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From the American Academy of Orthopaedic Surgeons

Problemas Comunes de los Pies (Common foot problems)

Hallux Valgus

by John S. Gould, MD; Robert H. Fitzgerald, Jr., MD

The hallux valgus deformity is lateral deviation of the phalanx, an increased intermetatarsal angle, and an enlarged medial eminence. The degree of deformity, however, is extremely variable. Surgical management of hallux valgus deformity is determined to a large extent on whether the patient has a congruent or an incongruent joint.

This OKO topic details several surgical options: distal soft-tissue reconstruction (modified McBride bunionectomy), proximal metatarsal osteotomy, Chevron osteotomy, and proximal phalangeal osteotomy (Akin procedure).

Keywords: hallux abductovalgus, HVA, metatarsus primus varus, metatarsus primus adductus, bunion deformity, incidence, mechanism of injury, etiology, classification, diagnosis, patient history, physical examination, imaging, radiography, management, surgical techniques, surgical treatment, nonsurgical treatment, indications, contraindications, distal soft tissue reconstruction, proximal metatarsal osteotomy, chevron osteotomy, proximal phalangeal osteotomy, complications

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