[Surgical therapy of hallux valgus in the young and middle-aged female].
OBJECTIVE
To correct hallux valgus in the young or middle-aged female.


METHODS
Through dissecting foot specimens with hallux valgus we found that the intrinsic factor that caused hallux valgus was a "capstan" like mechanism of pressure. In order to eliminate the mechanism of the deformity, we cut off the link between the adductoris hallucis and the hallux completely. The tendon of adductoris hallucis was sutured to the fascial flap of hallucis bursa passing through a hole in the caput of the metatarsus. By this way the adductoris hallucis was fixed to the 1st metatarsus strongly, thus it pulled the 1st metatarsus directly.


RESULTS
Twenty feet received this operation. 18 feet were followed up for 0.5-4 years. The rate of excellent and good results was 100%.


CONCLUSIONS
This operation by suturing the adductoris hallucis with the fascial flap of the hallucis bursa not only can relieve pain but also restore the normal appearance of the foot.
Zhao
E
E
Orthopedic Department, Tongren Hospital, Beijing.
Zhang
S
S
Dai
J
J
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006215:Hallux Valgus / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013524:Surgical Flaps