Supporting our weight, the feet are a very important part of the body, and they must be afforded the attention they deserve, as they bear the brunt of walking, tight-fitting shoes, walking barefoot, and exercise, etc.

Deformities of the foot are painful, not to mention the root of aesthetic issues that can affect our daily lives.

The bunion, or “hallux valgus”, is an axial deviation of the metatarsal and phalanx in the big toe. It is a result of various factors, the primary being the shape of the foot itself -- people with a big toe longer than the rest of their toes tend to develop the condition. Tight-fitting shoes and heels magnify the problem.

Every year, over 6,000 Spaniards are operated on due to bunions.

Surgery duration

40 minutes


2 hours










Clínica Planas offers the most innovative and least invasive bunion correction procedure available. In contrast to other techniques that cut the bone, we gently shift it back into the correct position. There are no traces of scarring, as no incisions are made into the skin. Stitches are not required. Patients leave the clinic on foot, in comfortable footwear, and, seven days after the surgery, can return to their usual footwear.

Performed under local anaesthetic, the procedure involves a percutaneous surgical technique (with small perforations) that enables the bunion to be treated by lightly shifting it into the correct position. In doing so, the foot can return to its original shape and functionality, without any scarring, osteotomies, or stitches, and achieving the best possible end result and patient satisfaction.

The technique utilises a special corrective system (Mini TightRope by Arthrex) that forms an artificial bridge between the first and second metatarsals, internally shifting the bone into the correct position without the need to cut it. The Mini TightRope system reconstructs the intermetatarsal ligament and enables an anatomical correction. In other words, it moves the bone into the correct position without the need to cut or displace it, as so often occurs in other bunion correction procedures. Clínica Planas is the only service offering the procedure.


Our innovative technique:

  • Outpatient surgery 
  • No scarring 
  • Painless 
  • Use of personal footwear following surgery 
  • Simpler operation 
  • Outpatient procedure 
  • Shorter operation duration (30 min) 
  • Local anaesthetic 
  • Less invasive, no scarring 
  • Lower risk of infection 
  • Lower risk of pseudoarthrosis 
  • Less pain -- the bone is shifted, not cut 



In an initial assessment visit and after careful gathering of clinical data, a thorough examination of the foot, as well as diagnostic testing, we will reach a definitive diagnosis making it possible to address each pathology with the utmost assurance.


The operation requires a small amount of care in the following days. Upon discharge, the patient will be informed of the care that must be taken following the operation.

In order to achieve a quicker recovery, we use platelet-rich plasma (PRP), or “growth factors”, to stimulate a level of cellular regeneration that gives rise to an improved, faster functional recovery following the operation.

The speedy rehabilitation allows the patient to walk in open-toe shoes immediately after the operation, with no need for orthopaedic shoes or crutches.


No. The Secret Bridge technique carries out an anatomical correction on the bunion, eliminating the possibility of recurrence.

Secret Bridge is a percutaneous technique wherein the bunion is corrected without cutting the bone, through the use of an artificial ligament, and therefore avoiding the risks connected to an osteotomy. 

Additionally, patients are able to wear their normal footwear afterwards, removing the need to wear orthopaedic shoes for six weeks.  

Expert opinion

Dr. Fabio D'Angelo

Dr. Fabio D'Angelo

The operation involves shifting the bone that caused the bunion back into its anatomical and functional position, without the need to carry out an osteotomy in order to do so. The bone is fixed into position using an artificial bridge that reconstructs the intermetatarsal ligament, thus achieving improved results and reducing post-operative pain.


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