Simultaneous Decompression of Hallux Rigidus and Correction of Hallux Valgus Deformity with an Oblique Osteotomy: A Case Report

Hallux rigidus and hallux valgus are challenging clinical entities and represent a particularly difficult dilemma when presenting simultaneously. There is no consensus among surgeons as to a surgical correction for the concomitant treatment of both diagnoses. In this article, we present a case involving a young, active patient with hallux valgus and hallux rigidus who underwent surgical correction involving an oblique, distal-dorsal to plantar-proximal shortening metatarsal osteotomy, which allowed for de-angulation of the hallux valgus deformity and decompression of the first metatarsophalangeal joint. We describe the procedure in detail and provide clinical outcomes. The patient’s pain level, function, and cosmesis all improved postoperatively.