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Updated: Jun 8, 2026

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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
A new and simplified functional tendon transfer for a dropped hallux
1Department of Burns and Plastic Surgery, Lok Nayak Hospital, New Delhi, India.
Summary
A fractured tibia from a road accident resulted in a dropped hallux. Conservative treatment failed, necessitating surgical intervention for the foot condition. This case details the patient's management.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Road traffic accidents can cause complex lower limb injuries.
- Tibial fractures may present with associated soft tissue or neurological complications.
- A dropped hallux, or foot drop, can significantly impact mobility.
Purpose of the Study:
- To report a case of proximal tibia fracture with a concurrent dropped hallux.
- To describe the management of a dropped hallux following tibial fracture.
- To highlight the treatment pathway for this specific injury combination.
Main Methods:
- Surgical fixation of the tibial fracture.
- Initial conservative management of the dropped hallux for six weeks.
- Surgical intervention for the dropped hallux after conservative failure.
Main Results:
- The tibial fracture was surgically addressed.
- Conservative management of the dropped hallux showed no improvement after six weeks.
- Surgical planning was initiated for the persistent dropped hallux.
Conclusions:
- Complex tibial fractures require careful assessment for associated injuries.
- Conservative management may not be sufficient for all cases of dropped hallux.
- A staged surgical approach may be necessary for combined tibia fracture and dropped hallux.
