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Related Experiment Video

Updated: May 8, 2025

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Hallux Valgus: Prevalence and Treatment Options.

Sarah Ettinger1, Fabian T Spindler, Ursula Marschall

  • 1University Hospital for Orthopedics and Trauma Surgery, Pius Hospital, Oldenburg, Germany; Department of Orthopedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM), LMU University Hospital Munich, Munich, Germany; BARMER Institute for Health System Research, Wuppertal, Germany; OrthoPlus Munich, Munich, Germany; Department of Foot and Ankle Surgery, Orthopedic Department of the Hannover Medical School at the DIAKOVERE Annastift, Hannover, Germany.

Deutsches Arzteblatt International
|May 7, 2025
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Summary

Hallux valgus affects nearly 2% of people in Germany, primarily women. While surgery offers comparable bony deformity correction and improved AOFAS scores, conservative treatment is recommended first.

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Area of Science:

  • Orthopedics
  • Podiatry
  • Public Health

Background:

  • Hallux valgus is a prevalent foot deformity with evolving surgical management.
  • Understanding its administrative prevalence and treatment patterns is crucial for healthcare planning.

Purpose of the Study:

  • To determine the administrative prevalence of hallux valgus in Germany.
  • To analyze current treatment strategies, including surgical interventions and their outcomes.

Main Methods:

  • Data analysis of administrative prevalence from a German statutory health insurance carrier (BARMER).
  • Narrative overview of hallux valgus classification and treatment, including a meta-analysis.

Main Results:

  • Nearly 2% administrative prevalence in Germany, with 83% of cases in women.
  • Surgical interventions showed comparable bony deformity correction and an average AOFAS score improvement of 33.8 points.
  • Overall complication rate was 18.5%, with common issues including metatarsalgia and recurrent deformity.

Conclusions:

  • Conservative treatment should be the primary approach for hallux valgus.
  • Surgical techniques effectively correct deformity and improve AOFAS scores, particularly in severe cases.
  • Despite comparable efficacy, surgical complications necessitate careful patient selection and management.