title: Surgical Reconstruction of the Forefoot with Hallux Valgus Associated with Metatarsus Adductus.
abstract: Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes.
authors.affiliation: Department of Podiatry, University of Seville, Seville, Spain
authors.forename: Luis M
authors.initials: LM
authors.lastname: Gordillo-Fernández
authors.affiliation: Department of Podiatry, University of Seville, Seville, Spain
authors.forename: Mercedes
authors.initials: M
authors.lastname: Ortiz-Romero
authors.affiliation: Department of Podiatry, University of Seville, Seville, Spain
authors.forename: Jose Luis S M Salcini
authors.initials: JL
authors.lastname: Macías
authors.affiliation: Department of Human Anatomy and Histology, Domingo Miral s/n. Faculty of Medicine, University of Zaragoza, Zaragoza, Spain
authors.forename: José
authors.initials: J
authors.lastname: Valero-Salas
authors.affiliation: Department of Podiatry, University of Seville, Seville, Spain
authors.forename: Julia
authors.initials: J
authors.lastname: Álvarez-Pérez
authors.affiliation: Department of Podiatry, University of Seville, Seville, Spain
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Fernández-Garzón
mesh_terms: D005500:Follow-Up Studies; D005545:Forefoot, Human / Q000000981:diagnostic imaging / Q000601:surgery*; D006215:Hallux Valgus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D000070592:Metatarsus Varus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome