The technique involves inserting a titanium surgical implant and six screws into the foot to hold the bone into proper position.

WSJ: Young People Also Weigh Surgery to Relieve Ugly, Painful Bunions

The bones were put in place to fuse the joint by inserting a plate and 23 screws to repair damage so severe that most horses would not be able to survive it.

NPR: Barbaro Makes Progress After Leg Surgery