Hallux valgus repair. DuVries modified McBride procedure

Area of Science:

• Orthopedic Surgery
• Podiatry
• Surgical Techniques

Background:

• Hallux valgus deformity affects numerous patients, often necessitating surgical intervention.
• The McBride procedure is a common surgical approach, with modifications aimed at improving outcomes.
• Patient-reported outcomes and radiographic measures are crucial for evaluating surgical success.

Purpose of the Study:

• To evaluate the efficacy and patient satisfaction of the DuVries modification of the McBride procedure for hallux valgus.
• To assess the radiographic and functional outcomes following the surgical intervention.
• To identify patient subgroups that benefit most from this specific surgical technique.

Main Methods:

• A retrospective analysis of 72 feet in 47 patients undergoing the DuVries modification of the McBride procedure.
• Preoperative and postoperative assessment of hallux valgus angle and intermetatarsal angle.
• Evaluation of patient satisfaction, resolution of plantar keratosis, and functional status.

Main Results:

• High patient satisfaction rate (92%) with significant reduction in hallux valgus and intermetatarsal angles.
• Resolution of intractable plantar keratosis in 19 of 20 feet.
• Improved ability for unrestricted shoe wear and increased patient activity levels in a majority of cases.

Conclusions:

• The DuVries modification is a successful surgical option for hallux valgus, particularly for deformities under 30 degrees.
• Consideration of proximal metatarsal osteotomy is advised for more severe hallux valgus deformities.
• The procedure leads to significant functional improvements and high patient satisfaction.