Complications After Surgery of the Hallux

Osteodesis for Hallux Valgus Correction: Is it Effective?

“…Although the pathogenesis of metatarsus primus deformity lies in the soft tissues and osteotomy has its related complications [23], the osteotomy has been the more preferred approach to metatarsus primus varus correction [19,20]. This is partly owing to variable results reported with the myriad of available soft tissue procedures [15].…”

Correction of Recurred Hallux Valgus Deformity by Endoscopic Distal Soft Tissue Procedure

“…1 It requires correction of bony alignment, restoration of joint congruity, and achievement of soft tissue balance. 1,2 It is important to reduce the sesamoids beneath the first metatarsal head because the sesamoids lie within the tendons of the flexor hallucis brevis muscle. Residual lateral position of these bones indicates that the flexor hallucis brevis is producing a valgus force on the proximal phalanx.…”

“…Residual lateral position of these bones indicates that the flexor hallucis brevis is producing a valgus force on the proximal phalanx. 1,2 Moreover, adequate release of soft tissues is important; otherwise, the intact lateral capsule and adductor hallucis tendon can maintain a continuing valgus force. 3 Recently, an arthroscopyassisted hallux valgus deformity correction with percutaneous screw fixation has been reported.…”

“…[3][4][5] It is also contraindicated in patients with joint stiffness after the bunion surgery, including hallux rigidus, chondrolysis, and severe degenerative joint disease. 2 Recurrence after excessive removal of the bunion and a large defect in the articular surface of the metatarsal head is another contraindication. 2 If the hallux valgus deformity is corrected and the sesamoid bones are reduced, the medial sesamoid bone may not be supported beneath the metatarsal because of the surgical absence of the medial portion articular surface.…”

“…2 Recurrence after excessive removal of the bunion and a large defect in the articular surface of the metatarsal head is another contraindication. 2 If the hallux valgus deformity is corrected and the sesamoid bones are reduced, the medial sesamoid bone may not be supported beneath the metatarsal because of the surgical absence of the medial portion articular surface. The medial sesamoid bone may dislocate dorsomedially, locking the great toe in a position of extension and varus.…”