-wires
9
5.03
One screw
40
22.35
Two screws
118
65.92
Staples
1
0.56
Absorbable fixation
9
5.03
177
3. Assuming you have rigid internal fixation of a long dorsal arm chevron osteotomy,
do you allow your patient to bear weight immediately after surgery?
Members
%
Yes
117
65.36
No
60
33.52
177
4. If you allow weight bearing, what are your instructions to the patient?
Members
%
Full weight bearing as tolerated
49
27.37
Heel weight bearing only
39
21.79
Partial weight bearing with crutch assistance
48
26.82
I don´t allow weight bearing
41
22.91
177
5. If you allow weight bearing, do you have the patient wear any protective medical equipment?
Members
%
Stiff soled surgical shoe
99
55.31
Removable cast boot (Aircast/Cam Walker)
35
19.55
Fiberglass splint
3
1.68
Weight bearing fiberglass cast
6
3.35
I don´t allow weight bearing
34
18.99
177
6. If you keep your patient non-weight bearing, what method do you use?
Members
%
Crutches (operative foot off the ground)
162
90.50
Walker
4
2.23
Rollabout device (wheeled platform to rest the operative extremity)
11
6.15
177
7. If you keep your patient non-weight bearing, how long before you allow them to begin walking?
Members
%
One week
37
20.67
Two Weeks
59
32.96
Three Weeks
25
13.97
Four Weeks
35
19.55
Until complete radiographic union
21
11.73
177
Any stories, feedback or questions about the experiences that
you've had in your residency program?
Please share your comments by sending a note to
jsteinberg@podiatry.com
