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My concern with any operation if the infection is in a joint is just that- digging around in a joint. Once you start dealing with bone, tendons, etc things get more delicate. Last thing you want is an infection in the bone- those are a major PITA. Before you start creating surgical wounds, try to deal with it in another way- in fact I tried the cutting once and will not do it again. It made it worse and I ended up having to use a hard hitting antibiotic anyhow.
Most bumblefoot I don't treat. If it is asymptomatic and is not causing a limp or sperading, it's fine. I have those heavy dewlap toulouse, and I think their weight makes them pretty prone to it. So far no limping, so I haven't treated, and they don't get docked at shows. That said, it's not in a joint nor is it a gigantic swelling that disfigures the foot.