HALLUX-VALGUS IN YOUNG-PATIENTS - LONG-TERM RESULTS AFTER MCBRIDE OPERATION

The development of symptomatic hallux valgus deformities at an early a ge is rather uncommon and usually treated non-operatively. However, if surgical treatment is indicated, only so-called physiological procedu res, especially e.g. McBride's soft-tissue realignment, should be cons idered. From 1970 to 1990, 11 patients aged 12-20 years underwent McBr ide's procedure, giving a total of 21 feet. For 9 of these patients (1 7 feet), the average follow-up was 14 years and consisted of patient's history, radiographs and physical examination. All in all, the outcom e was judged as good in 10 of 17 feet, satisfying in 2 of 17 feet and dissatisfying in 5 of 17 feet by both patients and surgeon. This consp icuous variation in successrate will be discussed by means of two exam ples.