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Techniques for First Metatarsophalangeal Joint Salvage Associated With Failed Hallux Valgus Surgery

Daws, Snow B. MD; Dunaway, Linda APRN, NP-C; Lundeen, Gregory A. MD, MPH

Techniques in Foot & Ankle Surgery: September 2016 - Volume 15 - Issue 3 - p 134–144
doi: 10.1097/BTF.0000000000000129
Special Focus: Revision Forefoot Surgery

The surgical correction of hallux valgus (HV) is one of the most common procedures performed by orthopedic foot and ankle surgeons. There are >100 different operations described in the literature for the management of HV, yet patient dissatisfaction following HV surgery can occur in 4% to 41% of cases. The most common outcomes leading to patient complaints include recurrence of HV, hallux varus, malunion, nonunion, osteonecrosis of the first metatarsal head, first metatarsophalangeal joint stiffness, and pain. This manuscript will present and discuss 4 cases of failed HV treated with joint-sparing secondary procedures. The goal is to use these cases as examples of treatment options available in the management of revision surgery related to previous HV reconstruction. The evaluation of patients with failed HV surgery is discussed, and an overview of the various joint-sparing surgical treatment options is presented.

Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Reno Orthopaedic Clinic, Reno, NV

The authors declare no conflict of interest.

Address correspondence and reprint requests to Gregory A. Lundeen, MD, MPH, Reno Orthopaedic Clinic, 555 N Arlington Ave, Reno, NV 89503. E-mail:

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