Simple Technique for Correction of Neglected Congenital Hallux Varus Deformity

Abstract

Hallux varus is an uncommon deformity in which the great toe is angled medially at the metatarsophalangeal joint. It exists in congenital as well as acquired forms. Congenital hallux varus is less common than the acquired type and is best addressed in infancy. If the deformity is not addressed early, or is undercorrected, the soft tissue imbalance will create osseous changes that maintain the deformity into adolescence or adulthood. Presentation of such neglected congenital hallux varus in adolescence or adulthood is rare. Its true incidence is not known. Several procedures have been described in the literature to correct congenital hallux varus presenting in infancy. To our knowledge, however, there is no recommended management strategy for correction of congenital hallux varus deformity presenting in adolescence or adulthood. In this article we describe an innovative technique to correct neglected congenital hallux varus by a simple, inexpensive, and reproducible method, which does not require plastic surgery.Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.

Congenital Hallux Varus: A Rare Prenatal Detection and Postnatal Management

“…If the deformity is not addressed at the earliest or is under-corrected, the soft-tissue imbalance creates osseous changes and soft-tissue contractures lead to persistent deformity in adulthood. 7 Patients experience pain and difficulty with footwear if this condition is left untreated. This condition may recur even after the operative procedure secondary to under-corrections or recurrence.…”