Pes Adductus and Hallux Valgus: What to Do?

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Foot and Ankle Deformities

Background:

• Metatarsus adductus is a frequent congenital foot deformity that often resolves during childhood growth.
• Persistent metatarsus adductus can be associated with hallux valgus (HV) and other lateral toe deformities.
• A significant prevalence (30%) of increased metatarsal angle (MTA) is observed in patients with HV.

Purpose of the Study:

• To evaluate the challenges and outcomes of surgical correction for hallux valgus (HV) associated with metatarsus adductus (MTA).
• To emphasize the necessity of addressing all concurrent deformities (HV, MTA, lateral toes) in a single surgical setting.
• To explore the potential of minimal invasive surgery for correcting complex foot deformities.

Main Methods:

• Review of surgical approaches for combined hallux valgus and metatarsus adductus.
• Analysis of outcomes associated with traditional and minimal invasive surgical techniques.
• Focus on concurrent correction of HV, MTA, and lateral toe deformities.

Main Results:

• Correction of combined hallux valgus and metatarsus adductus presents surgical challenges with historically disappointing outcomes.
• Minimal invasive surgery offers a potentially efficient method for correcting hallux valgus deformity.
• A comprehensive surgical strategy addressing all deformities simultaneously is crucial for optimal results.

Conclusions:

• Surgical correction of hallux valgus associated with metatarsus adductus is complex and requires addressing all deformities.
• Minimal invasive techniques may improve the efficiency and outcomes of hallux valgus correction in these cases.
• Further research into combined deformity correction strategies is warranted.