A retrospective radiographic review was performed of 29 patients (37 feet) who underwent an isolated medial approach for correction of hallux abducto valgus deformity from March 1993 to November 1998. Only those patients who had a traditional Austin-type osteotomy with a reducible first metatarsophalangeal joint and flexible first ray were included in the study. The average follow-up period for...

Adequate correction of hallux valgus may be attempted at various levels of the first ray complex, depending on appropriate determination of the apex of the deformity. Methods of correction may include first metatarsal base osteotomy and first metatarsal head osteotomy as well as uncomplicated first metatarsophalangeal joint soft tissue realignment. In those instances in which the major deformit...

Hallux valgus deformity is an often deformity in which first metatarsophalangeal joint is subluxated due to the lateral deviation of thumb and medial deviation of metatarsal bone. As deformity progresses, it results in function and uniformity loss, with lateral displacement of thumb and deformity of claw toe and hammer toe. Shoes’ pressure on bunion area causes its inflammation and pain. Conser...

OBJECTIVE Treatment of mild and moderate hallux valgus deformities. DISCUSSION Minimally invasive technique enables surgeons to treat mild and moderate hallux valgus deformities with excellent and good results in the majority of patients. Nonunion of first metatarsal, moreover, has only rarely been reported. SUMMARY We describe the essential steps of a surgical technique for the treatment o...

Hallux valgus deformity combined with dorsal dislocation of the second metatarsophalangeal joint is frequently observed in rheumatoid arthritis cases. However, hallux valgus deformity without lesser toe dislocation is also seen in rheumatoid cases. Dislocated second toe cause the loss of the lateral support on the hallux, suggesting the importance to confirm the state of lesser toe MTP joint wh...

Osteotomy of the neck of the first metatarsal bone has been practised for many years in the treatment of hallux valgus. Although various techniques have been described (Hohmann 1948 ; Mitchell, Fleming, Allen, Glenney and Sanford 1958), we are aware of only one detailed report of results (Mitchell et a!. 1958). This paper presents the results of osteotomy in eighty-two feet, and attempts to def...

Objective: To evaluate the clinical and radiological results in the surgical treatment of moderate and severe hallux valgus by performing percutaneous double osteotomy. Materials and methods: A retrospective study was conducted on 45 feet of 42 patients diagnosed with moderate-severe hallux valgus, operated on in a single center and by the same surgeon from May 2009 to March 2013. Tw o patients...

Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient's history and a thorough physical examination are important steps....

Introduction Hypermobility of the first ray is one causative factor in development and recurrence of Hallux valgus[1],[2],[3]. so treated as an important factor in hallux valgus. While most discussions of 1st ray instability refer to sagittal motion [4],[5], [6],[7]. Increased motion may also be present in the axial plan. However, there is no known way of measuring motion of axial plan. In this...

Many surgical procedures exist to correct metatarsus primus varus associated with hallux valgus deformity. Among these procedures are various first metatarsal osteotomies. Both distal and proximal osteotomies have been described to correct these deformities with the latter typically used for the more severe deformity. The goal of the operative procedure is correction of the intermetatarsal and ...