Surgical correction of hallux valgus complicated with adult-type pes plano-valgus.
To investigate the efficiency of simultaneous correction of moderate to severe hallux valgus deformity and adult-type pes planus.



Twenty cases of moderate to severe hallux valgus complicated with adult-type pes planus in 19 consecutive patients (15 (79%) women, 4 (11%) men; mean age: 44.50 ± 17.13 years, mean follow-up duration: 31.30 ± 17.02 months) were included. Medial calcaneal sliding osteotomy was performed to correct hindfoot valgus, whereas treatments of hallux valgus were case dependent.



The mean postoperative hallux valgus angle, intermetatarsal angle, hindfoot alignment angle, and hindfoot alignment ratio were 8.40 ± 5.29°, 4.20 ± 2.54°, 3.09 ± 2.92º and 0.41 ± 0.17, respectively. Although a hallux varus deformity occurred as a postoperative complication in one case (5%), there were no cases of postoperative recurrence.



Simultaneous correction of hallux valgus and pes plano-valgus using medial calcaneal sliding osteotomy is an effective technique that reduces recurrence of hallux valgus and increases satisfaction in patients with moderate to severe hallux valgus deformity complicated with adult-type pes planus accompanying hindfoot valgus.
1 W Institute for Foot and Ankle Disease and Trauma, W Hospital, Daegu, South Korea.
Jun Young
JY
Choi
2 Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, South Korea.
Hyeong Hwa
HH
Yoon
3 Wesleyan University, Middletown, CT, USA.
Yu Min
YM
Suh
1 W Institute for Foot and Ankle Disease and Trauma, W Hospital, Daegu, South Korea.
Jin Soo
JS
Suh
D000293:Adolescent; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D005413:Flatfoot / Q000150:complications / Q000601:surgery*; D006215:Hallux Valgus / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
forefoot disorders; outcome studies; statistical analysis