Status In progress
Technology type Procedure
Decision Selected
Reason for decision Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Process IP
ID number 782
Description Hallux valgus is a deformity of the big toe joint, often causing pain in the foot. The big toe bends towards the other toes, and a bony lump (called a bunion) appears on the side of the foot at the base of the big toe. Under local or general anaesthesia, 1 or more small cuts are made through the skin (percutaneous) of the big toe. Bone-cutting surgical tools are put through the cuts and are used to remove the bunion and divide 1 or more of the bones at the front of the foot. The divided bones are secured either with wires, screws or plates (internal fixation). The operation is monitored using X rays or an endoscope (a thin, flexible tube with a camera on the end). The aim is to straighten the big toe joint to reduce pain and other symptoms and preserve joint movement. Compared with standard (open) surgery, this procedure uses smaller cuts to the foot (minimally invasive).

Provisional Schedule

Resolution 20 May 2024
Expected publication 18 June 2024

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Key events during the development of the guidance:

Date Update
11 April 2024 Committee meeting: IPAC 2
08 February 2024 - 07 March 2024 Interventional procedure consultation
14 December 2023 Committee meeting: IPAC 1
14 July 2023 In progress. Approved at IPAC 0
13 July 2023 Committee meeting: IPAC 0
31 March 2023 Awaiting development. Status change linked to Topic Selection Decision being set to Selected

For further information on how we develop interventional procedures guidance, please see our interventional procedures programme manual