Hallux Valgus

Pablo Wagner Hitschfeld; Emilio Wagner Hitschfeld

doi:10.1007/978-3-030-95738-4_17

Hallux Valgus

Pablo Wagner Hitschfeld^*, Emilio Wagner Hitschfeld

^*Corresponding author for this work

Universidad de los Andes

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Hallux valgus is one of the most common foot deformities. It is very frequent among women and consists of a first metatarsal varus, hallux valgus, and first ray pronation. An inclined joint line can be found as well. Osteotomies are the recommended treatment. Which techniques to choose depends on the deformity severity, presence or absence of first ray pronation, abnormal joint line, and metatarsus adductus. Chevron osteotomy is recommended for intermetatarsal angle up to 14 degrees, with mild or no pronation. PECA osteotomy is recommended for 15-20 degrees of intermetatarsal angle, with mild or no pronation. Promo osteotomy is the technique of choice when moderate or severe pronation is present. When there is tarsometatarsal instability or osteoarthritis, an arthrodesis of the tarsometatarsal joint is recommended (Lapidus technique). Complications, such as hallux valgus relapse, arise when the deformity was not completely addressed, including all variables previously mentioned. Metatarsophalangeal stiffness, nonunion, and infection are complications that can occur with any procedure.

Original language	English
Title of host publication	Foot and Ankle Disorders
Subtitle of host publication	A Comprehensive Approach in Pediatric and Adult Populations
Publisher	Springer International Publishing
Pages	371-407
Number of pages	37
ISBN (Electronic)	9783030957384
ISBN (Print)	9783030957377
DOIs	https://doi.org/10.1007/978-3-030-95738-4_17
State	Published - 1 Jan 2022

Bibliographical note

Publisher Copyright:
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Keywords

Chevron
First ray pronation
Hallux valgus
Hallux valgus relapse
Metatarsal pronation
Promo

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10.1007/978-3-030-95738-4_17

Cite this

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title = "Hallux Valgus",

abstract = "Hallux valgus is one of the most common foot deformities. It is very frequent among women and consists of a first metatarsal varus, hallux valgus, and first ray pronation. An inclined joint line can be found as well. Osteotomies are the recommended treatment. Which techniques to choose depends on the deformity severity, presence or absence of first ray pronation, abnormal joint line, and metatarsus adductus. Chevron osteotomy is recommended for intermetatarsal angle up to 14 degrees, with mild or no pronation. PECA osteotomy is recommended for 15-20 degrees of intermetatarsal angle, with mild or no pronation. Promo osteotomy is the technique of choice when moderate or severe pronation is present. When there is tarsometatarsal instability or osteoarthritis, an arthrodesis of the tarsometatarsal joint is recommended (Lapidus technique). Complications, such as hallux valgus relapse, arise when the deformity was not completely addressed, including all variables previously mentioned. Metatarsophalangeal stiffness, nonunion, and infection are complications that can occur with any procedure.",

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doi = "10.1007/978-3-030-95738-4\_17",

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AU - Hitschfeld, Emilio Wagner

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PY - 2022/1/1

Y1 - 2022/1/1

N2 - Hallux valgus is one of the most common foot deformities. It is very frequent among women and consists of a first metatarsal varus, hallux valgus, and first ray pronation. An inclined joint line can be found as well. Osteotomies are the recommended treatment. Which techniques to choose depends on the deformity severity, presence or absence of first ray pronation, abnormal joint line, and metatarsus adductus. Chevron osteotomy is recommended for intermetatarsal angle up to 14 degrees, with mild or no pronation. PECA osteotomy is recommended for 15-20 degrees of intermetatarsal angle, with mild or no pronation. Promo osteotomy is the technique of choice when moderate or severe pronation is present. When there is tarsometatarsal instability or osteoarthritis, an arthrodesis of the tarsometatarsal joint is recommended (Lapidus technique). Complications, such as hallux valgus relapse, arise when the deformity was not completely addressed, including all variables previously mentioned. Metatarsophalangeal stiffness, nonunion, and infection are complications that can occur with any procedure.

AB - Hallux valgus is one of the most common foot deformities. It is very frequent among women and consists of a first metatarsal varus, hallux valgus, and first ray pronation. An inclined joint line can be found as well. Osteotomies are the recommended treatment. Which techniques to choose depends on the deformity severity, presence or absence of first ray pronation, abnormal joint line, and metatarsus adductus. Chevron osteotomy is recommended for intermetatarsal angle up to 14 degrees, with mild or no pronation. PECA osteotomy is recommended for 15-20 degrees of intermetatarsal angle, with mild or no pronation. Promo osteotomy is the technique of choice when moderate or severe pronation is present. When there is tarsometatarsal instability or osteoarthritis, an arthrodesis of the tarsometatarsal joint is recommended (Lapidus technique). Complications, such as hallux valgus relapse, arise when the deformity was not completely addressed, including all variables previously mentioned. Metatarsophalangeal stiffness, nonunion, and infection are complications that can occur with any procedure.

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KW - First ray pronation

KW - Hallux valgus

KW - Hallux valgus relapse

KW - Metatarsal pronation

KW - Promo

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DO - 10.1007/978-3-030-95738-4_17

M3 - Chapter

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SN - 9783030957377

SP - 371

EP - 407

BT - Foot and Ankle Disorders

PB - Springer International Publishing

ER -

Hallux Valgus

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Keywords

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