Description
This presentation by Mohammed Yasser Sabouni focuses on the topic of hallux valgus in children, emphasizing the challenges associated with its diagnosis and surgical treatment. Sabouni sets the stage by sharing his experience working in Leeds and describes hallux valgus, a foot deformity characterized by the hallux (big toe) deviating laterally and the first metatarsal moving medially.
He highlights the importance of understanding the differences between hallux valgus in children compared to adults, particularly the implications of growth plates on surgical outcomes. Sabouni stresses that, while conservative management may alleviate pain, it does not cure the deformity, and a careful assessment of the child's condition, including pain sources and anatomical structure, is crucial before considering surgical intervention.
The discussion includes various treatment options ranging from conservative measures to specific surgical techniques like distal osteotomy and bunion shaving. Sabouni also shares data from his experience, noting that surgical intervention at younger ages carries a higher risk of recurrence and that careful timing related to growth plate closure is essential.
Throughout the talk, Sabouni emphasizes the need for a thorough clinical and radiological assessment before deciding on surgery, urging caution, especially in younger patients, to avoid complications and ensure positive outcomes.