Consensus on Surgical Management of Hallux Valgus from China

Orthop Surg. 2015 Nov;7(4):291-6. doi: 10.1111/os.12207.

Abstract

Hallux valgus deformity is one of the most common diseases in foot and ankle surgery. Satisfactory outcomes tend to be achieved only through operative correction. However, selection of the optimal surgical strategy is always a controversial topic, and the rate of dissatisfied patients postoperativelyis still very high. It is well known that there are various pathological changes in hallux valgus deformity, so it is impossible to use one specific procedure to solve all the problems. It requires a careful preoperative physical examination and radiographic assessment to choose the best operation for each kind of deformity according to each pathalogical change, combined with good postoperative dressing, immobilization and proper rehabilitation and follow up, to improve surgical outcomes and reduce postoperative rate of complication and dissatisfaction. In order to achieve these goals, a Consensus on the Operative Correction of Hallux Valgus has been developed by the Foot and Ankle Working Committee, Orthopaedic Branch, Chinese Association of Orthopaedic Surgeons. Foot and ankle surgeons following this consensus must be fully aware of their patients' desires, carefully evaluate different pathological processes and clinical symptoms and be skilled in various procedures. Then these procedures can be easily selected, converted and combined based on preoperative plans and intraoperative conditions.

Keywords: Consensus; Corrective operation; Hallux valgus.

Publication types

  • Consensus Development Conference

MeSH terms

  • Arthrodesis / methods
  • China
  • Hallux Valgus / diagnosis
  • Hallux Valgus / surgery*
  • Humans
  • Metatarsophalangeal Joint / surgery
  • Osteotomy / methods
  • Physical Examination / methods
  • Postoperative Care / methods
  • Preoperative Care / methods