Surgical Reconstruction of the Forefoot with Hallux Valgus Associated with Metatarsus Adductus

Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the...

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Published inJournal of the American Podiatric Medical Association Vol. 106; no. 4; p. 289
Main Authors Gordillo-Fernández, Luis M, Ortiz-Romero, Mercedes, Macías, Jose Luis S M Salcini, Valero-Salas, José, Álvarez-Pérez, Julia, Fernández-Garzón, Álvaro
Format Journal Article
LanguageEnglish
Published United States 01.07.2016
Subjects
Follow-Up Studies
Forefoot, Human - diagnostic imaging
Forefoot, Human - surgery
Hallux Valgus - complications
Hallux Valgus - diagnostic imaging
Hallux Valgus - surgery
Humans
Male
Metatarsus Varus - complications
Metatarsus Varus - diagnostic imaging
Metatarsus Varus - surgery
Middle Aged
Osteotomy - methods
Plastic Surgery Procedures - methods
Risk Assessment
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes.
ISSN:1930-8264
DOI:10.7547/15-015