{"id":2977,"date":"2021-07-27T06:45:54","date_gmt":"2021-07-27T06:45:54","guid":{"rendered":"https:\/\/ortho.win\/?p=2977"},"modified":"2023-04-04T18:09:16","modified_gmt":"2023-04-04T18:09:16","slug":"hallux-valgus-was-nun","status":"publish","type":"post","link":"https:\/\/ortho.win\/en\/hallux-valgus-was-nun","title":{"rendered":"Feelgood Apothekenmagazin Juni\/Juli 2021"},"content":{"rendered":"

Hallux valgus – was nun?<\/h2>\n\n\n\n

Je schiefer eine Grosszehe steht, desto mehr Bereiche des Fusses sind daran beteiligt \u2013 und auch davon betroffen. Im Gespr\u00e4ch er\u00f6rtert Fussspezialist Dr. med. Martin Wiewiorski, was es \u00fcber den Hallux valgus zu wissen gibt.<\/strong><\/em><\/p>\n\n\n\n

Was gilt medizinisch als Hallux valgus?<\/strong> <\/h2>\n\n\n\n

Martin Wiewiorski: Beim Hallux valgus wandert der erste Mittelfussknochen auf die Innenseite des Fusses, die Grosszehe auf die Aussenseite. Dabei kann sich die Grosszehe so weit nach aussen schieben, dass sie die anderen Zehen unterwandert. In der Folge k\u00f6nnen sich zus\u00e4tzlich Hammerzehen ausbilden. Nebst der angeborenen Form wird ein Hallux valgus weitaus h\u00e4ufiger im Verlauf des Alters erworben. Weitere Ursachen f\u00fcr den Schiefstand der Grosszehe sind Arthrose, rheumatische Verformungen oder \u00fcberm\u00e4ssige Beugung bei Sportverletzungen.<\/p>\n\n\n\n

Welche Ursachen liegen zugrunde?<\/h3>\n\n\n\n

Die angeborene Fehlstellung ist genetisch bedingt und meist stabil. Die erworbene Form des Hallux valgus geht auf eine Fehlstellung im R\u00fcckfuss mit einer Abflachung des Fussgew\u00f6lbes zur\u00fcck. Man spricht auch von einem Knick-Senk- beziehungsweise von einem Plattfuss. Ob und wie ausgepr\u00e4gt die Fehlstellung ausf\u00e4llt, wird wesentlich von der individuellen Veranlagung bestimmt. Das erkl\u00e4rt auch, warum manche Frauen ein Leben lang hohe Abs\u00e4tze tragen und doch nie einen Hallux valgus entwickeln. Als vorbeugende Massnahme empfiehlt sich generell, die Fussmuskulatur gut trainiert zu halten und auf ein normales K\u00f6rpergewicht zu achten. Denn der erworbene Hallux valgus entwickelt sich schleichend \u00fcber Jahre oder gar Jahrzehnte hinweg. Eine spontane R\u00fcckentwicklung ist nicht zu erwarten.<\/p>\n\n\n\n

Welche konservativen Therapien stehen zur Verf\u00fcgung und bei welcher Fussdeformation sind sie anwendbar?<\/h3>\n\n\n\n

Konservative Massnahmen sind als erste Massnahme in jedem Stadium der Fehlstellung anwendbar. Empfehlenswert sind Schuhe mit ausreichend Platz f\u00fcr den Vorfuss. Orthop\u00e4dische Masseinlagen k\u00f6nnen zwar nicht die Zunahme der Fehlstellung bremsen, jedoch helfen sie oft, die Symptome zu reduzieren. Die Kosten f\u00fcr Hallux-valgus-Schienen werden zwar von der Krankenversicherung \u00fcbernommen, sie haben aber keinen wissenschaftlich nachgewiesenen Effekt auf die Fehlstellung.<\/p>\n\n\n\n

Wann sind operative Therapien unumg\u00e4nglich und wie sehen diese aus?<\/h3>\n\n\n\n

Haben konservative Massnahmen versagt, wird der Fusschirurg mit der Patientin oder dem Patienten individuelle chirurgische Therapiem\u00f6glichkeiten besprechen. Leichte und mittelschwere Fehlstellungen k\u00f6nnen mit einer Umstellung am Mittelfussknochen so korrigiert werden, dass die nat\u00fcrliche Stellung und Mechanik des Gelenks wiederhergestellt werden. Bei schwerwiegenden Fehlstellungen oder bei begleitender Arthrose des Gelenks erfolgt die Korrektur durch eine Versteifung am Mittelfuss oder am Grosszehengrundgelenk. H\u00e4ufig ist der Hallux valgus von Fehlstellungen der Zehen begleitet. Diese werden in der Regel gleich mitversorgt.<\/p>\n\n\n\n

Dr. med. Martin Wiewiorski ist Facharzt FMH f\u00fcr Ortho\u00adp\u00e4dische Chirurgie und Traumatologie des Bewegungsapparates. Seit 2015 ist er Leitender Arzt der Fusschirurgie in der Klinik f\u00fcr Orthop\u00e4die und Traumatologie am Kantonsspital Winterthur. Seine Spezialisierung umfasst unter anderem Hallux-valgus-Korrekturen, Prothetik des Sprunggelenks, arthroskopische Knorpeleingriffe und die Versorgung komplexer Achillessehnen-Verletzungen.<\/em><\/p>\n\n\n\n

<\/p>\n\n\n\n

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Link zur FEELGOOD SEITE<\/a><\/div>\n<\/div>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

Hallux valgus – was nun? Je schiefer eine Grosszehe steht, desto mehr Bereiche des Fusses sind daran beteiligt \u2013 und auch davon betroffen. Im Gespr\u00e4ch er\u00f6rtert Fussspezialist Dr. med. Martin Wiewiorski, was es \u00fcber den Hallux valgus zu wissen gibt. Was gilt medizinisch als Hallux valgus? Martin Wiewiorski: Beim Hallux valgus wandert der erste Mittelfussknochen […]<\/p>\n","protected":false},"author":5,"featured_media":2961,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[10],"tags":[],"class_list":["post-2977","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bericht"],"yoast_head":"\nFeelgood Apothekenmagazin Juni\/Juli 2021 - WinOrtho<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ortho.win\/en\/hallux-valgus-was-nun\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Feelgood Apothekenmagazin Juni\/Juli 2021 - WinOrtho\" \/>\n<meta property=\"og:description\" content=\"Hallux valgus – was nun? 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