Surgical treatment of hallux valgus: a review

Purpose of review The treatment of hallux valgus is dependent on multiple factors from clinical examination, patient considerations, radiographic assessment, and surgeon preference. Numerous techniques have been described to address this common disorder. The purpose of this paper is to provide an updated review of the surgical treatment of hallux valgus. Recent findings Operative management of hallux valgus involves a combination of both soft tissue and bony procedures. Various osteotomies, each demonstrating potential advantages and complications, may be selected based on the degree of deformity. Arthrodesis may be utilized to address severe deformities and first ray hypermobility. Minimally invasive techniques are now being employed with emphasis on cosmesis and reduced surgical exposure. Salvage techniques have also been recently described with improved clinical results. Summary While several well established surgical methods are available for hallux valgus, consensus regarding the best treatment has yet to be established. Ultimately, this decision-making process is multifactorial, and further investigation into more novel approaches may be warranted prior to their broad application. Appropriate surgical selection and proper technique will usually result in good to excellent outcomes.