Z Orthop Unfall 2019; 157(01): 75-82
DOI: 10.1055/a-0623-2966
Guideline/Leitlinie
Georg Thieme Verlag KG Stuttgart · New York

The Current S2e Guideline for Hallux valgus – Evidence-based Guideline Development Using Meta-analysis

Article in several languages: English | deutsch
Hazibullah Waizy
1   Hessing Stiftung, Augsburg
2   Labor für Biomechanik und Biomaterialien, Medizinische Hochschule Hannover
,
Babak Panahi
3   Institut für Diagnostische und Interventionelle Radiologie, Universitätsmedizin Göttingen
,
Jörn Dohle
4   OGAM Orthopädie, Wuppertal
,
Christina Stukenborg-Colsman
5   Orthopädische Klink im Annastft, Medizinische Hochschule Hannover
› Author Affiliations
Further Information

Publication History

Publication Date:
03 July 2018 (online)

Abstract

The hallux valgus deformity is untreated usually regarded as progressive deformity that does not necessarily lead to pain and suffering for the patient. Prevention primary: foot conforming footwear to avoid bruising and to avoid a forced progression of pathology. Functional stabilization of the foot by means of gymnastics or physiotherapy instructions. Secondary: orthotic and/or insoles to improve the functional stabilization. Tertiary: consistent adapted postoperative treatment, which is based on the operation procedure. The indication for initiation of a therapeutic measure is based on the suffering of the patient, age and presence of arthritis in the MTP-I-joint. More patient-specific pathologies may affect the initiation of treatment also. In the first stage of outpatient consultation and physiotherapy are at the forefront, additive analgesic or anti-inflammatory medication. Manual therapies, physiotherapy, orthotics or orthopedic measures adopted in view of the existing pathology and suffering pressure. In stage 2 of outpatient or inpatient surgical treatment therapeutic measures are indicated when symptomatic hallux valgus surgical therapy should be oriented on the severity of the pathology and the postoperative mobilization possibilities of the patient and other patient-specific criteria.