Title : A novel approach to hallux varus repair
Abstract:
Introduction: Hallux varus, characterized by the medial deviation of the great toe, often results from the surgical overcorrection of hallux valgus deformities. Addressing this condition poses a significant challenge due to the need for complex surgical correction that maintains joint function and stability. While traditional treatments like 1st metatarsophalangeal joint (MPJ) fusion effectively stabilize the joint, they limit range of motion. Alternative options such as tendon transfers and reverse osteotomies offer varying degrees of success but involve prolonged recovery times. To tackle these issues, our study aims to introduce a novel surgical technique to correct hallux varus by fixing the lateral collateral ligament with a bone anchor and slightly mobilizing the extensor tendon laterally while loosening the medial joint capsule. We hypothesize that this technique will reduce patient recovery time and correct hallux varus without imposing functional limitations.
Methods: Our comprehensive review of existing surgical techniques for hallux varus correction included traditional methods like joint fusion, tendon transfers, and capsulorrhaphy. These were compared to our proposed method which was applied to a clinical case of Hallux Varus focusing on stabilizing the lateral collateral ligament using bone anchor fixation and realigning the extensor tendon.
Results: Our study demonstrated that our proposed technique preserves the range of motion by avoiding joint fusion and provides stability through bone anchor fixation, potentially leading to quicker recovery. Importantly, the method maintains joint integrity, allowing for future treatments if needed. Initial outcomes suggest that long-term stability and function can be achieved with precise surgical technique, but its effectiveness requires validation through further clinical trials.
Discussion: Our novel technique of fixing the lateral collateral ligament with a bone anchor and lateral mobilization of the extensor tendon offers a promising alternative to traditional methods. However, it requires precise surgical execution and careful patient selection. Further studies are necessary to establish its safety and efficacy compared to existing methods.
Clinical Relevance: This innovative approach to hallux varus repair has the potential to reduce recovery time and preserve joint function, representing a significant advancement in the surgical management of this condition.
