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Updated: Oct 4, 2025

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Post-Traumatic Hallux Valgus: A Modified Surgical Technique.

Zylyftar Gorica1, Kimberly McFarland2, John S Lewis3

  • 1Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia, U.S.A.

Arthroscopy Techniques
|February 7, 2022
PubMed
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Post-traumatic hallux valgus, a rare injury, can result from medial collateral ligament tears. A novel surgical technique using an all-suture anchor offers a stronger repair for improved recovery and return to activity.

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.

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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.