Title: What’s new in Hallux Valgus treatment?

Biography:

Morteza Rajai graduated from the Shahid Behesh􀆟 University of Medical Science, at a general orthopedic surgeon in 2011 and received his MD degree from Tehran University
of Medical Science in 1995. He also completed a fellowship with doctor Kerkhoff s in ankle arthroscopy and sports traumatology at the Academic Medical Centre Amsterdam,
University of Amsterdam in 2017. In addi􀆟 on, Since 2011, he has been a member of the Iran Society of Orthopedic Surgery. Moreover, He is head of the researchers at Borna
Research Center (BRC). At present, he serves as Orthopaedic Surgeon for Iran University of Medical Sciences in Shohadaye Ya􀅌 abad Hospital. Besides, he works at Moheb-Mehr
hospital, Trita hospital, and Gandhi hotel hospita

Abstract

Introduc􀆟 on: Hallux valgus is a prevalent condi􀆟 on and aff ects
a reported 30% of adults aged more than 40 years. There are
several methods of conserva􀆟 ve and surgical procedure (150
procedures) for treatment of that. The aim of this review
is evalua􀆟 on of advantages and disadvantages of these
procedures.
Materials and Method: We recognize the studies u􀆟 lizing
data base of PubMed and Google scholar, with the keywords
hallux valgus, osteotomy, minimally invasive, percutaneous,
Conserva􀆟 ve treatment, pain, quality of life and surgery.
Results: Percutaneous as a minimally invasive surgery is one
of the major progresses in the opera􀆟 ng fi eld of orthopedic.
Twenty-four studies compared the eff ec􀆟 veness of various
kinds of surgeries. The results showed there is no diff erence
in rate of pain between chevron-type osteotomy and other
surgical procedures. One study revealed that chevron
osteotomy is more benefi cial than Lindgren osteotomy in
terms of walking speed. A medium quality study evaluated
the effi cient of hallux valgus surgery compared to conserva􀆟 ve
or no treatment. This study revealed that surgery, specifi cally
chevron osteotomy, is a more eff ec􀆟 ve procedure for pain
compared to conserva􀆟 ve treatment and also no treatment
in the fi rst year.
Conclusion: This review showed that diff erences between
various types of surgical procedures are minimal; however
there is evidence that surgery methods, are a more eff ec􀆟 ve
procedure than conserva􀆟 ve or no treatment in decreasing
pain in the fi rst year following surgery. However, this review has
showed that there is a loss of high-quality studies comparing
equivalent types of Hallux valgus treatments that evaluate the
same outcomes.