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In this comprehensive video, Mr. Hisham Shalaby, a highly specialized foot and ankle consultant based in Edinburgh, Scotland, takes you through the Scarf and Akin osteotomy procedure—a proven surgical technique for the correction of bunion deformity (hallux valgus). As one of the most experienced foot and ankle surgeons in the UK, Mr. Shalaby demonstrates the entire process, offering invaluable insights into the procedure. A bunion (medically known as hallux valgus) is a common foot deformity that causes the big toe to deviate inward toward the smaller toes, creating a painful, swollen bump on the inside of the foot. This condition can lead to significant discomfort, pain while walking, and difficulty finding appropriate footwear. Bunions often worsen over time, especially if left untreated. For individuals suffering from moderate to severe bunions, non-surgical treatments such as orthotics or anti-inflammatory medications may not provide sufficient relief, making bunion surgery a highly effective option. What is the Scarf and Akin Osteotomy? The Scarf osteotomy is a highly versatile procedure used to realign the first metatarsal bone, which is the primary cause of the bunion deformity. During this procedure, a Z-shaped cut is made in the bone to correct its position and reduce the prominence of the bunion. The Akin osteotomy, on the other hand, involves a small wedge-shaped cut in the proximal phalanx of the big toe to improve the alignment of the toe itself. Together, these procedures restore the foot's natural anatomy, offering long-term relief from pain and improving overall foot function. Post-Operative Recovery and Care After undergoing bunion surgery, patients will go through a structured post-operative recovery process. Initially, the foot will be placed in a protective bandage and surgical shoe, and patients are typically advised to put weight as tolerated for the first few weeks. Depending on the extent of the surgery and the individual patient’s condition, the use of crutches, walkers, or other walking aids may be necessary. Patients can expect some degree of swelling and discomfort in the early stages, but pain is generally manageable with prescribed pain medications and proper elevation of the foot. Full recovery usually takes around 6 to 12 weeks, during which time patients should follow a structured rehabilitation program, including physical therapy, to restore mobility, strength, and flexibility in the foot. Adhering to post-surgery guidelines is crucial for minimizing complications and ensuring the best possible results. Over time, patients will notice a significant reduction in pain and an improvement in the appearance and functionality of their foot. Most individuals can return to their regular daily activities within a few weeks, although high-impact activities like running or jumping may take longer. Who is a Candidate for Scarf and Akin Osteotomy? This type of surgery is ideal for patients with moderate to severe bunions who have not responded well to conservative treatments. Patients with significant pain, difficulty walking, or severe foot deformities are typically excellent candidates for this procedure. During the consultation, Mr. Hisham Shalaby will evaluate your specific condition and determine whether the Scarf and Akin osteotomies are the right choice for you. Why Choose Mr. Hisham Shalaby? Mr. Shalaby is an expert in foot and ankle surgery with extensive experience in treating complex deformities such as hallux valgus. Based in Edinburgh, Scotland, he is highly regarded for his precision and expertise in minimally invasive techniques, ensuring optimal outcomes for his patients. His patient-centered approach ensures that each surgery is tailored to the individual, addressing not only the deformity but also the patient’s specific goals for recovery. This video is an excellent resource for patients who are considering bunion surgery and want to know more about the options available, as well as for medical professionals looking to enhance their knowledge of advanced surgical techniques for bunion correction. Key Highlights: Full breakdown of the Scarf osteotomy and Akin osteotomy procedures Detailed step-by-step guide on bunion correction surgery