PROSPECT provides clinicians with supporting arguments for and against the use of various interventions in postoperative pain based on published evidence and expert opinion. Clinicians must make judgements based upon the clinical circumstances and local regulations. At all times, local prescribing information for the drugs referred to must be consulted.
Grades of recommendation are assigned according to the overall LoE on which the recommendations are based, which is determined by the quality and source of evidence: Relationship between quality of the study and levels of evidence (LoE) and grades of recommendation.
Hallux valgus is a common forefoot deformity characterised by a medial prominence of the first metatarsus head and a valgus deviation of the first toe, with a prevalence of up to 33% in the general population (Torkki 2001). Hallux valgus repair is a frequently performed orthopaedic surgery in industrialised countries, which is associated with moderate-to-severe postoperative pain that may influence recovery.
The aim of this guideline is to provide clinicians with robust evidence for optimal pain management after hallux valgus repair. There are no previously published formal guidelines specifically for pain management after hallux valgus repair. A systematic review previously assessed the evidence for analgesic interventions following ankle and foot surgery for in- and outpatients, but was not specific to hallux valgus repair (Wang 2015).