Hallux valgus OP
- When does it make sense?
HALLUX VALGUS SURGERY POSSIBILITIES
advantages and disadvantages of hallux surgery
28 September 2018, 11:38 a.m.
The good thing first of all: Hallux valgus surgery is only necessary if other treatment methods are no longer helpful at all! So first try out shoes with a feel-good factor, test Hallux valgus insoles, bandages and other orthopaedic aids. Or walk a lot without shoes, roll the fasciae smoothly and perform Hallux valgus gymnastics.
If you have tried all this – ointments, compresses, toe exercises, barefoot walking, hallux valgus insoles and comfortable shoes – and nothing has helped, then a non-binding consultation with a foot specialist can be sought.
Because the foot pain becomes a very great strain – because constant pain becomes a companion, the toes lose mobility and you can no longer walk properly – a hallux valgus surgery may be the right solution.
You do not need Hallux valgus surgery if:
- no constant pain is present
- You in Hallux valgus shoes master the everyday life well
- Hallux valgus inserts, bandages, toe spreaders and splints reduce pain
- no movement restrictions exist
If this is not the case, surgery can be considered. The orthopaedist will first examine and palpate your foot. The subsequent X-ray image will provide information about the degree of severity and thus about possible surgical methods.
When do you need a Hallux valgus surgery?
When does the physician advise Hallux valgus surgery?
When no surgery may be performed?
Contraindications for hallux valgus surgery are arterial occlusive diseases and, depending on their severity, a diabetic foot, since the foot is furthest away from the heart and therefore has less blood circulation than other limbs or organs. During surgery, the foot affected by an arterial occlusive disease is then even less supplied with blood and nutrients. This can lead to a worsening of the clinical picture. Previous Hallux valgus operations may also be a contraindication for further operations.
Common surgery methods
The aim of hallux valgus surgery is to bring the toes back into a “normal“ position and, if still possible, to preserve involved joints. Depending on the degree of severity and deformation, different methods can be used to do this.
- CHEVRON osteotomy
- AKTIN osteotomy
- SCARF osteotomy
- Resection arthroplasty
- MANN, soft tissue intervention
The hallux valgus surgery is usually performed in combination with soft tissue correction. Duration of surgery: An experienced surgeon usually needs 30-45 minutes.
In the case of hallux valgus on both sides, the operations usually do not take place simultaneously so that the freshly operated foot can be spared a little and the healthy foot has a good influence on healing. It is recommended to wait at least 3, more likely 6 months until the second Hallux valgus operation.
The Hallux valgus surgical methods
Has been performed since 1962, also known as Austin-Osteomy.
Application: mild deformities
Procedure: The metatarsal 1 head is severed with v-förmigem bone incision and shifted laterally to correct the intermetatarsal angle. Knöcherne Ausl;chse can be removed and the capsule gathered so that it encloses the joint tightly again. This position is then fixed with small implants. After Hallux valgus surgery it is very important to stabilize the axial position with a bandage.
This procedure first appeared in the literature in 1925 and is now mostly used in combination with other surgical methods such as chevron osteotomy.
Application: Defective position in front of the metatarsophalangeal joint of the big toe.
Drain: The bone on the metatarsophalangeal joint of the big toe is notched, i.e. a small wedge is removed. The big toe can then be placed in the desired position. Fixation is usually performed with a titanium screw or a bioresorbable screw. Field of application: malposition in front of the metatarsophalangeal joint of the big toe.
Hallux valgus surgery can be a solution if you suffer from permanent pain and movement restrictions. In consultation with the treating physician, the appropriate surgical method can be discussed depending on the diagnosis. As with any surgical procedure, hallux valgus surgery is also associated with risks. What are your experiences with Hallux valgus surgery? We are looking forward to your experiences!
This article contains only general information and must not be used for self-diagnosis or self-treatment. It cannot replace a visit to the doctor. In case of foot pain caused by Hallux valgus, make an appointment with an orthopaedist, preferably a foot specialist.