Reconstruction of Secondary Type Congenital Hallux Varus with Modification of the Farmer Technique for Cover of Skin Defect: Report of Three Cases

The reconstruction of hallux varus deformity involves the release of contracted medial structure and realignment of the phalange, leaving a significant skin defect which requires cover. Farmer described proximal based rotational skin flap from the first web space to cover the defect. This technique...

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Bibliographic Details
Published inMalaysian orthopaedic journal Vol. 13; no. 3; pp. 72 - 76
Main Authors Sulaiman, A R, Munajat, I, M-Yusuf, H, Nik-Jaffar, Nms, Zarullail, N H, Mohd, E F, Johari, N A
Format Journal Article
LanguageEnglish
Published Malaysia Malaysian Orthopaedic Association 01.11.2019
Subjects
Case Report
congenital
excess skin
extra digit
hallux varus
modified technique
congenital
hallux varus
extra digit
modified technique
excess skin
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Summary:The reconstruction of hallux varus deformity involves the release of contracted medial structure and realignment of the phalange, leaving a significant skin defect which requires cover. Farmer described proximal based rotational skin flap from the first web space to cover the defect. This technique may compromise the circulation to the flap and risk to the lateral digital vessels. We modified his technique to address these issues. We report a successful reconstruction using the Farmer's technique on one patient and a modified technique on three patients. We used the excess skin from the extra digit to cover the medial defect. We found this modified technique of skin cover safe without risk of injuring the neurovascular bundle. There was no recurrence of deformity at last foolow-up. All patients were able to wear normal shoes.
ISSN:1985-2533
2232-111X
DOI:10.5704/MOJ.1911.013