61 666 47 37  

Why should you trust us?
Many years’ experience in modern methods of surgical treatment of hallux valgus (bunions) and other foot diseases.
Over 7000 of performed foot surgeries.
State-of-the-art equipment
A team of more than 20 specialists



We do not use plaster cast immobilization


Our patients start walking on the second day following the procedure


We limit the period of compulsory homestay to minimum


We shorten the time of absence from work as much as possible


Causes of bunions   

Hallux valgus (bunion)
A deformation of metatarsophalangeal joint is manifested with lateral pointing of the big toe towards the remaining toes.

This disorder is characterised by medial dislocation of the first metatarsal. The disease requires surgical treatment. This health condition may concern 2 to 4% of the population. The first degenerative changes in this area occur still before the 20th year of age in as many as 50% of patients. In nearly 80% of cases, bunions occur on both feet, although not always simultaneously. Only bunion surgery gives a change to regain the correct location of the big toe.
What causes and promotes bunion development?
  • Gender. Women tend to develop that disorder far more frequently than men (9:1). Ladies, naturally, have a weaker foot ligament system.
  • Shoes. The development of hallux valgus was already described at the beginning of the 18th century, when shoes on higher hills became fashionable. High heels cause overloading of the front feet parts. This leads to widening of the forefoot and falling of the transverse foot arch. Narrow shoe boxes additionally create intensified pressure on the big toe, which worsens the deformity, and, additionally, leads to a local inflammation.
  • Genetic disposition. According to estimates this concerns 58 to 88% of patients. Bunions are inherited mainly from the mother’s side.
  • Hypermobility of the first metatarsal. This issue concerns ca. 5% of cases.
  • Flat feet.
  • Contractures within the Achilles tendon.
  • Changes within the tibialis posterior.
  • Injury, limpness, excessive length of the big toe.
  • Rheumatism, psoriasis, systemic lupus, gout, the Down syndrome, the Marfan syndrome.
  • Amputation of the second toe or medial navicular bone removal.


Bunion treatment   

Bunions - surgical methods
Today’s modern surgical solutions applied in foot surgery allow avoiding plaster cast immobilization and, at the same time, give a possibility to quickly start walking after the procedure. That is why patients recover much more quickly and return to work and their daily routines.
Bunion treatment
Prior to commencing a surgical treatment, the patient is thoroughly examined and necessary diagnostic tests e.g. ultrasound examination, MRI or pedobarography are performed.

The latter modern study is performed at Halluxmed Klinika Jackowiak. Pedobarography enables precise planning of surgical and post-operating treatment. It is a comprehensive foot study, which allows evaluating pressure on every square centimetre of a foot while standing or walking. Next, we have a discussion with the patient with a view to explain the nature of the deformity and we discuss methods of proposed surgical treatment.

The surgical procedure is completely painless, patients quickly recover and they may move on their own already on the second day following the procedure. Bunion treatment may be performed in many ways – there is no one, universal method, which can be applied. It is due to different causes of the deformity.

Currently applied methods, such as chevron osteotomy, scarf osteotomy, Lapidus surgery, and their different modifications, ensure good and lasting treatment results. A prerequisite for a bunion surgical treatment to be effective it to select the right method and to correctly perform it. The abovementioned types of procedures have different indications. In case of a deformity of small and medium degree the best solution is to apply chevron and scarf surgical techniques. In case of large deformities, the scarf method or its modifications are chosen. If a deformity co-exists with the so called hypermobility of the first radius, or if previously applied surgical treatment did not bring expected result, the best solution is to perform a Lapidus surgery i.e. arthrodesis (surgical bracing) of the first metatarsal joint.
Do bunions “grow back”?
A correctly performed surgery, using implants, instead - as was the case with the old methods - wires, guarantees that bunions will not recur. The surgical procedure is completely painless, and the patient may walk on its own already on the second day in special post-operative shoes. The recovery time is shortened to minimum and already after 2-3 weeks work and daily routines may be recommenced.

A properly performed surgery with application of the right surgical method and implants, guarantees that bunions will not recur, and movement in the big toe joint will be correct. If you are suffering from bunions and they are causing more and more pain and problems with walking and choosing shoes, schedule an appointment with an orthopaedist now and take care of your feet and comfort of living.


Course of treatment   

Bunions surgery
Prior to commencing a surgical treatment the patient is thoroughly examined. Next we have a discussion with the patient aimed at explaining the character of deformity (e.g.: is it related to hypermobility) and we discuss the proposed bunion treatment method. Finally, we present risks connected with the procedure and possible complications.
Next, basic diagnostic tests should be performed, such as:
  • radiological evaluation it is extremely important that pictures be taken under full weight
  • pedobarographic evaluation (still rarely used in Poland), which not only allows evaluating the distribution of pressure on the plantar side of feet while standing and walking, but it also allows planning surgical treatment more precisely.
Additional diagnostic examinations:
  • ultrasound examination
  • MRI examination


The surgical procedure is completely painless.
We apply the following types of anaesthesia: subarachnoid anaesthesia and an ankle block. The patient, together with an anaesthesiologist, make a decision on selecting the anaesthesia. If the deformity concerns both feet, in our clinic we operate both feet at one time.
Currently applied surgical methods such as: chevron, scarf, lapidus, proximal osteotomies and their various modifications give good and lasting treatment results.
In our practice we are using the following implants:
  • bio-absorbable
  • titanium
  • nitinol (a combination of titanium with nickel)
Selection of the implant to be applied depends on the level deformity. In post-operative treatment we apply special post-operative shoes (foto). Walking in the shoes starts on the first day after the procedure.

Patients use these shoes for 4-5 weeks. In post-operative treatment also physiotherapy, exercises, centrifugal massages, energotone therapy and other solutions are applied.


A prerequisite for success is to select the right surgical method and perform it correctly.


Course of treatment   

Bunions surgery
  • blood cell count
  • serum glucose level
  • blood plasma electrolytes (sodium, potassium)
  • kaolin cephalin clotting time (KCCT)
  • ECG with a description
  • current vaccination against Hepatitis B
  • the level of anti-HCV and HBs antigen
  • patients with eventful medical history are requested to consult a specialist
  • please continue taking previously prescribed medications except aspirin (and its derivatives), the taking of which should be discontinued 10 days before the planned procedure
  • on the day preceding the procedure it is recommended to take 500 mg vitamin C 1x day.
  • please consume the last meal and drink 6 hours before the procedure (unless instructed otherwise)
  • please arrive to the clinic at the appointed time
Please make the above tests 2 weeks before the planned procedure.

Please remove nail polish from your finger and toe nails.
On the date of discharge please arrange an adult’s care for yourself. We wish to inform that check-up visits and tests after the surgical procedure are against charge.

Please bring your ID card and a current health insurance evidence (insurance card or the RMUA form)

Please make the basic radiological evaluations of feet in so called A-P and lateral projections, while standing with full weight. Additional radiological evaluations will be instructed during a consultation preceding the surgical procedure.


Price list   

Doctor’s appointment:
Przeźmierowo
150PLN
Warszawa
200PLN
Pedobarography (Przeźmierowo)
100PLN
Procedures:
Hallux valgus
5900 PLN to 8000 PLN
Stiff toe
5900 PLN to 8000 PLN
Deformed toe
5900 PLN to 8000 PLN
Arthrodesis MTP I
7900 PLN
Hammer toe
1500 PLN to 3000 PLN
Mallet toe
1500 PLN to 3000 PLN
Procedures within the scope of fallen transverse arch
2500 PLN to 9000 PLN
Morton’s neuroma
3500 PLN
Bunionette
5900 PLN
Endoprothesis MTP II – V
4900 PLN to 6000 PLN
Procedures in the area of hindfoot are priced individually
The cost of the procedure comprises the following:
consultations with an anaesthesiologist
providing anaesthesia
performing surgical procedure
all materials used to perform the procedure (including all types of implants)
doctors’ and nurses’ care throughout the stay at the ward
all medications and dressing materials applied during the stay at the ward
post-operative shoes
meals.
Consultations prior to the procedure are against charge. Procedures are not financed by NFZ.



Patients’ opinions   
I am still amazed with my feet, they are so beautiful, it is not just my ecstasy, but the effect of Mr. Jackowiak’s work. I can’t wait to buy “regular” boots, ones that do not leave space for bunions... Greetings to those who have had the surgery and who are about to have one. Keep your head up, do not be afraid, I would have taken the same decision one more time, it was so nice and pleasant, without pain!
Agata
I am delighted with the stay, the course of the surgery and its effects. A definite plus for treating a patient as "a thinking human being” – who deserves a thorough explanation and who needs a little time to discuss and clear doubts. The care provided by doctors and nurses was on top level.
Irena
I had a feet surgery one year ago. My feet look pretty, they feel great, and incision traces are practically invisible. For more than 12 months I have been free of the pain connected with bunions, which I only have in my memory. I have been wearing high heels for quite some time now without any discomfort! This is really a miracle, because, despite my young age, bunions had given me a hard time. I’m happy it is already the past and I believe it was the best decision I could take.
Ilona
The atmosphere at the clinic is very friendly, dr Zbigniew Jackowiak, dr. Blazej Rusin are very professional in their approach and they care about the patient... I must also mention the anaesthesiologist and the doctor on duty – they were all very kind, performing their job well – nurses and other staff working in the clinic are very nice, available, frequently check and ask if everything is all right ... The HALLUXMED clinic is worth recommending!
Wiola


Pictures before and after the surgery   
At the Klinika Jackowiak we treat the following conditions:
  • hallux valgus (bunions)
  • stiff toes
  • hammer toes
  • other feet disorders
You are invited to see the effects of the surgery – pictures taken before and after the procedure. Thanks to applying modern methods the risk of complications is limited to minimum, and patients walk on their own already on the next day following the surgery.


Other procedures performed at Halluxmed Klinka Jackowiak   
ClariVein® method is one of modern and very effective varicose vein treatment methods used by doctors from Angiodiabetica Clinic.

It is a new, minimally invasive method, which may be used to treat varicose veins. A “saving” method, i.e. not involving surgical interference in the form of pulling out or “burning“ with a catheter transmitting high frequency radio waves (RF method), with a laser, without damages they sometimes involve.
ClariVein® method!
A thin cannula is inserted under ultrasound guidance, through which a thin catheter ClariVein® will be placed in the treated vein.
How does ClairVein® work?
ClariVein® catheter was developed especially for minimally invasive vein treatment of the lower extremity – long and short saphenous veins, but also venous connections (perforators) and other diseased veins.

With a very quickly rotating conductor with a curved tip, which circulates around the inner vein wall, the vein is made narrower. At the same time a solution applied in sclerotherapy is injected. The very quickly rotating tip spurs the solution, and thus ensures the solution’s dispersed contact with all the inner vein wall and its sclerosis (closing off) throughout the entire length.
Other frequently applied varicose vein treatment procedures have many drawbacks, such as e.g. a need for extensive local anaesthesia, pain after the procedure, swelling, bruising, damaging nerves, subcutaneous tissue and skin.

The risk of damaging peripheral nerves, large arteries and veins, skin, subcutaneous tissue and pain resulting from the heat, as is the case of laser or catheter transmitting high frequency radio waves (RF method), is excluded. ClariVein® method is almost completely free of the abovementioned complications.
Benefits for the patient from applying the ClariVein procedure
  • the procedure may be performed on an outpatient basis, which means that immediately after it is performed the patient may return home
  • the procedure is not performed in full anaesthesia (narcosis)
  • in most patients local anaesthesia is not necessary
  • during the procedure the thermal process of “burning” is not used and thus related complications such as nerve or skin damage are avoided
  • there is none or only minimal pain during and following the procedure
  • immediate returning to daily routines (returning to work on the next day)
  • perfect cosmetic effect – no scars, swelling and bruising
  • a possibility to treat a broad spectrum of diseased veins
  • long-term effect (effective elimination of diseased veins in 90% – 98%)
The procedure takes ca. 20 minutes, you will not spend much more time at the Clinic.
Experienced vascular surgeons from Angiodiabetica Clinic – dr Michał Staniśić and dr Adam Węgrzynowski, following prior consultation, will perform a procedure of varicose veins removal with application of the Clarivein method in comfortable conditions offered by the Halluxmed Klinika Jackowiak.

Contact



Halluxmed Klinika Jackowiak
ul. Komornicka 57
62-052 Komorniki k/Poznania

T: 61 666 47 37
M: 509 064 748
M: 512 023 138
F: 61 666 29 65
Consultations in Warsaw: Klinika MEDIKAR
ul. Sielecka 22
00-738 Warszawa

T: 61 666 47 37
M: 509 064 748
M: 512 023 138
F: 61 666 29 65

Copyright 2014. Halluxmed Klinika Jackowiak.