Optimizing outcomes in bunion surgery.

The goal of fine-tuning bunion surgery is to optimize outcomes and prevent complications. This is accomplished through restoring anatomic alignment, imparting first ray stability, meticulous surgical technique, and accounting for other causes that may contribute to first ray instability. Despite various soft tissue and osseous surgical procedures along with anatomic variations of each patient, the principles of anatomic restoration and stability remain consistent. Maintenance of correction is predicated on the treatment of underlying pathology and the establishment of optimal stability and first ray alignment.