J Korean Foot Ankle Soc.  2017 Jun;21(2):50-54. 10.14193/jkfas.2017.21.2.50.

Complications after Surgical Correction of Hallux Valgus

• Bae SY
• Lee OJ

• KMID: 2382424
• DOI: http://doi.org/10.14193/jkfas.2017.21.2.50

Abstract

The goal of surgical correction for hallux valgus is to achieve a painless, shoe-wearable, and relatively straight toe with a balanced joint motion that results in aesthetically and functionally satisfactory toe. To date, there has not been a consensus on the ultimate surgical procedure for hallux valgus correction. Unfortunately, such a consensus may be difficult since it is not uncommon to encounter complications after hallux valgus correction. Postoperative soft tissue complications include difficult wound healing, infection, hypertrophy, or pain of the scar, joint stiffness, and tendon or sensory nerve damage. Postoperative bony complications include malunion, nonunion, failure of fixation, failure of angle correction, recurred deformity, osteomyelitis, and failure of balance between the metatarsal heads. Herein, we review common complications after surgical correction of hallux valgus, such as stiff joint, bony complications, recurrence of the deformity, and hallux varus.

Keyword

Hallux valgus; Complications

MeSH Terms

Cicatrix
Congenital Abnormalities
Consensus
Hallux Valgus*
Hallux Varus
Hallux*
Head
Hypertrophy
Joints
Metatarsal Bones
Osteomyelitis
Recurrence
Tendons
Toes
Wound Healing

Figure

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  Figure 1 Several soft tissue and bony complications after hallux valgus correction surgery. AVN: avascular necrosis.

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  Figure 2 Insufficient correction of hallux valgus deformity (A) in a 75-year-old female patient was treated with metatarsophalangeal joint arthrodesis (B).

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  Figure 3 Recurred hallux valgus deformity (middle) after proximal osteotomy (A) was treated with proximal arthrodesis (B).

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  Figure 4 Additional proximal metatarsal and Akin osteotomies and combined lesser toe correction procedures were performed (B) to correct recurred hallux valgus (A).

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  Figure 5 Hallux varus deformity (A) was corrected by reverse chevron osteotomy and lateral sliding osteotomy of proximal phalanx at a same time (B).

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