Hallux Valgus

Hallux Valgus is an orthopedic condition characterized by a lateral displacement of the big toe, causing it to tilt away from the foot and often press against the adjacent toes. This leads to a deformity of the foot known as a bunion. Hallux Valgus can cause pain, inflammation, swelling and problems walking. Wearing tight shoes is often a factor that promotes the development of hallux valgus.

1. Diagnostics

The diagnosis of hallux valgus usually involves a clinical examination by an orthopedic surgeon or a specialist in foot surgery. Here are some of the common diagnostic steps:

  1. Medical history: The doctor will talk to you about your symptoms, medical history and family medical history.
  2. Physical examination: The doctor will inspect the foot to assess the degree of deformity and look for swelling, redness, or other signs of inflammation.
  3. Movement tests: The doctor may perform various movement tests to check the mobility of the toe and determine whether pain occurs.
  4. X-rays: X-rays may be taken to accurately determine the degree of deformity and to determine whether other structures in the foot are affected.
  5. Gait analysis: In some cases, a gait analysis may be performed to determine how the hallux valgus affects gait.

Based on the results of these examinations, the doctor can then recommend appropriate treatment, which can range from conservative measures such as special shoes, insoles and physical therapy to surgical intervention, depending on the severity of the deformity and the individual needs of the patient.

1. therapy

Therapy for hallux valgus depends on the severity of the deformity and associated symptoms. Here are some commonly used therapies:

  1. Conservative measures (not very promising):
    • Special Footwear: Wearing shoes with a wider forefoot and a low heel can reduce pressure on the toe and relieve discomfort.
    • Insoles: Specially adapted insoles can help stabilize the foot and distribute the load.
    • Toe Separators: Toe separators can be used to keep the toes apart and reduce pressure points.
    • Physiotherapy: Targeted exercises to strengthen the foot muscles and improve mobility can help relieve symptoms.
    • Conservative treatment measures for hallux valgus are unlikely to be successful and often only prolong the suffering!
  2. Drug treatment:
    • Painkillers: If necessary, painkillers such as ibuprofen or diclofenac (anti-inflammatory drugs) can be taken to reduce pain and inflammation.
  3. Surgical procedures (therapy of choice):
    • If conservative measures are not sufficient or the deformity is very advanced, surgery may be considered.
    • Various surgical procedures are available, including correction of the bone, tendons and ligaments in the area of the metatarsophalangeal joint.

The decision on the appropriate therapy depends on a thorough examination by a specialist. It is important to carefully consider the risks and potential benefits of each treatment option and plan an individualized therapy that best meets the patient’s needs.

1. Surgical technique

There are various surgical techniques for treating hallux valgus that can be used depending on the severity of the deformity and the individual needs of the patient. Here are some of the commonly used surgical procedures:

  1. Chevron osteotomy:
    • This procedure is often used for mild to moderate hallux valgus deformities.
    • The chevron osteotomy involves removing a wedge from the bone of the first metatarsal (metatarsal) and repositioning the bone to correct the angle between the first metatarsal and the big toe.
  2. Scarf osteotomy:
    • The Scarf osteotomy is similar to the Chevron osteotomy, but is often used for more moderate hallux valgus deformities.
    • This procedure involves making a Z-shaped cut in the bone of the first metatarsal and moving the bone into a realigned position to correct the angle.
  3. Lapidus arthrodesis:
    • This procedure is used for more advanced hallux valgus deformities, especially if there is instability of the metatarsophalangeal joint of the big toe.
    • During the Lapidus arthrodesis, the metatarsophalangeal joint of the big toe is stabilized by fusing the first metatarsal bone with the neighboring bone.
  4. Soft tissue correction:
    • In some patients, it may be necessary to correct the soft tissue in the area of the big toe joint in addition to the bone correction.
    • This may include correction of tendons, ligaments, and capsules to achieve a more stable and aligned position of the big toe.

The choice of the appropriate surgical procedure depends on various factors, including the severity of the deformity, the anatomical characteristics of the patient’s foot, and the experience of the surgeon. A thorough evaluation by a board-certified foot surgeon is critical to determining the best treatment option for each individual case.

Does the mounting screw need to be removed?

No. As long as the material doesn't cause any problems, it doesn't necessarily have to be removed

Does the mounting screw need to be removed?

No. As long as the material doesn't cause any problems, it doesn't necessarily have to be removed