Article Text

Download PDFPDF
Surgery was more effective than orthosis for hallux valgus

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: In patients with hallux valgus, what are the effectiveness and cost of surgical, orthotic, and no treatment?


Randomised (allocation concealed*), blinded (outcome assessors),* controlled trial with 1 year of follow up.


4 hospitals in a health district in Finland.


211 patients who had a painful bunion with the hallux valgus angle ≤ 35° and the intermetatarsal angle ≤ 15°. Exclusion criteria were previous bunion surgery, hallux rigidus, hallux limitus, rheumatoid arthritis, use of foot orthoses, pregnancy, or age > 60 years. Baseline data were obtained for 209 patients (mean age 48 y, 92% women). Follow up was 98% and 97% at 6 and 12 months, respectively.


Patients were allocated to surgery (chevron procedure) (n=71), foot orthosis (negative cast technique) (n=69), or watchful …

View Full Text


  • Sources of funding: Finnish Office for Health Technology Assessment; Finnish Medical Foundation; Scientific Foundation of Jorvi Hospital; Scientific Foundation of Mehiläinen Hospital.

  • For correspondence: Dr M. Torkki, Department of Orthopaedic Surgery, Helsinki University Central Hospital, Topeliuksenkatu 5, 00260 Helsinki, Finland. Fax +1 358 947 187551.

  • * See glossary.