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Background Hallux valgus surgery is common, with recurrence rates of 4% – 78%. Further surgery is costly for individuals and healthcare systems. The study investigates revision surgery risk, further forefoot surgery and 90-day complications of hallux valgus surgery in England. Methods An England population study of 152,061 operations was performed using the Hospital Episode Statistics database (1998-2023). The primary outcome was Kaplan-Meier analysis of revision surgery free survival. Secondary outcomes included 90-day complication rates, mortality and long-term risk of ipsilateral forefoot surgery. Cox proportional hazard modelling was used to identify those at highest risk of further surgery. Results Revision-free survival was 93.1% at 20 years. Higher risk was seen in females (HR 1.12), white patients (HR 1.65), age 40–59 (HR 2.2), and the most deprived groups (HR 1.52). Overall, 4.6% had revision correction and 2.6% underwent fusion. Conclusion Hallux valgus surgery is safe, with low revision risk and complication rates. Level of evidence III
Munro et al. (Fri,) studied this question.