Technique tip: Simultaneous first metatarsal lengthening and metatarsophalangeal joint fusion for failed hallux valgus surgery with transfer metatarsalgia.
BACKGROUND
Failed hallux valgus surgery may result in residual or recurrent hallux valgus, and as well transfer metatarsalgia. The present technical tip concerns the combination of fusion of the first metatarsophalangeal (MTP) joint and lengthening of the first metatarsal (MT) through a scarf osteotomy.


METHODS
Six patients underwent the presented technique, all for the indication of failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint.


RESULTS
Follow-up at six months revealed all patients had complete healing of the osteotomy and arthrodesis sites. They were all asymptomatic and fully active, completely satisfied with the outcome.


CONCLUSIONS
Combined fusion of the first MTP joint and lengthening of the first MT through a scarf osteotomy results in an excellent outcome in patients with failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint.
Center for Surgery of the Foot & Ankle, Clinique La Colline, Av. de Beau-Séjour 6, Geneva 1206, Switzerland. Electronic address: ashwinchowdhary@hotmail.com.
Ashwin
A
Chowdhary
Center for Surgery of the Foot & Ankle, Clinique La Colline, Av. de Beau-Séjour 6, Geneva 1206, Switzerland.
Lisca
L
Drittenbass
Center for Surgery of the Foot & Ankle, Clinique La Colline, Av. de Beau-Séjour 6, Geneva 1206, Switzerland.
Richard
R
Stern
Center for Surgery of the Foot & Ankle, Clinique La Colline, Av. de Beau-Séjour 6, Geneva 1206, Switzerland; Faculté de Médecine, University of Geneva Medical Center, Rue Gabrielle-Perret-Gentil 4, Geneva 1205, Switzerland.
Mathieu
M
Assal
D001174:Arthrodesis / Q000379:methods*; D001852:Bone Lengthening / Q000379:methods*; D006215:Hallux Valgus / Q000150:complications / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000601:surgery*; D037061:Metatarsalgia / Q000209:etiology / Q000601:surgery*; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D010027:Osteotomy
Failed hallux valgus surgery; Hallux valgus; Metatarsal lengthening; Metatarsophalangeal joint fusion; Transfer metatarsalgia