Bunion Surgery: Before & After Pictures

In this video we discuss several types of bunion correction surgery available today..

The state-of-the-art bunion correction techniques our surgeons helped develop allow most patients to immediately place weight on their foot after surgery. Pain control is an essential component in our approach and most patients report little  or no need for pain medications.

 

Our patients experience excellent and consistent outcomes, minimal pain and outstanding service.

 

Our bunion specialists are trained in all 44 variations of bunion surgery and have the highest success rates in the nation.Their experience lets them pick the right surgery for each individual patient. Read more the different types of bunion surgeries here.

  • Lapidus Bunionectomy, Osteotomy Tailor’s Bunionectomy and Hammertoe Correction

    Lapidus bunionectomy and osteotomy tailor’s bunionectomy performed with hammertoe correction of the 2nd toe. After image taken approximately 3 months post surgery.

  • Hammertoe Correction with Bunion Correction Before Surgery Picture
    Hammertoe Correction with Bunion Correction After Surgery Picture

    Osteotomy Bunionectomy and Osteotomy Tailor’s Bunionectomy

    Osteotomy bunionectomy performed with an osteotomy tailor’s bunionectomy. After image taken approximately 3 weeks post surgery. Note that there is very minor bruising at this point and swelling is minimal.

Is Bunion Surgery Is Right For You?

 

Many people want to avoid bunion surgery as much as they can because they dread a long and painful recovery. Avoiding surgery is always a good idea and it is our goal with our patients.

Now some reading this may find that contradictory and might be wondering "why would a surgeon want to avoid performing surgery?" The answer is simple, because we personally want to avoid surgery for ourselves, whenever possible. So why wouldn't we try our best to give the same care to our patients?

  • Bunion Before Surgery - University Foot and Ankle Institute
    Bunion After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy and Osteotomy Tailors Bunionectomy

    "After" picture taken immediately following surgery. Note the bunion and bunionette (Tailor’s bunion) in the before picture. 

  • Bunion with Crossover Before Surgery - University Foot and Ankle Institute
    Bunion with Crossover After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy, Hammertoe Correction and Plantar Plate Repair

    Bunion and hammertoe deformity correction, with drifting of the 1st and 2nd toes towards each other.  "After picture" taken six weeks after surgery.

Bunion Surgery and Recovery Should Be a Pleasant and Comfortable Experience

 

Many patients who are faced with surgery, either when conservative treatments have no worked or their condition is so serious there are no other options, have concerns about how long it will take to get back on their feet or that it will hurt like crazy.  These fears are certainly often well-founded, especially if they have done their homework reading about the surgical procedures online. 

 

But Bunion correction technology and pain management have become much more advanced over the years, partially due to technologies, techniques and protocols we helped develop. We now teach these techniques to other doctors nationally and we are trying to improve care to as many people as we can since we know that most people who are not near us cannot travel to see us.

 

Bunionectomy Yelp Patient Review

The following five star Yelp review was posted by University Foot and Ankle bunion patient, Shabnam.

5 Star Yelp review, University Foot and Ankle Institute

...From start to finish, before and after my bunion surgery, [my Dr.] and his staff took great care of me.  

 

The surgery was fast and precise, with clean incisions and nearly painless recovery. I did not need to take any of my pain medication.

 

Everyone in his office is warm, friendly and knowledgeable, which makes the entire experience very smooth and pleasant.

 

Click here to see Shabnam's full review on Yelp.com.

  • Lapidus Bunionectomy Surgery Before Picture, Univeristy Foot and Ankle Institute
    Lapidus Bunionectomy Surgery After Picture, Univeristy Foot and Ankle Institute

    Lapidus Bunionectomy Surgery

    "After picture" taken at first post-op visit five days post-surgery.

  • Osteotomy Bunion Surgery Before Picture
    Osteotomy Bunion Surgery After Picture

    Osteotomy Bunionectomy Surgery

    "After picture" taken six weeks post-surgery.

Essentially Pain-Free Bunion Surgery

 

Despite pre-surgical fear of pain and recovery, virtually all our patients report they wish that had surgical correction sooner and hadn’t put it off as long as they did. This is remarkably rewarding for us.

Through our advances in surgical techniques such as our Forever Bunionectomy and Minvasive procedures, recovery time is drastically reduced, often allowing you to bear weight immediately.

 

Our Bunion Surgeons Control Pain By:

  • Taking great care of the tissue with surgical precision. Never “hacking away” at the tissue. This takes years of training and effort to perform good dissection.
  • A stable fixation to immobilize the bones. Hypermobility in the bones is one of the main causes of swelling and pain after surgery. Through the use of screw(s) and/or staple or plates, the bone is held properly in the area of correction resulting in less movement, less swelling and ultimately less painkiller use.
  • A proprietary long-acting local anesthesia cocktail. The longer a person is numb, the better the chance for them to get in bed, relax and heal.
  • Post-surgical anti-inflammation protocols and no major narcotics. In our hands, patients will rarely take more than one or two pain pills after surgery.
  • Fitting the patient with a stability boot to immobilize the foot. By holding the foot stable, there is less movement, resulting in less swelling and less pain.

 

We Rely on Advanced Surgical Technique to Control Pain, Not Just Drugs

We don’t rely on painkillers to keep our patients comfortable. Narcotics cause constipation and can be addictive. Unless the surgery is extensive, our patients rarely take over two pain pills after surgery, and then need nothing more than Tylenol and an anti-inflammatory in recovery.

 

Post-surgical pain results from movement and swelling. If you can control these factors, you can control the pain.

  • Bunion Osteotomy Before Surgery - University Foot and Ankle Institute
    Bunion Osteotomy After Surgery - University Foot and Ankle Institute

    Osteotomy Bunion Surgery

    Note that the great toe in the before picture is elevated and contracted with a malaligned joint. "After" picture taken six weeks after surgery.

  • Osteotomy and hammertoe correction before picture, University Foot and Ankle Institute
    Osteotomy and hammertoe correction after picture, University Foot and Ankle Institute

    Osteotomy and Hammertoe Correction

    After image taken 3 months post surgery.

Can a Bunion Come Back After Surgery?

 

For the right patient and with the right surgeon, the Forever Bunionectomy is the only procedures that offers a near zero percent of bunion recurrence.

 

The Lapidus procedure, has been the “gold standard” of bunion surgery for the past five years. It is the most advanced and permanent option ever available for bunion correction. Our surgeons have further perfected a version of this surgery trademarking it as the “Forever Bunionectomy”.

 

By infusing the patient's own stem cells and amniotic cells from the bone marrow during surgery, performing very stable fixation and correcting the deformity at the source, the patient often has speedy recovery, less down time, early weight bearing and reduced scarring.

  • Bunion Before Surgery ,  Lapidus Bunionectomy - University Foot and Ankle Institute
    Bunion After Surgery, Lapidus Bunionectomy - University Foot and Ankle Institute

    Lapidus Bunion Surgery

    Through bunion surgery, the prominence of the joint has been removed and great toe joint is now realigned. "After picture" taken eight weeks after surgery.

  • Bunion and Tailors Bunion Surgery Before Picture, University Foot and Ankle Institute
    Bunion and Tailors Bunion Surgery After  Picture, University Foot and Ankle Institute

    Osteotomy Bunionectomy and Osteotomy Tailors Bunionectomy

    Note in the after picture taken immediately after surgery, the great toe joint and 5th metatarsal toe joint are now aligned.

Are You Considering Bunion Revision Surgery?


For anyone who has gone through bunion surgery once, and are a facing the same surgery again, it must be tremendously unsettling. We get it. About 40% of all our bunion surgeries are revision surgeries.

 

But you can rest assure. We have the highest success rates in the nation and are internationally known for our surgeons and their techniques. If you are thinking about a revision surgery, the first step to possibly ease your apprehension, is to meet with one of our doctors, talk with them, looks them in the eye, and go with your gut.

  • Severe bunion and hammertoe and tailors bunion before image, university foot and ankle institute
    Severe bunion and hammertoe and tailors bunion after image, university foot and ankle institute

    Severe Bunion and Hammertoe Correction with Tailor's Bunionectomy

  • Osteotomy Bunionectomy, Hammertoe Correction and Plantar Plate Repair Before Picture
    Osteotomy Bunionectomy, Hammertoe Correction and Plantar Plate Repair After Picture

    Osteotomy Bunionectomy, Hammertoe Correction and Plantar Plate Repair

    "After picture" taken immediately following surgery.

  • Failed bunion revision surgery before picture, University Foot and Ankle Institute
    Failed bunion revision surgery AFTTER picture, University Foot and Ankle Institute

    Failed Bunion Revision Surgery

    Revision surgery of a failed bunionectomy and hammertoe correction.

  • Lapidus Bunionectomy Surgery Before Picture, UFAI
    Lapidus Bunionectomy Immediately After Surgery Picture, UFAI

    Lapidus Bunionectomy

    "After picture" taken immediately following surgery.

  • Bunion and Tailors Bunion, Before Image, University Foot and Ankle Institute
    Bunion and Tailors Bunion, After mage, University Foot and Ankle Institute

    Bunionectomy and Tailor's Bunion Correction

    After picture taken four weeks post surgery.

  • Osteotomy Bunionectomy and Plantar Plate Repair Before Surgery Picture
    Osteotomy Bunionectomy and Plantar Plate Repair After Surgery Picture

    Osteotomy Bunionectomy and Plantar Plate Repair

    "After picture" taken immediately after surgery.

  • Lapidus Forever Bunionectomy, Before and After pictures
    Lapidus Bunion Surgery, Hammertoe Surgery, Tailors Bunionectomy after image

    Lapidus Bunionectomy, Hammertoe Correction, Tailor's Bunionectomy

    Lapidus "Forever Bunionectomy", Hammertoe Correction and Tailor's Bunionectomy. the after image was taken two months post surgery.

  • Lapidus Forever Bunionectomy, UFAI, Before and after Bunion Surgery Pictures
    Lapidus Forever Bunionectomy, UFAI, Before and after Bunion Surgery Pictures, Dr. Baravarian

    Lapidus Bunionectomy

    Lapidus "Forever" Bunionectomy. After picture take two months post surgery.

  • Lapidus Forever Bunionectomy, Taliors Bunionectomy, Before Pictures
    Lapidus Forever Bunionectomy, Taliors Bunionectomy, After Pictures

    Lapidus Bunionectomy, Tailor's Bunionectomy

    Lapidus Forever Bunionectomy and Tailor's Bunionectomy. After picture taken six weeks post surgery. 

  • Osteotomy Bunion Surgery

    Osteotomy bunionectomy, after picture taken six weeks post surgery

  • Osteotomy Bunionectomy and Osteotomy Tailors Bunionectomy Before Picture
    Osteotomy Bunionectomy and Osteotomy Tailors Bunionectomy After Surgery Picture

    Osteotomy Bunionectomy and Osteotomy Tailors Bunionectomy

    "After picture" taken immediately after surgery. Note the prominence of the big toe joint and 5th metatarsal joint in the before picture. Through surgery, both joints have been aligned.

  • Lapidus, hammertoe and planter plate repair before image
    Lapidus, hammertoe and planter plate repair after image

    Lapidus Bunionectomy with Hammertoe Correction and Planter Plate Repair

  • Minvasive Bunionectomy and hammertoe correction, University Foot and Ankle Institute

    Minvasive Bunionectomy with Hammertoe Correction

  • Osteotomy Bunionectomy, Hammertoe and Plantar Plate Repair, before and after images
    Osteotomy Bunionectomy, Hammertoe and Plantar Plate Repair,  after images

    Osteotomy Bunionectomy with Hammertoe Correction and Plantar Plate Repair

    After picture taken 12 weeks post surgery.

  • Osteotomy Bunion Surgery, University Foot and Ankle Institute, Before Picture
    Osteotomy Bunion Surgery, University Foot and Ankle Institute, After Picture

    Osteotomy Bunionectomy

    After image taken 2 months post surgery.

  • Lapidus Bunion Surgery Before Image
    Lapidus Bunion Surgery after Image

    Lapidus Bunionectomy

    After picture taken two months post surgery.

  • Lapidus Bunion Pciture Before Surgery, UFAI
    Lapidus Bunion Pciture Six Weeks After  Surgery, UFAI

    Lapidus Bunion Surgery

    "After picture" taken six weeks following surgery.

  • Lapidus Bunionectomy Hammertoe Correction After Image University Foot and Ankle Institute
    Lapidus Bunionectomy Hammertoe Correction Before Image University Foot and Ankle Institute

    Lapidus Bunionectomy and Hammertoe Correction

    Lapidus "Forever Bunionectomy" and hammertoe correction of the second metatarsal, after image take 3 months post surgery.

  • Lapidus Bunionectomy, Tailor's Bunion, Neuroma, Before Picture, University Foot and Ankle Institute
    Lapidus Bunionectomy, Tailor's Bunion, Neuroma, After Picture, University Foot and Ankle Institute

    Lapidus Bunionectomy, Tailor's Bunionectomy, Neuroma Excision

    Lapidus "Forever Bunionectomy", Tailor's bunion correction and excision of a second interspace neuroma. After Image taken five weeks post surgery.

  • Osteotomy Bunionectomy Before Picture, University Foot and Ankle Institute Los Angeles
    Osteotomy Bunionectomy After Picture, University Foot and Ankle Institute Los Angeles

    Osteotomy Bunionectomy

    After images taken six weeks post surgery.

  • Bunionectomy and Plantar Plate Tear Before Image, UFAI
    Bunionectomy and Plantar Plate Tear After Image, UFAI

    Bunionectomy and Plantar Plate Repair

    "After" picture taken six weeks post surgery.

  • Bunion Correction with Lapidus Procedure Before Picture, University Foot and Ankle Institue
    Bunion Correction with Lapidus Procedure After Picture, University Foot and Ankle Institue

    Bunion Correction with Lapidus Procedure

    "After" picture taken 6 weeks following surgery.

  • Bunionectomy Before Picture, UFAU
    Bunionectomy Six Months After Picture, UFAU

    Bunionectomy

    "After" picture taken six weeks post surgery.

  • Lapidus Bunionectomy and Neuroma Removal Before and After Picture, UFAI
    Lapidus Bunionectomy and Neuroma Removal 12 weeks after surgery, UFAI

    Lapidus Bunionectomy and Neuroma Removal

    "After" picture taken 12 weeks post surgery.

  • Bunion Before Surgery - University Foot and Ankle Institute
    Bunion After Surgery - University Foot and Ankle Institute

    Lapidus Bunionectomy

    The malalignment of the great toe joint has been realigned and prominence has been removed. "After picture" taken six weeks after surgery.

  • Bunion Osteotomy Surgery Before Picture - University Foot and Ankle Institute
    Bunion Osteotomy Surgery After Picture  - University Foot and Ankle Institute

    Bunion Surgery (Osteotomy Bunionectomy)

    The prominence of the great toe joint has been removed realigning it back to a normal position "After" picture taken six weeks after surgery.

  • Bunion, Lapidus Bunionectomy Before Surgery - University Foot and Ankle Institute
    Bunion, Lapidus Bunionectomy After Surgery - University Foot and Ankle Institute

    Bunion Surgery (Lapidus Bunionectomy)

    The first metatarsal is realigned into its natural position, removing the prominence of the joint. "After picture" taken six weeks after surgery.

  • Osteotomy Bunion Before Surgery - University Foot and Ankle Institute
    Osteotomy Bunion After Surgery - University Foot and Ankle Institute

    Osteotomy Bunion Surgery

    The great toe joint is now realigned, removing  the enlargement at the base of the big toe. "After picture" taken six weeks after surgery.

  • Lapidus Forever Bunionectomy, University Foot and Ankle Institute, Before Bunion Surgery Pictures
    Lapidus Forever Bunionectomy, University Foot and Ankle Institute, After Bunion Surgery Pictures

    Lapidus Bunionectomy with Hammertoe Correction

  • Lapidus Bunionectomy, Hammertoe Correction, Osteotomy Tailors Bunion Surgery Before Picture
    Lapidus Bunionectomy, Hammertoe Correction, Osteotomy Tailors Bunion Surgery After Picture

    Lapidus Bunionectomy, Hammertoe Correction, Osteotomy Tailors Bunion Surgery

    Note prominence of the joint has been removed and great toe joint is now realigned. "After picture" taken eight weeks after surgery.

  • Bunion Surgery Before Picture, UFAI, Lapidus Bunionectomy
    Bunion Surgery After Picture, UFAI, Lapidus Bunionectomy

    Lapidus Bunionectomy

    The great toe in the before picture is elevated and contracted with amalaligned joint. Through bunion surgery, the joint has been corrected and realignment. "After picture" taken ten weeks after surgery.

  • Bunion Surgery Before Picture, University Foot and Ankle Insitute, Lapidus Bunionecotmy Procedure
    Bunion Surgery After Picture, University Foot and Ankle Insitute, Lapidus Bunionecotmy Procedure

    Lapidus Bunion Surgery

    The prominence of the joint has been removed and the great toe joint is now realigned. "After picture" taken two months after surgery.

  • Bunion Revision Surgery Before Picture, University Foot and Ankle Institute
    Bunion Revision Surgery After Picture, University Foot and Ankle Institute

    Revision of Failed Previous Bunion Surgery

    This revision surgery included bunion revision, hammertoe correction and 2nd metatarsal osteotomy.  "After" picture was taken immediately following surgery.

  • Osteotomy Bunion Surgery Before
    Osteotomy Bunion Surgery Six Weeks After

    Osteotomy Bunion Surgery

    "After picture" taken six weeks post surgery.

  • Revision hallux Varus Before Picture, University Foot and Ankle Institute
    Revision Hallux Varus After Picture, University Foot and Ankle Institute

    Revision Hallux Varus Correction

    Through hallux varus revision surgery, the great toe joint has been been realigned "After picture" taken six weeks following surgery.

  • Lapidus Bunionectomy, Hammertoe 5th Intermediate Before Surgery, Univeristy Foot and Ankle Institute
    Lapidus Bunionectomy, Hammertoe 5th Intermediate After Surgery, Univeristy Foot and Ankle Institute

    Lapidus Bunionectomy, Hammertoe Correction 5th Intermediate

    "After" picture taken 4 weeks following the procedures.

  • Lapidus Bunionectomy Surgery Before Picture
    Lapidus Bunionectomy Surgery After Picture

    Lapidus Bunionectomy Surgery

    Lapidus Bunionectomy with play fixation allows for immediate weight bearing following surgery.

  • Bunion Before Surgery - University Foot and Ankle Institute, Osteotomy Bunionectomy
    Bunion After Surgery - University Foot and Ankle Institute, Osteotomy Bunionectomy

    Osteotomy Bunionectomy

    Note prominence of the joint has been removed and great toe joint is now realigned. The 2nd, 3rd, and 4th toes have all been straightened and realigned as well. "After picture" taken two months after surgery.

  • Lapidus Bunionectomy, Hammertoe Correction, Tailors Bunion Surgery Before Picture
    Lapidus Bunionectomy, Hammertoe Correction, Tailors Bunion Surgery After Picture

    Lapidus Bunionectomy, Hammertoe Correction, Osteotomy Tailors Bunion Surgery

    The lapidus procedure has eliminated the looseness in the toe joint and realigned the great toe.

  • Medium Bunion Before Surgery - University Foot and Ankle Institute
    Osteotomy Bunion After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this procedure (also known as an "Austin Bunionectomy), a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

  • Austin Bunionectomy with Akin Procedure Before Surgery - University Foot and Ankle Institute
    Austin Bunionectomy with Akin Procedure After Surgery - University Foot and Ankle Institute

    Austin Bunionectomy with Akin Procedure

    In the Austin procedure, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint. The Akin procedure involves making a bone cut in the toe bone and is used if there is a drift of the great toe towards the 2nd toe.

  • Head Osteotomy Before Surgery - University Foot and Ankle Institute
    Head Osteotomy After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this Austin bunionectomy procedure, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

  • Lapidus Before Surgery - University Foot and Ankle Institute
    Lapidus After Surgery - University Foot and Ankle Institute

    Lapidus Bunionectomy

    In this Lapidus procedure, the joint behind the great toe joint, the 1st metatarsophalangeal joint, is fused together with the bunion in a more corrected position. Notice the improved alignment of the great toe joint. 2 screws were used to fixate the bones together and facilitate it towards fusion.

  • Lapidus Bunionectomy with Weil Procedure Before Surgery - Univeristy Foot and Ankle Institute
    Lapidus Bunionectomy with Weil Procedure After Surgery - University Foot and Ankle Institute

    Lapidus Bunionectomy with Weil Procedure

    In this combined procedure, the joint behind the great toe joint, the 1st metatarsophalangeal joint, is fused together with the bunion in a more corrected position. Notice the improved alignment of the great toe joint. 2 screws were used to fixate the bones together and facilitate it towards fusion. In the Weil procedure, the 2nd metatarsal is shortened using a bone cut and fixed with a screw. Often, patients with a long 2nd metatarsal and a bunion will have pain underneath the ball of the foot. This procedure, in conjunction of correcting the bunion, helps to alleviate this pain.

  • Lapidus Before Surgery - University Foot and Ankle Institute
    Lapidus After Surgery - University Foot and Ankle Institute

    Lapidus Bunionectomy

    In this Lapidus procedure, the joint behind the great toe joint, the 1st metatarsophalangeal joint, is fused together with the bunion in a more corrected position. Notice the improved alignment of the great toe joint. 2 screws were used to fixate the bones together and facilitate it towards fusion.

  • Small Bunion Before Surgery - University Foot and Ankle Institute
    Small Bunion After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this Austin bunionectomy procedure, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint

  • Tightrope Procedure and Osteotomy Tailors Bunion Before Surgery - University Foot and Ankle Institut
    Tightrope Procedure and Osteotomy Tailors Bunion Surgery After Surgery - University Foot and Ankle I

    Tightrope Procedure and Osteotomy Tailors Bunion Surgery

    In this procedure, the 1st and 2nd metatarsal bones are brought together with strong suture material that is attached to a button. Notice the improvement in the alignment of the great toe joint. A tailor’s bunion correction was also performed on this patient.

  • Austin Bunionectomy Before Surgery - University Foot and Ankle Institute
    Austin Bunionectomy After Surgery - University Foot and Ankle Institute

    Austin Bunionectomy

    In this procedure, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

  • Bunion Before Surgery, Lapidus Bunionectomy - University Foot and Ankle Institute
    Bunion After Surgery, Lapidus Bunionectomy  - University Foot and Ankle Institute

    Lapidus Bunionectomy

    In this procedure, the joint behind the great toe joint, the 1st metatarsophalangeal joint, is fused together with the bunion in a more corrected position. Notice the improved alignment of the great toe joint. 2 screws were used to fixate the bones together and facilitate it towards fusion.

  • Bunion Before Surgery - Osteotomy Bunionectomy - University Foot and Ankle Institute
    Bunion After Surgery - Osteotomy Bunionectomy - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this Austin Bunionectomy, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

  • Bunion Before Surgery - University Foot and Ankle Institute
    Bunion After Surgery - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this Osteotomy Bunionectomy, a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

  • Bunion Before Surgery Picture - University Foot and Ankle Institute
    Bunion After Surgery Picture - University Foot and Ankle Institute

    Osteotomy Bunionectomy

    In this Osteotomy Bunionectomy (also called an "Austin Bunionectomy), a cut in the bone was made, and the bone was shifted to realign the joint. A screw was placed to hold this new alignment in place. Notice the improved alignment of the great toe joint.

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