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New Persistent Opioid Use Following Common Forefoot Procedures for the Treatment of Hallux Valgus (Bunion)

  • The rate of new persistent opioid use among patients who underwent open treatment of hallux valgus was 6.2%
  • Patients who underwent treatment with a first metatarsal-cuneiform arthrodesis were 1.2 times more likely to have new persistent opioid use than those who underwent distal metatarsal osteotomy.
  • Prescriptions filled before surgery and the amount of opioids prescribed are factors that can be modified by the physician to help counsel at-risk patients.


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Finney FT, Gossett TD, Hu HM, et al. New Persistent Opioid Use Following Common Forefoot Procedures for the Treatment of Hallux Valgus. J Bone Joint Surg Am. 2019;101(8):722-729. doi:10.2106/JBJS.18.00793