Postoperative Opioid Use Is Uncommon After Third- and Fourth-Generation Percutaneous Hallux Valgus Surgery: A Prospective Single-Surgeon Case Series

In this prospective case series within a standardized care pathway, most patients did not require opioids, and high-potency opioids were rarely used. Routine prescription of high-potency opioids after third/fourth-generation percutaneous hallux valgus correction may be unnecessary for most patients in similar settings. Hardware-related findings should be interpreted cautiously because the screw design and osteotomy technique changed during the study period, which may have confounded comparisons.