Pes Adductus and Hallux Valgus: What to Do?

Abstract

Metatarsus adductus is common congenital deformity. Usually during growth, the deformity resolves. If the deformity persists, it can be associated with hallux valgus (HV) deformity. There is high prevalence (30%) of metatarsal angle (MTA) in patients having HV. There are lateral toe deformities associated with this setting. Correction HV associated with metatarsus adductus is a challenging surgery, and the outcomes have been disappointing over the years. The surgical approach should address all the deformities-the HV, the MTA, and the lateral toes deformities at the same setting. Minimal invasive surgery enables efficient correction of HV deformity.

Keywords: Hallux valgus; MIS; Metatarsus adductus; Proximal metatarsal osteotomy.