Hallux Valgus Deformity and Treatment: A Three-Dimensional Approach.

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Abstract

[Indexed for MEDLINE] 7. Foot Ankle Clin. 2020 Sep;25(3):373-383. doi: 10.1016/j.fcl.2020.05.003. Epub 2020 Jul 9. Percutaneous Lateral Release in Hallux Valgus: Anatomic Basis and Indications. Del Vecchio JJ(1), Dalmau-Pastor M(2). Author information: (1)GRECMIP - MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied - Minimally Invasive Foot and Ankle Society), Merignac, France; Head Foot and Ankle Section, Orthopaedics Department, Fundación Favaloro -Hospital Universitario, Solis 461, Ciudad Autónoma de Buenos Aires (CABA) CP 1078, Argentine; Department of Kinesiology and Physiatry, Universidad Favaloro, Av. Entre Ríos 495, CABA CP 1079, Argentina. (2)GRECMIP - MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied - Minimally Invasive Foot and Ankle Society), Merignac, France; Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona. C/ Feixa Llarga, s/n, 08907, L'Hospitalet de Llobregat, Office 5304, Barcelona, Spain. Electronic address: mikeldalmau@ub.edu. In the last decade, minimally invasive or percutaneous surgery has evolved rapidly through the development of novel techniques. Treatment of hallux valgus deformity is one of the indications for percutaneous surgery, both for bony and soft tissue correction. The release of the structures on the lateral part of the first metatarsophalangeal joint (lateral release) is one of the best indications for percutaneous surgery in the forefoot. In this article, a detailed description of the anatomy of the metatarsophalangeal joint is provided, along with the indications and tips to perform a safe percutaneous lateral release. Copyright © 2020 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2020.05.003