• Foot Ankle Surg · Mar 2017

    Technique tip: Simultaneous first metatarsal lengthening and metatarsophalangeal joint fusion for failed hallux valgus surgery with transfer metatarsalgia.

    • Ashwin Chowdhary, Lisca Drittenbass, Richard Stern, and Mathieu Assal.
    • Center for Surgery of the Foot & Ankle, Clinique La Colline, Av. de Beau-Séjour 6, Geneva 1206, Switzerland. Electronic address: ashwinchowdhary@hotmail.com.
    • Foot Ankle Surg. 2017 Mar 1; 23 (1): e8-e11.

    BackgroundFailed hallux valgus surgery may result in residual or recurrent hallux valgus, and as well transfer metatarsalgia. The present technical tip concerns the combination of fusion of the first metatarsophalangeal (MTP) joint and lengthening of the first metatarsal (MT) through a scarf osteotomy.Materials And MethodsSix patients underwent the presented technique, all for the indication of failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint.ResultsFollow-up at six months revealed all patients had complete healing of the osteotomy and arthrodesis sites. They were all asymptomatic and fully active, completely satisfied with the outcome.ConclusionsCombined fusion of the first MTP joint and lengthening of the first MT through a scarf osteotomy results in an excellent outcome in patients with failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint.Copyright © 2016 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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