Evidencias Medicas : Surgical correction of hallux valgus using minimal access techniquesMedicina General y Familiar

25 junio, 2013

Surgical correction of hallux valgus using minimal access techniques

English: hallux valgus Česky: hallux valgus (Photo credit: Wikipedia)

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Surgical correction of hallux valgus using minimal access techniques.

The guidance was considered for reassessment in October 2011 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.

Description

Hallux valgus is a deformity of the big toe. The big toe tilts outwards, crowding the smaller toes, and a bony lump (called a bunion) appears on the inside of the foot.

Under local or general anaesthesia, one or more small cuts are made to insert bone-cutting instruments. These are used to remove the bunion and to divide one or more of the bones of the front of the foot. The divided bones may need to be stabilised with wires, screws or plates. The aim is to correct the tilting of the big toe. The operation is monitored by X-rays or an endoscope (a telescope for looking inside the body). Compared with standard (open) surgery, this procedure uses smaller cuts to the foot and X-rays or endoscopy to see inside the foot.

OPCS4.6 Code(s):

The OPCS-4 codes would depend on the exact procedure performed; although it is not possible to classify the size of incisions in OPCS-4, if an endoscope is utilised during the procedure or if some form of image control is required, then relevant additional Chapter ‘Y’ codes are assigned.

_{The NHS Classifications Service of NHS Connecting for Health
is the central definitive source for clinical coding guidance and
determines the coding standards associated with the classifications
(OPCS-4 and ICD-10)
to be used across the NHS. The NHS Classifications Service and NICE
work collaboratively to ensure the most appropriate classification codes
are provided. www.connectingforhealth.co.uk/clinicalcoding}

Details

Arrangement:

Special

Topic area:

Musculoskeletal
Surgical procedures

Specialty:

Trauma and orthopaedic surgery

Specialist advice sought from:

British Orthopaedic Association (BOA)

British Orthopaedic Foot & Ankle Society (BOFAS)

Date notified to NICE:

12 febrero 2009

Provisional consultation date:

Winter 2009

Guidance issue date:

24 febrero 2010

Contact details:

Contact NICE about this project

ip@nice.org.uk

Technical lead
(for procedure specific enquiries or comments)

Nicola Sloan

Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links:

	IPG332 Surgical correction of hallux valgus using minimal access techniques: guidance (web format)	10 February 2011
	IPG332 Trin bynionau gan ddefnyddio llawdriniaeth drwy doriadau bach: deall canllawiau NICE (fformat MS Word)	08 April 2010
	IPG332 Surgical correction of hallux valgus using minimal access techniques: guidance	24 February 2010
	IPG332 Surgical correction of hallux valgus using minimal access techniques: understanding NICE guidance	24 February 2010
	IPG332 Surgical correction of hallux valgus using minimal access techniques: understanding NICE guidance (MS Word version)	24 February 2010
	Surgical correction of hallux valgus using minimal access techniques: audit support	24 February 2010
	Surgical correction of hallux valgus using minimal access techniques: consultation comments	24 February 2010
	Surgical correction of hallux valgus using minimal access techniques - Overview	24 February 2010
	Surgical correction of hallux valgus using minimal access techniques (interventional procedures overview)	21 October 2009
	Surgical correction of hallux valgus using minimal access techniques (interventional procedures consultation)	20 October 2009