Wires, screws, or plates may be used to stabilize the toe while it mends. The spurs are removed and the bones of the big toe joint are roughened to simulate a fracture.
A tourniquet will be placed around your calf and an incision made on the top of the big toe joint.
During the surgery you will be kept in “twilight sleep,” unaware of time or sound. You will be given antibiotics just before surgery to help prevent infection. Patients report extraordinary satisfaction with this type of anesthesia. It gives complete pain relief that lasts for 12 to 36 hours. After you receive a medication through your IV to induce “twilight sleep” you will lie on your stomach and a small needle will be used to inject Novocain-like medication around the nerve in the back of your leg.
On the day of surgery, the anesthesiologists with give you a regional anesthesia known as a Popliteal nerve block. The surgical center will inform you when to arrive and how to prepare for surgery.
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