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Related Experiment Video

Updated: Aug 28, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Primary Congenital Hallux Varus: A Step-Cut Surgical Approach.

Panagiotis V Samelis1,2, Panagiotis Kolovos3, Stefania Nikolaou4

  • 1Orthopaedics and Trauma, Children's General Hospital Panagiotis & Aglaia Kyriakou, Athens, GRC.

Cureus
|September 21, 2022
PubMed
Summary

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Congenital hallux varus is a rare condition causing great toe deviation. This case report details a successful surgical correction for a child with bilateral congenital hallux varus and a short first metatarsal.

Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Medical Genetics

Background:

  • Hallux varus, a rare forefoot deformity, involves medial deviation of the great toe's proximal phalanx.
  • It is typically acquired, often resulting from prior hallux valgus surgery, trauma, or systemic diseases.
  • Congenital hallux varus is rare, occurring in isolation or with other congenital anomalies like polysyndactyly.

Observation:

  • This report describes a unique case of bilateral congenital hallux varus in a three-year-old girl.
  • The patient also presented with a concomitant short first metatarsal, adding complexity to the presentation.
  • The deformity involved medial deviation of the proximal phalanx at the metatarsophalangeal joint.

Findings:

  • A novel step-cut soft-tissue surgical technique was employed for correction.
Keywords:
congenitaldeformityfoothalluxvarus

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  • The surgical approach aimed to realign the medial ray of the foot, addressing the hallux varus deformity.
  • Successful alignment was achieved, indicating the efficacy of the described surgical method.
  • Implications:

    • This case expands the understanding of congenital hallux varus presentations, particularly when associated with short first metatarsal.
    • The described surgical technique offers a potential solution for correcting complex congenital hallux varus.
    • Further research into congenital hallux varus and its surgical management in pediatric populations is warranted.