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Modified Van Nes procedure for hallux valgus.

B M Salocker¹, R P Salocker, M S Lucas

¹Department of Podiatric Surgery, Trinity Regional Hospital, Fort Dodge, Iowa.

The Journal of Foot Surgery

|September 1, 1988

Summary

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This study presents a modified Van Nes procedure to correct hallux valgus and metatarsus primus varus. The technique effectively reduces the intermetatarsal angle and plantarflexes the first metatarsal, improving radiographic evaluation.

Area of Science:

Orthopedic Surgery
Foot and Ankle Surgery
Skeletal Biomechanics

Background:

Hallux valgus and metatarsus primus varus are common foot deformities.
The Van Nes procedure is a surgical option, but modifications may improve outcomes.

Purpose of the Study:

To describe a modified Van Nes procedure for hallux valgus with metatarsus primus varus.
To evaluate the efficacy of this modified surgical technique.

Main Methods:

Description of a modified Van Nes procedure.
Preoperative criteria and surgical technique details.
Statistical review of 100 surgical cases.
Introduction of a new radiographic measurement angle.

Main Results:

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The modified procedure effectively closes the intermetatarsal angle.
Plantarflexion of the first metatarsal is achieved.
Radiographic evaluation is enhanced by a new measurement angle.

Conclusions:

The modified Van Nes procedure offers a viable surgical solution for hallux valgus with metatarsus primus varus.
The technique demonstrates positive outcomes in a series of 100 cases.
A novel radiographic angle aids in surgical planning and outcome assessment.