When the distance between the first and second metatarsal bones is greater than normal, the big toe may turn toward the other toes. A mild bunion may then form, causing foot pain and swelling.
The first metatarsal bone is cut. Its head is moved closer to the second metatarsal bone. A screw or pin can be used to hold the first metatarsal bone in position. The bony bump is also removed. To protect your foot, you will need to wear a surgical shoe for a few weeks.

When a moderate gap is noted between the first and second metatarsal a midshaft procedure is available typically called a Scarf or “Z”. This procedure is midway between the mild and severe surgical corrections.
A bunion becomes severe when the distance between the first and second metatarsal bones is greater than that of a mild/moderate bunion. The big toe turns toward the other toes, making them buckle. Increased foot pain and swelling may result.
With this procedure a wedge of bone is removed from the first metatarsal bone. The bone is moved closer to the second metatarsal bone and held together with screws. The bony bump is also removed. To heal right, your foot may be placed in a cast. You may be asked not to bear weight on this foot for several weeks.
“All of the staff at Achilles act in a very professional manner, I have always been greeted by a pleasant receptionist whether it is over the phone or in person.”
— Brenda S