Hallux valgus: images of surgical procedures and algorithmic approach

Abstract

Different types and aetiologies of hallux valgus have been described, as well as several surgical procedures. Surgery outcome depends on correct bone alignment, placing first metatarsal over sesamoid bones, on joint congruity restoration and on soft tissues balancing. Despite surgical treatment, recurrence of deformity is common. Other foot problems may also coexist, such as hammer toe or flatfoot syndrome, metatarsalgia or small joints arthrosis. Surgery is reserved for patients who fail conservative treatment. It consists on soft tissue management and bone procedures. The best surgical correction and fixation techniques are still to be determined. Each patient must be assessed thoroughly and treatment should take into account patient’s deformity, comorbidities and expectations and also surgeon’s experience. This work focuses on an algorithmic approach to hallux valgus surgical treatment.