By Ece Yalcin • Medical review by Gokce Mik, MD on February 04, 2021

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Treatment Epidural ya da genel anestezi
Recovery Time 6 Hafta
Doctors & Clinics
Serkan Gurcan, MD
Orthopedics and Traumatology
Gokce Mik, MD
Orthopedics and Traumatology
Aylin Kurt, MD
Plastic, Reconstructive and Aesthetic Surgery
Aydin Arslan, MD
Orthopedics and Traumatology
A. Kadir Bacakoglu, MD
Orthopedics and Traumatology
Ibrahim Tuncay, MD
Orthopedics and Traumatology
Azmi Hamzaoglu, MD
Orthopedics and Traumatology
Tahir Ogut, MD
Orthopedics and Traumatology

What is Hallux Valgus?
Hallux valgus is the Latin origin name of the deformation that occurs in the joint between the big toe and the 1st occipital (metatarsal) bone for various reasons. It is known as a bone protrusion or bunion on the big toe.
In the course of the disease, when the big toe is angled towards the other fingers, an inward, sometimes painful protrusion appears in the joint where the same finger connects to the comb bone. Advanced degrees of deformation, whose level is measured by radiological evaluation, can only be solved by surgical intervention.
Orthopedics and traumatology branch deals with this disease. The incidence of hallux valgus disease, which is gradually increasing in prevalence, is around 35% and it is seen almost 10 times more in women than in men.

Everything You Need To Know About Hallux Valgus

There are many surgical options for hallux valgus treatment. The type and price of the surgery are determined after a detailed patient examination. Each doctor who will perform the surgery and each hospital where the surgery will be performed have different pricing practices. Some private health insurances and state health institutions cover some of these surgery expenses.
Although the exact cause is not known exactly, it is thought that the use of high-heeled, narrow, pointed-toed shoes causes foot deformity and triggers hallux valgus.

While it can be said that the first reason for the formation of hallux valgus in the feet of women aged 30 and above is the wrong shoe choice, it can be seen at very early ages such as before puberty, in cases where it occurs due to genetic reasons. The causes of hallux valgus can be listed as follows:

  • Genetic inheritance
  • Choosing high-heeled, narrow, pointed shoes
  • Achilles tendon shortness
  • Advanced flat feet
  • Wide comb foot structure
  • Rheumatoid arthritis disease
  • Joint weaknesses
  • Deformations due to severe foot injuries
  • Obesity

The extent to which the big toe deviates from its normal angle is determined by radiological evaluation and the degree of the disease is decided. The reference ranges used in determining the degrees are as follows:

1. Mild Level: <20 degrees

2. Intermediate Level: 21-40 degrees

3. Advanced Level:> 40 degrees

Preventive Treatment Methods

There are some practices aimed at reducing the negative effects and providing comfort rather than treating the disease.

The most effective methods of choosing the right shoes can be listed as follows:

  • Hallux valgus night splint
  • Hallux valgus special splint
  • Hallux valgus roller
  • Special hallux valgus pads
  • Wide-toed hallux valgus shoes and slippers
  • Hallux valgus exercise tire
  • Special hallux valgus exercises
  • Hallux valgus correction apparatus
  • Bunion pillow
  • Ice application to the painful area

Hallux Valgus Surgery
At advanced levels, where the above-listed preventive treatment methods do not help, the pain can become so unbearable that the person's daily life is negatively affected. In this case, the only solution to restore the patient's health is surgical intervention.

The surgery is performed by an operating doctor who is an expert in orthopedics and traumatology. Doctors do not operate hallux valgus patients for aesthetic reasons only, unless it is medically necessary.
Different surgeries are applied depending on the angle of the deformation in the hallux valgus. There may be surgeries that only intervene in the soft tissue and have a shorter recovery time, as well as more severe surgeries that require bone incision. Before the operation, the foot is X-rayed from three different angles and the appropriate surgical intervention is decided according to the shape of the deformation and the cause of its occurrence. Making this choice right is very important as it will prevent recurrence of the disease after surgery. Hallux valgus surgery can be applied to both feet at the same time, but if both feet are watching at different degrees, it is performed on separate dates.
The duration of the surgery performed under epidural or general anesthesia varies between 45-90 minutes depending on the procedures to be performed. After the operation, the patient stays in the hospital on the first day and then goes home with the special shoes given to him by the doctor.
  • For 4-5 days following the surgery, weight should be given to the heels and should not be applied to the operation area.

  • Feet should be stretched at chest level to reduce edema that may occur in the operation area.

  • As little action as possible

  • Surgical areas should not be contacted with water until doctor's approval.

  • Weight should not be given to the front of the foot for 4 weeks after the operation.

For the treatment of hallux valgus, there are more than one surgical method and, accordingly, different healing processes. For example, while the time to return to daily life is 3-4 weeks after surgeries that are completed with only soft tissue intervention, a recovery period of at least 6 weeks is required after major operations requiring bone incision.
After the surgery, patients use the special hallux valgus shoes given to them for a certain period of time and wear these shoes in their life outside the home. In the doctor's control, which is done in the 4th week following the surgery, x-ray of the foot is taken and the postoperative condition is checked. If the doctor deems appropriate, special hallux valgus shoes can be removed and switched to comfortable shoes with wide toes. After a hallux valgus surgery with a bone incision, the full recovery of the foot takes approximately one year.

Returning to Work After Hallux Valgus Surgery
The recovery period after surgery differs depending on the type of surgery. However, after the first week, patients can walk without putting weight on the front of their feet. Desk-based patients can return to work from the 2nd week, with the approval of the doctor. In jobs that require effort and stay standing for a long time, it should be waited until the end of the period indicated by the doctor after surgery.
After the hallux valgus surgery, light exercises can be started within 4-6 weeks with the doctor's approval, depending on the shape of the surgery and the recovery status of the patient. While professional athletes require a longer time to return to active sports life, the recovery process depends on the type of surgery and the recovery rate of the patient.
After the hallux valgus surgery, the special shoes given by the doctor are used and this way, the foot comfort is provided after the operation. The bone healing and the recovery of edema in the foot occur around the second month after surgery. It is normal to feel mild pain in the operation area after this period. Doctors do not recommend wearing high heels and tight shoes that are higher than 5 centimeters after surgery.
  • There is a risk of recurrence of the disease after an unsuitable surgical intervention.

  • There may be edema and pain in the operated joint for a long time.

  • Complications due to anesthesia may develop

  • If the desired result is not achieved after the surgery, a new surgery may be required in a short time.

Written on 31/07/2019

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Last Update: 22/04/2021

Doctors & Clinics
Serkan Gurcan, MD
Orthopedics and Traumatology
Gokce Mik, MD
Orthopedics and Traumatology
Aylin Kurt, MD
Plastic, Reconstructive and Aesthetic Surgery
Aydin Arslan, MD
Orthopedics and Traumatology
A. Kadir Bacakoglu, MD
Orthopedics and Traumatology
Ibrahim Tuncay, MD
Orthopedics and Traumatology
Azmi Hamzaoglu, MD
Orthopedics and Traumatology
Tahir Ogut, MD
Orthopedics and Traumatology

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26 Hallus Light Doctor
İstanbul / Nişantaşı
Serkan Gurcan, MD
Orthopedics and Traumatology
5 (4)
İstanbul
Halil Buldu, MD
Orthopedics and Traumatology
İzmir
İstanbul
Aylin Kurt, MD
Plastic, Reconstructive and Aesthetic Surgery
İstanbul / Fulya
Aydin Arslan, MD
Orthopedics and Traumatology
İstanbul
Seref Aktas, MD
Orthopedics and Traumatology
İstanbul / Fulya
Tahir Ogut, MD
Orthopedics and Traumatology
İstanbul

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