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

• Published in: Journal 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
• Language: English
• 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
• DOI: 10.7547/15-015

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.