The Journal of Bone and Joint Surgery, Vol 65, Issue 7 975-980, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Dorsal bunions in children
DW McKay
Iatrogenic dorsal bunions in children, observed mostly after operations for
post-poliomyelitic paralysis or club foot, have been successfully treated
by an operation in which the tendons of the flexor brevis and the abductor
and adductor muscles of the hallux are transferred to the neck of the first
metatarsal. This is supplemented by removal of the sesamoids, capsulotomy
of the metatarsophalangeal joint, and when necessary by arthrodesis or
tenodesis of the metatarsophalangeal joint. In seventeen feet treated in
this way only one failure, in a patient with arthrogryposis, was recorded.