Pain management after hallux valgus repair surgery: an updated systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations
Methodological detailsPROSPECT methodology
- PROSPECT methodology
Recommendations
As issued by the authors
Minimally invasive surgery or percutaneous osteotomy is recommended over open osteotomy
Ankle block as first-choice modality, with local anaesthetic wound infiltration as an alternative
Paracetamol and an NSAID or cyclooxygenase-2 selective inhibitor, given preoperatively or intra-operatively and continued postoperatively, in the absence of contraindication
Systemic dexamethasone
Postoperative opioids for rescue analgesia
Insufficient evidence for perineural magnesium or liposomal bupivacaine
No evidence for continuous popliteal sciatic nerve block or plantar compartment nerve block
Original publication
Pain management after hallux valgus repair surgery: an updated systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations. Eur J Anaesthesiol. Published 21 October 2025. doi:10.
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