I had bunion surgery on November 6 2003. I also had a taylors bunion that was "fixed". My doctor said I should have my little toe straightened so we decided to go ahead and fix it at the same time. The doctor put a pin in both toes. The pins were removed at 12 days post-op. I had follow-up visits with my doc every two weeks with numerous x-rays taken. I noticed the fifth toe bones were never touching. I asked many times why and was told he really didn't know but maybe I should wear the surgical shoe for another couple weeks. Finally after being put back in the shoe for the third time I got a second opinion. On April 9, 2004 I had surgery for a nonunion of the fifth metatarsal which turned out to be a resection of the fifth metatarsal head due to avascular metatarsal necrosis. What causes this? Is it possible that if I had gotten it corrected sooner, this condition could have been avoided?