The Syndesmosis Procedure Correction of Hallux Valgus Feet Associated With the Metatarsus Adductus Deformity

Abstract

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A Soft Tissue Syndesmosis Procedure Salvaging a Failed Osteotomy Procedure for Hallux Valgus Deformity Correction: A Case Report

“…8 , 16 The cause of MPV deformity itself is deemed the failure of the first metatarsal stabilizing ligaments. 7 , 12 , 15 The weak stabilizing ligaments can be attributed to heredity, female estrogen, and degeneration. Many precipitating factors can cause the ligaments to fail, such as shoes, long first metatarsal, increased DMAA angle, round metatarsal head, medially angled metatarsocuneiform joint, etc.…”

“…The surgical principle of the syndesmosis procedure to realign the first metatarsal with 1-2 intermetatarsal cerclage sutures and to induce a 1-2 intermetatarsal syndesmosis-like bonding formation has been shown to be effective. 12 , 15 , 16 Although the soft tissue syndesmosis procedure has been found effective in realigning the first metatarsal and preventing MPV recurrence, its residual HV deformity above 15 degrees has been reported to be around 35%. This high HV deformity recurrence rate has been explained in past studies.…”