Iatrogenic transfer metatarsalgia after hallux valgus surgery: a comprehensive treatment algorithm

Area of Science:

• Orthopedic Surgery
• Podiatric Medicine
• Surgical Complications

Background:

• Hallux valgus surgery literature details various complications and treatments.
• Iatrogenic transfer metatarsalgia is a challenging, under-addressed complication.
• This complication can stem from inadequate preoperative assessment, planning, or surgical technique.

Purpose of the Study:

• To classify the causes of iatrogenic transfer metatarsalgia.
• To recommend a comprehensive treatment algorithm for this complication.
• To aid surgeons in avoiding and managing iatrogenic transfer metatarsalgia.

Main Methods:

• Multiplanar assessment of malalignments causing iatrogenic transfer metatarsalgia.
• Classification of causative factors.
• Development of a treatment algorithm.

Main Results:

• Established a classification system for iatrogenic transfer metatarsalgia causes.
• Proposed a treatment algorithm for surgical correction.
• Highlighted the importance of preoperative assessment and surgical technique.

Conclusions:

• Understanding the causes of iatrogenic transfer metatarsalgia is crucial.
• A structured treatment algorithm can guide surgical management.
• This approach aims to minimize surgical pitfalls and improve patient outcomes.