RESULTS OF HALLUX-VARUS CORRECTION USING AN EXTENSOR HALLUCIS BREVIS TENODESIS

We have used an extensor hallucis brevis tenodesis procedure to treat symptomatic hallux varus in six patients (five women and one man). Ind ications for this procedure include the presence of flexible metatarso phalangeal and interphalangeal joints and the absence of arthritis. In this group (mean age, 47 years; range, 18-65 years), hallux varus fol lowed correction of hallux valgus deformity in five patients and traum atic dislocation of the hallux in one patient. Excellent correction wa s noted and maintained in all patients at a mean interval of 28 months (range, 24-32 months) after surgery. Despite a slight decrease in dor siflexion following surgery (average, 10 degrees), there were no addit ional complications noted, and the mean American Orthopaedic Foot and Ankle Society rating score improved from 61 to 85 after surgery.