Osteotomy for Hallux Valgus

Understanding Hallux Valgus

Hallux valgus is a foot deformity characterized by the misalignment of the big toe, which deviates away from the midline of the body, causing the first metatarsal bone to protrude. This condition can lead to pain, inflammation, and the development of bunions.

When Surgery Becomes Necessary

Surgery is recommended when conservative treatments, such as orthotics, padding, and anti-inflammatory medications, fail to alleviate pain and discomfort. Additionally, surgery may be necessary if the deformity progresses, causing difficulty in walking or wearing shoes.

Overview of the Surgical Procedure

Osteotomy for hallux valgus involves cutting and realigning the first metatarsal bone to correct the deformity. The procedure aims to restore the normal alignment of the big toe and alleviate pain.

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Related Concerns

Hallux valgus can lead to complications such as bursitis, hammertoe, and metatarsalgia. These issues can cause pain, inflammation, and difficulty walking.

Causes of the Issues

The exact cause of hallux valgus is unknown, but factors such as genetics, footwear, and foot structure may contribute to its development.

Treatment Approaches

Treatment options for hallux valgus include conservative measures, such as orthotics and padding, and surgical interventions, such as osteotomy, arthrodesis, and joint replacement.

Service Overview

Osteotomy for hallux valgus is a surgical procedure that corrects the deformity by cutting and realigning the first metatarsal bone. This surgery can alleviate pain, improve foot function, and prevent further complications.

Step-by-Step Guide to Osteotomy for Hallux Valgus

1. The patient is placed under anesthesia.
2. A surgical incision is made over the first metatarsal bone.
3. The bone is cut and realigned to correct the deformity.
4. The bone is stabilized with screws, pins, or plates.
5. The incision is closed, and a dressing is applied.
6. The patient is placed in a postoperative shoe or cast to protect the foot during healing. ### Conditions Warranting Osteotomy for Hallux Valgus Osteotomy for hallux valgus is recommended for patients experiencing persistent pain, inflammation, and difficulty walking despite conservative treatments. It may also be considered for those with severe deformity or those whose lifestyle is significantly affected by the condition, such as athletes or individuals who need to be on their feet for extended periods. ### Benefits of Osteotomy for Hallux Valgus The surgery can alleviate pain, correct the deformity, improve foot function, and prevent further complications. It can also enhance the patient's quality of life by making walking and wearing shoes more comfortable. ### Risks of Osteotomy for Hallux Valgus Potential risks include infection, nerve damage, blood clots, and recurrence of the deformity. There's also a chance that the surgery may not fully correct the deformity or alleviate pain. ### Preparation for Surgery Patients may be advised to stop certain medications and smoking before the surgery. They may also need to arrange for help at home during the recovery period. ### Pre-surgery Procedures and Checks At the hospital, patients will undergo a physical examination, blood tests, and possibly imaging studies. The surgical team will review the procedure and answer any questions the patient may have. ### Postoperative Care After the surgery, patients will receive pain medication and instructions on caring for the surgical site. They will also be scheduled for follow-up appointments to monitor their recovery. ### Recovery and Rehabilitation Recovery time varies but generally takes several weeks. Physical therapy and exercises may be recommended to restore strength and mobility to the foot. ### Alternatives to Surgery Non-surgical treatment options include orthotics, padding, anti-inflammatory medications, and lifestyle modifications such as wearing comfortable shoes and maintaining a healthy weight. ## References
7. American Academy of Orthopaedic Surgeons. (2019). Bunions.
8. NHS. (2018). Bunions.
9. American College of Foot and Ankle Surgeons. (n.d.). Hallux Valgus (Bunions).
10. Private Healthcare UK. (n.d.). Bunion Surgery Cost.
11. American Academy of Orthopaedic Surgeons. (2019). Bunions.
12. American College of Foot and Ankle Surgeons. (n.d.). Hallux Valgus (Bunions).
13. NHS. (2018). Bunions.

• American Academy of Orthopaedic Surgeons. (2019). Bunions.
• NHS. (2018). Bunions.
• American College of Foot and Ankle Surgeons. (n.d.). Hallux Valgus (Bunions).
• Private Healthcare UK. (n.d.). Bunion Surgery Cost.