Hallux - Valgus Deformity Surgery

Hallux - Valgus Deformity Surgery

Information About the Disease

The deformity with the protrusion in the root of the big toe and the outward curvature of the big toe is called hallux valgus. This discomfort, in which genetic factors play a role, progresses rapidly with the wearing of tight fit and high shoes. It is slightly more common in patients with flatfoot and rheumatoid arthritis (joint inflammation) and progresses more rapidly. The discomfort caused by this deformity by disrupting the relationship between the foot and the shoe is as important as the aesthetic appearance. With the progress of the deformity, the thumb moves under the other fingers and may cause them to deteriorate. The first step in treatment is to go to shoe changes and to use devices to stop the progression of the deformity. Surgical treatment is recommended especially for patients whose pain complaints persist despite these precautions.

Treatment to be applied

  • Correction of angular defects in metatarsal or finger bones with incisions made in bones and fixation of these incisions with plates or screws
  • Cutting out the protruding area at the tip of the metatarsal bone
  • Loosening of tight and short tendons and joint capsules
  • Performing all the above transactions together

Expected Benefits of Treatment

  • Correction of finger curvature and joint protrusion
  • Relieving pain, improving the fit between foot and shoes
  • The walk becomes more comfortable

Risks of Treatment

  • Failure to achieve the expected correction in the curvature
  • Vascular-nerve injury, temporary numbness in the thumb after surgery
  • Post-operative pain, difficulty walking
  • Infection at the operation site, delayed or nonunion of bone cross-sectional surfaces
  • Failure to fully meet the aesthetic expectations of the patient after the operation, scarring

Additional Transactions That May Be Required

  • Use of scopy during surgery and additional x-ray procedures after surgery
  • If the bone is cut while correcting the post-operative deformity and this bone is expected to heal, it is necessary to use special hallux valgus shoes that prevent the operation area from straining while pressing for a while (up to 8 weeks).

Other Possible Treatment Options

  • In cases where deformity can tolerate, follow up with wide shoes
  • Night splints etc. to prevent the progression of deformity. use of assistive devices

Consequences of Postponing Treatment

  • Swelling and increased curvature
  • Painful callus formation
  • Forefoot mechanics disorder and severe pain
  • Bursitis formation in the protruding area and associated pain
  • Difficulty walking

Consequences of Refusing Recommended Treatment

Painful Life

Walking Difficulty

Estimated length of stay in the hospital: 2-3 days

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