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Updated: Feb 28, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Driving After Hallux Valgus Surgery.

Elizabeth McDonald1, Rachel Shakked1, Joseph Daniel1

  • 11 Rothman Institute Department of Orthopaedics, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Foot & Ankle International
|June 14, 2017
PubMed
Summary

Most patients can safely return to driving 8 weeks after first metatarsal osteotomy for hallux valgus correction. Some may drive sooner based on pain, range of motion, and readiness survey results.

Keywords:
brake reaction timedrivedrivingfirst metatarsal osteotomyhallux disordersoutcome studies

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Area of Science:

  • Orthopedic surgery
  • Podiatric surgery
  • Rehabilitation medicine

Background:

  • First metatarsal osteotomy is a common procedure for hallux valgus correction.
  • Determining the safe return-to-driving timeline post-surgery is crucial for patient recovery and independence.

Purpose of the Study:

  • To establish the earliest safe return-to-driving interval following first metatarsal osteotomy for hallux valgus.
  • To identify factors influencing driving readiness after the procedure.

Main Methods:

  • Prospective study of 60 patients undergoing first metatarsal osteotomy.
  • Brake reaction time (BRT) testing at 6 and 8 weeks post-surgery.
  • Comparison with a control group and use of a driver readiness survey.

Main Results:

  • 85% of patients achieved passing BRT at 6 weeks; 100% at 8 weeks.
  • Failed BRT correlated with higher pain scores (VAS) and reduced MTP range of motion.
  • Most patients who failed the BRT also reported feeling unready to drive.

Conclusions:

  • Driving is generally considered safe 8 weeks post-first metatarsal osteotomy.
  • Individual return-to-driving timelines can be influenced by pain, joint mobility, and patient-reported readiness.