Patient expectations in hallux valgus surgery: A qualitative analysis

Area of Science:

• Orthopedics
• Musculoskeletal Health
• Patient-Reported Outcomes

Background:

• Hallux valgus (bunion) is a common foot deformity.
• Symptomatic hallux valgus can significantly impact daily activities and quality of life.

Purpose of the Study:

• To explore patient expectations regarding hallux valgus surgery.
• To understand patient motivations and goals for undergoing bunion surgery.

Main Methods:

• Qualitative study involving semi-structured interviews with 20 patients awaiting hallux valgus surgery.
• Interviews were transcribed and analyzed using thematic analysis.

Main Results:

• Pain and ability to participate in activities were primary drivers for seeking surgery and defining success.
• Functional improvement and pain reduction were more important than cosmetic appearance.
• Patients desired clear postoperative care instructions and realistic recovery timelines.

Conclusions:

• Hallux valgus is perceived by patients as a disabling condition.
• Aligning patient expectations with clinical reality, particularly regarding recovery, is crucial for surgical success and satisfaction.
• Enhanced preoperative counseling can improve patient-physician communication and outcomes.