J Korean Foot Ankle Soc.  2019 Jun;23(2):78-81. 10.14193/jkfas.2019.23.2.78.

Technique Tip: A Simple Method to Treat Hallux Valgus with Severe Metatarsus Adductus

  • 1Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea. chpark77@naver.com


Hallux valgus with metatarsus adductus is difficult to treat and has a higher risk of recurrence after correction. Some treatments for hallux valgus with metatarsus adductus have been reported, but these are extensive procedures with a risk of complications associated with the shortening and malposition of the lesser metatarsals. The technique described here is easier to perform and has several advantages over the previously reported techniques.


Hallux valgus; Metatarsus adductus; New technique

MeSH Terms

Hallux Valgus*
Metatarsal Bones


  • Figure 1 Distal fragment is displaced medially using a towel clip placed on the proximal portion of the distal fragment.

  • Figure 2 (A) Intraoperative photograph shows the distal fragment was medially translated. (B) Fluoroscopic image shows medial displacement and lateral angulation of the distal fragment.

  • Figure 3 The bunion is removed and a bone graft is prepared using resected bunion, and is placed in the gap of the osteotomy site.

  • Figure 4 The bunion is removed and a bone graft is prepared using resected bunion, and is placed in the gap of the osteotomy site.

  • Figure 5 (A) Conventional proximal chevron osteotomy. Reduction is commonly performed with lateral angulation and lateral translation of the distal fragment to reduce the first and second intermetatarsal spaces. (B) Our new technique is similar to proximal chevron osteotomy. Instead of lateral translation of the distal fragment, medial translation is performed for obtaining sufficient space to laterally angulate distal fragment.


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