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Minimally Invasive Bunion Surgery & Forefoot Reconstruction Specialist

Dr. John Goodner DPM

Advanced Solutions for Bunions, Hammertoes, Tailor’s Bunions, and Failed Foot Surgery

Foot deformities such as bunions, hammertoes, and tailor’s bunions can make walking, exercising, and even wearing shoes uncomfortable. Whether you are dealing with a progressive deformity, chronic pain, or complications from a previous surgery, specialized treatment options are available to restore function and improve quality of life.

As a foot and ankle surgeon specializing in minimally invasive forefoot reconstruction and revision surgery, Dr. John Goodner provides advanced treatment options designed to correct deformities while minimizing tissue disruption, scarring, and recovery time whenever possible.

What Is a Bunion?

A bunion is a progressive deformity that develops when the big toe drifts toward the second toe, causing the joint at the base of the big toe to become prominent and painful. Over time, bunions can lead to:

  • Pain with walking and activity
  • Difficulty fitting into shoes
  • Inflammation and swelling
  • Arthritis of the big toe joint
  • Overlapping or crowding of the toes
  • Secondary hammertoe deformities

While wider shoes and custom orthotics may provide temporary relief, surgery is often necessary when conservative treatment no longer controls symptoms.

Minimally Invasive Bunion Surgery

Modern bunion correction has evolved significantly. Minimally invasive bunion surgery utilizes specialized instruments and small incisions to correct the deformity while reducing soft tissue trauma.

Potential benefits may include:

  • Smaller incisions
  • Less postoperative swelling
  • Reduced scarring
  • Earlier return to comfortable footwear
  • Faster recovery for many patients
  • Improved cosmetic appearance

Not every bunion is the same. Surgical planning is individualized based on the severity of the deformity, joint stability, arthritis, and patient goals.

Hammertoe Reconstruction

Hammertoes occur when one or more lesser toes become bent and rigid due to tendon imbalance, joint contracture, arthritis, or biomechanical abnormalities. Symptoms may include:

  • Painful corns and calluses
  • Toe irritation in shoes
  • Difficulty walking comfortably
  • Progressive toe deformity 
  • Metatarsal pain beneath the ball of the foot

Treatment options range from padding and shoe modifications to minimally invasive correctionand comprehensive forefoot reconstruction.

Tailor’s Bunion (Bunionette) Treatment

A tailor’s bunion develops on the outside of the foot at the base of the fifth toe. This prominence can become painful from shoe pressure and may worsen over time.

Common symptoms include:

  • Lateral foot pain
  • Redness and swelling
  • Difficulty wearing dress shoes or athletic footwear
  • Progressive widening of the forefoot

Minimally invasive and traditional reconstructive procedures can effectively correct tailor’s bunions while restoring foot alignment.

Comprehensive Forefoot Reconstruction

Many patients present with multiple deformities occurring simultaneously. Successful treatment often requires addressing the entire forefoot rather than a single problem.

Comprehensive forefoot reconstruction may involve:

  • Bunion correction
  • Hammertoe repair
  • Tailor’s bunion correction
  • Metatarsal realignment
  • Joint preservation procedures
  • Arthritis management
  • Tendon balancing procedures

A comprehensive approach helps improve long-term outcomes and reduces the risk of recurrence.

Revision Bunion and Forefoot Surgery Specialist

Not all foot surgeries achieve the desired result. Patients may continue to experience pain, recurrent deformity, hardware complications, stiffness, or difficulty walking after previous procedures.

Common reasons for revision surgery include:

  • Recurrent bunion deformity
  • Persistent pain
  • Nonunion or delayed healing
  • Malpositioned bone correction
  • Hardware irritation
  • Transfer metatarsalgia
  • Overcorrection or undercorrection
  • Failed hammertoe procedures

Revision surgery is often more complex than primary surgery and requires detailed evaluation, advanced imaging, and specialized reconstructive planning.

Why Choose a Revision Specialist?

Revision forefoot reconstruction requires expertise in:

  • Complex foot biomechanics
  • Previous surgical corrections
  • Bone healing disorders
  • Joint preservation techniques
  • Advanced reconstructive procedures
  • Minimally invasive surgical approaches

Each case is carefully evaluated to identify the root cause of ongoing symptoms and develop a customized treatment plan.

Comprehensive Evaluation

Comprehensive Evaluation Every patient receives a thorough assessment that may include:

  • Digital X-rays
  • Advanced imaging when indicated
  • Gait and biomechanical evaluation
  • Previous operative record review
  • Conservative and surgical treatment recommendations

The goal is to provide a clear understanding of the diagnosis and all available treatment options.

Schedule Your Consultation

If you are suffering from bunions, hammertoes, tailor’s bunions, forefoot pain, or complications from previous foot surgery, early evaluation can help prevent progression and improve outcomes.

Dr. John Goodner specializes in minimally invasive bunion surgery, complex forefoot reconstruction, pediatric and adult foot conditions, sports medicine, and revision foot and ankle surgery.

Same-day and next-day appointments available in Boca Raton and Delray Beach.