Hallux valgus
Definition
The great toe deviates towards the second toe. The head of the first metatarsal becomes prominent on the inside of the foot (bunion).
Cause
An important factor for the development of this deformity is weakness of the joint capsules and ligaments. Shoes with high heels and narrow toe box which lead to inreased weight bearing of the forefoot and shortening of muscles of the calf further deteriorate the situation. The foot becomes broader and the longitudinal arch flattens.
Prevention
Avoid pressure to bony prominence. Orthotic devices to support the longitudinal arch.
When is need for surgery?
- Continuous pain
- Rapidly increasing deformity
- Skin ulceration
- Difficulties in finding suitable footwear
- Disturbing of the lesser toes with development of secondary deformities
Hospital stay
2-3 days
Anesthesia
Spinal anesthesia, general anesthesia, peripheral nerve blocks
Surgical procedures
Scarf osteotomy
Lapidus procedure
Postoperative care
Ambulation starting on day one after surgery with a special shoe or boot (Western-Walker). X-ray after 6 weeks and return to normal footwear.
|
