ii) Operative decision making in hallux valgus

Abstract As over 130 procedures have been described for the treatment of hallux valgus, understandably the subject can be confusing, especially to the trainee. A surgeon treating hallux valgus must have a decision-making strategy to ensure that the wide variety of deformities seen is correctly treated. We have redeveloped a treatment algorithm for hallux valgus expanding on the principles outlined by Mann to include the key clinical and radiological features that must be assessed in each case. By following these guidelines on the assessment of the individual patient's foot, the correct type of procedure can be tailor-made for that particular patient.

[1]  S. Eustace,et al.  Radiographic features that enable assessment of first metatarsal rotation: the role of pronation in hallux valgus , 2004, Skeletal Radiology.

[2]  Barouk Ls.  Scarf osteotomy for hallux valgus correction. Local anatomy, surgical technique, and combination with other forefoot procedures. , 2000 .

[3]  T. Daniels,et al.  Effect of Increasing Distal Medial Closing Wedge Metatarsal Osteotomies on the Distal Metatarsal Articular Angle , 1999, Foot & ankle international.

[4]  R. Mann,et al.  Biplanar Chevron Osteotomy , 1998, Foot & ankle international.

[5]  M. Stephens,et al.  Basal metatarsal osteotomy for hallux valgus. , 1994, The Journal of bone and joint surgery. British volume.

[6]  N. Maffulli,et al.  Chevron or Wilson metatarsal osteotomy for hallux valgus. A prospective randomised trial. , 1993, The Journal of bone and joint surgery. British volume.

[7]  V. J. Sammarco,et al.  Bunion Correction Using Proximal Chevron Osteotomy , 1993, Foot & ankle.

[8]  Wilson Roberto Rossi,et al.  Chevron Osteotomy for Hallux Valgus , 1992, Foot & ankle.

[9]  R. Mann,et al.  Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up. , 1992, The Journal of bone and joint surgery. American volume.

[10]  F. Lokiec,et al.  Chevron osteotomy in the treatment of hallux valgus. , 1991, The Journal of foot surgery.

[11]  R A Mann,et al.  Decision-making in bunion surgery. , 1990, Instructional course lectures.

[12]  D. Barrett,et al.  Avascular necrosis following chevron distal metatarsal osteotomy: a significant risk? , 1989, The Journal of foot surgery.

[13]  Wu Kk.  Mitchell bunionectomy: an analysis of four hundred and thirty personal cases plus a review of the literature. , 1987 .

[14]  K. A. Johnson,et al.  Chevron Osteotomy: Analysis of Factors in Patients' Dissatisfaction , 1985, Foot & ankle.

[15]  E Y Chao,et al.  Mitchell Osteotomy for Hallux Valgus: Long-term Follow-up and Gait Analysis* , 1983, Foot & ankle.

[16]  R A Mann,et al.  Hallux valgus--etiology, anatomy, treatment and surgical considerations. , 1981, Clinical orthopaedics and related research.

[17]  R. Lewis,et al.  Modified chevron osteotomy of the first metatarsal. , 1981, Clinical orthopaedics and related research.

[18]  D. FitzPatrick,et al.  The Mitchell distal metatarsal osteotomy for hallux valgus. , 1980, The Journal of bone and joint surgery. British volume.

[19]  B. Morrey,et al.  Chevron osteotomy for hallux valgus. , 1979, Clinical orthopaedics and related research.

[20]  Wright Jd.  A ten-year review of Keller's operation. Review of Keller's operation at the Princess Elizabeth Orthopaedic Hospital, Exeter. , 1972 .

[21]  C. Mitchell,et al.  Osteotomy-bunionectomy for hallux valgus. , 1958, The Journal of bone and joint surgery. American volume.

[22]  M. Cleveland,et al.  SURGICAL TREATMENT OF HALLUX VALGUS IN TROOPS IN TRAINING AT FORT JACKSON DURING THE YEAR OF 1942 , 1944 .