Sponsor
The aim of surgical treatment of a hallux valgus deformity is to realign the bones of the big toe. This typically involves cutting or performing an osteotomy of the metatarsus and proximal phalanx (usually a Scarf and Akin osteotomy), correcting the alignment and then fixing the osteotomies with screws. A small percutaneous cut is also made over the space between the 1st and 2nd toes to release the soft tissue on the lateral side of the metatarsophalangeal joint to aid reduction of the deformity. For patients with an advanced hallux valgus deformity which is not passively corrigible and or have symptomatic associated arthritis, a corrective fusion of the 1st metatarsophalangeal joint may be necessary. This is generally well tolerated and not functionally noticeable, because the joint often already has limited movement due to the severity of the deformity.