Current Trends in Anesthesia Management in Hallux Valgus

Area of Science:

• Orthopedic Surgery
• Anesthesiology
• Pain Management

Background:

• Hallux valgus surgery traditionally involves significant postoperative pain.
• Effective pain management is crucial for enabling outpatient procedures and improving patient outcomes.

Purpose of the Study:

• To review current trends in anesthesia management for hallux valgus surgery.
• To evaluate the efficacy and safety of multimodal pain control strategies.

Main Methods:

• Review of current literature on anesthesia techniques for hallux valgus surgery.
• Analysis of multimodal analgesia components: locoregional anesthesia, peripheral nerve blocks, wound instillation, NSAIDs, and opioids.

Main Results:

• Peripheral nerve blocks are effective first-line analgesia with minimal side effects.
• Local wound instillation offers variable but positive pain control with few adverse effects.
• Nonsteroidal anti-inflammatory drugs' role in bone healing is debated but reduces opioid needs and improves satisfaction.
• Long-acting opiate agonists are key for managing postoperative pain crises.

Conclusions:

• Multimodal analgesia, centered on locoregional anesthesia, is effective for hallux valgus surgery.
• This approach facilitates the progression of hallux valgus surgery to an outpatient setting.
• Optimized pain management enhances patient satisfaction and recovery.