Role of Coronal Plane Malalignment in Hallux Valgus Correction

Pablo Wagner*, Emilio Wagner

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

22 Scopus citations

Abstract

Coronal malalignment is an important deformity parameter in hallux valgus feet. Approximately 90% of patients with hallux valgus have some degree of metatarsal pronation. In operated hallux valgus, persistent metatarsal pronation is an independent deformity relapse factor. Coronal malalignment can be identified through an anteroposterior (AP) weight-bearing foot radiograph and a weight-bearing forefoot scan. The AP foot view can identify 3 levels of rotation: mild, moderate and severe metatarsal pronation. Regarding the treatment options, some techniques are capable of rotational correction, such as the proximal rotational metatarsal osteotomy, Lapidus, dome osteotomy, and proximal oblique sliding closing wedge.

Original languageEnglish
Pages (from-to)69-77
Number of pages9
JournalFoot and Ankle Clinics
Volume25
Issue number1
DOIs
StatePublished - Mar 2020

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.

Keywords

  • Deformity relapse rate
  • Hallux valgus
  • Metatarsal pronation
  • Osteotomy
  • PROMO

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