Post-Traumatic Hallux Valgus: A Modified Surgical Technique

Area of Science:

• Orthopedics
• Sports Medicine
• Foot and Ankle Surgery

Background:

• Post-traumatic hallux valgus is a rare, debilitating condition often linked to turf toe variants and ligamentous injuries.
• Acute medial collateral ligament tears can lead to post-traumatic hallux valgus, with variable treatment approaches documented.
• Previous treatments include direct ligament repair or modified McBride bunionectomy; however, a stronger repair method is needed.

Purpose of the Study:

• To introduce and evaluate a modified surgical technique for post-traumatic hallux valgus secondary to medial collateral ligament tears.
• To assess the efficacy of an all-suture anchor in enhancing the strength and durability of medial capsular and ligamentous repair.
• To provide a reliable treatment option for athletes and active individuals suffering from this specific foot deformity.

Main Methods:

• A modified McBride bunionectomy technique was employed, incorporating an all-suture anchor for medial capsular and ligamentous repair.
• The technique was applied to a patient with confirmed medial ligamentous complex injury of the hallux via MRI, who had not responded to conservative management.
• Postoperative care involved immobilization followed by a structured rehabilitation program focusing on range of motion, strengthening, and return to sport.

Main Results:

• The all-suture anchor technique aims to provide a robust repair capable of withstanding the demands of ambulation and athletic activities.
• The patient underwent the proposed surgical procedure with subsequent immobilization and rehabilitation.
• The study anticipates a successful return to full activity and sports for the patient following the prescribed recovery protocol.

Conclusions:

• The proposed modified technique utilizing an all-suture anchor represents a promising advancement in treating post-traumatic hallux valgus secondary to medial collateral ligament tears.
• This method offers a potentially stronger and more reliable surgical repair compared to existing treatments.
• Further investigation and case studies are warranted to validate the long-term efficacy and widespread applicability of this technique in orthopedic and sports medicine practices.