Hallux abducto valgus deformity signifies lateral deviation of the big toe, accompanied by the development of exostosis around the first metatarsophalangeal joint (MTP). The pain associated with the bony outgrowth originates from the irritation of the neurovascular bundle in the lateral great toe as well as from mechanical and structural alterations, secondary to the bone deviation.
Keeping in mind that hallux valgus provokes the first toe joint dislocation, it is advisable to treat it in time. The bunion deformity is generally followed by other alterations, among which hammer toes and claw toes should be mentioned. Pressure exerted by the great toe deforms other toes. The first toe may either override the second one, or go beneath it.
Bunion development is multifactorial, listing improper footwear (pointed toes, high heels), hypermobile joints, genetic and biomechanical parameters.
Conservative treatment implies wearing more comfortable shoes with adequate space. In case hallux valgus comes with any structural alteration (e.g. flatfoot), it is recommended that orthotic insoles should be used to stabilize the foot architecture and prevent the deformity progression.
Surgical treatment should be applied when the deformity is too obvious or pain impacts life quality, its main objective being the alignment of the deviated bone segments (1st toe, 1st metatarsal) and elimination of the exostosis. Minimal incision technique makes it sure that the deformity will not recur. Local anesthesia, no internal fixators, ability to walk in a postoperative shoe immediately after the surgery, fast recuperation with little discomfort – these are the advantages of the minimally invasive method.
Patients return home after the intervention, attending weekly examinations until they are fully recovered. The whole process may take 4-8 weeks depending on the patient, deformity degree and postoperative evolution.