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Acquired hallux varus and clinical tolerability
H J Trnka1, R Zettl, M Hungerford
1Orthopaedic Hospital, Gersthof, Vienna, Austria.
Foot & Ankle International
|October 6, 1997
Summary
Iatrogenic hallux varus, a complication of foot surgery, rarely causes long-term issues. Most patients with this condition experience good outcomes, with only severe cases requiring further intervention.
Area of Science:
- Orthopedics
- Podiatry
- Surgical Complications
Background:
- Iatrogenic hallux varus can occur after surgery for hallux valgus or metatarsus primus varus.
- Long-term outcomes for this specific complication are not well-documented.
Purpose of the Study:
- To evaluate the long-term clinical problems, residual disability, and surgical needs in patients who developed iatrogenic hallux varus.
Main Methods:
- Retrospective study of 83 patients undergoing foot surgery between 1975-1985.
- Identified 16 patients (19 feet) with iatrogenic hallux varus at 1-year follow-up.
- Re-examined 13 patients (16 feet) an average of 18.3 years post-surgery.
Main Results:
- Average hallux varus deformity was 10.1 degrees at long-term follow-up.
- Eleven patients (12 feet) reported excellent results.
- Average hallux metatarsophalangeal interphalangeal score was 91.5 points.
Conclusions:
- Iatrogenic hallux varus generally has favorable long-term outcomes.
- Only patients with extreme deformity reported dissatisfaction or needed revision surgery.