Clinical Approaches to Bunion (Hallux Valgus) Correction
Hallux Valgus, commonly known as a bunion, is a complex deformity of the first metatarsophalangeal (MTP) joint, where the big toe deviates laterally toward the second toe. The 2026 treatment protocol emphasizes patient-specific surgical correction.
Conservative Management: For mild cases, treatment centers on wide-toebox footwear, orthotic arch supports to correct hyperpronation, and silicone spacers.
Surgical Reconstruction: When conservative measures fail, the "Scarf Osteotomy" is the current gold standard. This involves a Z-shaped cut in the first metatarsal to shift the bone back into alignment.
Minimally Invasive Bunionectomy (MIS): In 2026, MIS techniques have gained widespread adoption. Surgeons use tiny, "keyhole" incisions and specialized burrs to realign the bone, resulting in significantly less post-operative swelling and a faster return to weight-bearing activities.