IATROGENIC HALLUX-VARUS SURGICAL-PROCEDURE - A STUDY OF 14 CASES

Hallux varus occurs most frequently as result of excessive surgical co rrection of musculoligamentous imbalance around the metatarsophalangea l (MTP) joint of the great toe (lateral release and medial capsuloliga mentous tensioning). If untreated, the condition may lead to motion lo ss and degenerative arthritis. In this series, 14 cases of hallux varu s were treated. Medial arthrolysis was done in each case. In five case s, reconstruction of the lateral ligament (with a 1.5-mm Ligapro sutur e), using a new technique, accompanied the medial release. Arthrodesis of the MTP was done in nine cases treated when there was already stif fness and arthrosis. According to a 100-point scoring system, the resu lts were excellent in 56% and good in 44% of the MTP joint arthrodesis cases. Results were excellent in 100% of the mobilizing technique cas es using Ligapro suture.