Universität zu Köln

Arbab, Dariusch ORCID: 0000-0002-3752-6175, Schneider, Lisa-Maria, Schnurr, Christoph, Bouillon, Bertil, Eysel, Peer and Koenig, Dietmar Pierre (2018). Treatment of Hallux Valgus: Current Diagnostic Testing and Surgical Treatment Performed by German Foot and Ankle Surgeons. Z. Orthop. Unfallchir., 156 (2). S. 193 - 200. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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Abstract

Background Hallux valgus is one of the most prevalent foot deformities, and surgical treatment of Hallux valgus is one of the most common procedures in foot and ankle surgery. Diagnostic and treatment standards show large variation despite medical guidelines and national foot and ankle societies. The aim of this nationwide survey is a description of the current status of diagnostics and therapy of Hallux valgus in Germany. Material and Methods A nationwide online questionnaire survey was sent to two German foot and ankle societies. The participants were asked to answer a questionnaire of 53 questions with four subgroups (general, diagnostics, operation, preoperative management). Surgical treatment for three clinical cases demonstrating a mild, moderate and severe Hallux valgus deformity was inquired. Results 427 foot and ankle surgeons answered the questionnaire. 388 participants were certified foot and ankle surgeons from one or both foot and ankle societies. Medical history (78%), preoperative radiographs (100%) and preoperative radiographic management (78%) are of high or very high importance for surgical decision pathway. Outcome scores are used by less than 20% regularly. Open surgery is still the gold standard, whereas minimally invasive surgery is performed by only 7%. Conclusion Our survey showed that diagnostic standards are met regularly. There is a wide variation in the type of procedures used to treat Hallux valgus deformity. TMT I arthrodesis is preferred in severe Hallux valgus, but also used to treat moderate and mild deformities. Minimally invasive surgery is still used by a minority of surgeons. It remains to be seen, to what extent minimally invasive surgery will be performed in the future.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Arbab, Dariusch UNSPECIFIED orcid.org/0000-0002-3752-6175 UNSPECIFIED Schneider, Lisa-Maria UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnurr, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Bouillon, Bertil UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Koenig, Dietmar Pierre UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-190918
DOI:	10.1055/s-0043-120352
Journal or Publication Title:	Z. Orthop. Unfallchir.
Volume:	156
Number:	2
Page Range:	S. 193 - 200
Date:	2018
Publisher:	THIEME MEDICAL PUBL INC
Place of Publication:	NEW YORK
ISSN:	1864-6743
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SOFT-TISSUE PROCEDURE; ACADEMIC FOOT; OSTEOTOMY; RIGIDUS; STATE Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19091