Operative Approach to Adult Hallux Valgus Deformity: Principles and Techniques.

ABSTRACT
- Hallux valgus deformity is a progressive forefoot deformity consisting of a prominence derived from a medially deviated first metatarsal and laterally displaced great toe, with or without pronation. Although there is agreement that the deformity is likely caused by multifactorial intrinsic and extrinsic factors, the best method of operative management is debated despite the creation of basic algorithms. Our understanding of the deformity and the development of newer techniques is continuously evolving. Here, we review the general orthopaedic principles of operative decision-making and management of hallux valgus deformity.

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Hallux Valgus Complications 2nd MT transfer metatarsalgia QID: 219459 (OBQ23.32)

QID 219459 (Type "219459" in App Search)

A 58-year-old female presents with left foot pain and bunion deformity. After discussing the various available procedures, the patient undergoes a modified Lapidus procedure involving a metatarsocuneiform arthrodesis with a distal modified McBride procedure (Figure A). One year later, the patient presents with forefoot pain and abnormal callous formation along their foot in the area denoted (Figure B). What is the likely cause of this patient’s current symptoms?

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Excessive lateral capsular release with overtightening of the medial capsule

21/774

Functional load transfer from altered forefoot biomechanics

93%

716/774

Cutaneous nerve injury during soft tissue releases

16/774

Iatrogenic transecting of the flexor hallucis longus tendon

9/774

Avascular necrosis secondary to iatrogenic vascular injury

8/774

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