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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Bilateral hallux varus deformity correction with a suture button construct.

Andrew R Hsu¹, Christopher E Gross, Johnny L Lin

¹Resident, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois. johnny.lin@rushortho.com.

American Journal of Orthopedics (Belle Mead, N.J.)

|March 26, 2013

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This case study presents a rare instance of bilateral hallux varus, a toe deformity, developing after bunion surgery and pregnancy. Surgical correction using the Mini TightRope device proved successful, relieving pain and restoring function.

Area of Science:

Orthopedic Surgery
Foot and Ankle Reconstruction
Podiatric Medicine

Background:

Hallux varus deformity often arises from overcorrection during hallux valgus surgery.
Flexible hallux varus can be managed with soft-tissue procedures like tendon transfers.
Previous literature lacks reports of bilateral hallux varus linked to pregnancy-related laxity and iatrogenic injury.

Observation:

A patient developed isolated bilateral hallux varus following pregnancy and prior bunion surgery.
This presentation is unique due to the combination of factors: pregnancy-induced ligamentous laxity and surgical iatrogenic injury.

Findings:

Simultaneous surgical correction of bilateral hallux varus was performed using the Mini TightRope device.
The procedure resulted in successful pain relief for the patient.

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The patient experienced a return to regular activities and ability to wear normal footwear.

Implications:

This case highlights a rare complication of hallux valgus surgery in the context of pregnancy.
The Mini TightRope device offers a viable surgical option for correcting complex bilateral hallux varus.
Further research may explore the interplay of hormonal changes and surgical interventions in foot deformities.