The deformity occurs spontaneously in the second half of life, or earlier on dysplasias or exaggerated laxity of the foot joints.
It can cause a conflict with the shoe, and increases the stresses on the toes remaining in the axis of the walk.
The problem is with pain, from the big toe or under the forefoot, to the deformations of the neighboring toes, which are overcome by the constraints.
The tendency is to aggravate.
Comfortable footwear (wide, thick sole, no difference in level), removable orthoses, strapping, make life easier.
A sole on a flat foot reduces stress.
Surgery brings a radical solution.
The level of pain, and not the deformity, is the basis of the operative indication.
The set of deformations and load transfers, the few contributing factors, determine the corrections to be made to obtain the optimal result.
Corrections include bone cuts, tendon transfers and release of retractions.
The joint of the big toe is crooked.
Open surgery allows controlled correction of the big toe with solid osteosynthesis (buried screw) with immediate mobilization.
The toes are corrected percutaneous (bone and / or tendinous) and maintained in good position one month thanks to bandages.
The surgery is ambulatory/outpatient.
You have to operate as much foot as necessary in order to relieve yourself, in one intervention. Patients operated on both feet do recommend doing both at the same time.
Operative suites of the hallux valgus
The foot is anesthetized to ignore immediate postoperative pain.
The taking of analgesics lasts an average of one week.
The dressings last two weeks.
The bone consolidation lasts one month.
The foot is at rest a month :
• in an orthopedic footwear,
• travel is limited at home,
• the foot is raised as much as possible
• driving is suspended
At the end of a month you can expect to walk slowly for half an hour.
Count 2 to 3 months to walk at ease.
Count 4 to 6 months for sports activities, feet that do not swell more of the day.