The Journal of Bone and Joint Surgery (American). 2007;89:82-89.
doi:10.2106/JBJS.G.00483
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Correction of Hallux Valgus Using Lateral Soft-Tissue Release and Proximal Chevron Osteotomy Through a Medial Incision

Woo-Chun Lee, PhD, MD and Yu-Mi Kim, MD

Corresponding author:
Woo-Chun Lee, PhD, MD
Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University, 82, Jeo-dong, Jung-gu, Seoul, 100-032, Korea.
E-mail address: wclee@seoulpaik.ac.kr

The first 150 words of the full text of this article appear below.


   Introduction
 
As the degree of hallux valgus increases, the lateral capsule of the first metatarsophalangeal joint and the adductor tendon become contracted. In most surgical procedures designed to correct moderate to severe degrees of hallux valgus, the soft-tissue structures on the lateral aspect of the first metatarsophalangeal joint need to be released in order to reduce the subluxated joint. There are two surgical approaches for lateral soft-tissue release for the correction of hallux valgus. One is the dorsal approach between the first and second metatarsals1-6, and the other is the medial approach, which passes under the first metatarsal head7-11. We think that a medial approach is cosmetically as well as functionally better because it does not create a dorsal scar, which can be unsightly (Figs. 1-A and 1-B), and because it is less likely to cause stiffness of the first or second metatarsophalangeal joint. It is, however, . . . [Full Text of this Article]


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