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KMID : 1130920200240020102
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Journal of Korean Foot and Ankle Society
2020 Volume.24 No. 2 p.102 ~ p.106
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Minimally Invasive Surgery with Tenorrhaphy for Postoperative Hallux Varus Deformity Combined with Flexor Hallucis Longus Rupture after Hallux Valgus Correction: A Case Report
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Nam Bum-Joon
Suh Jin-Soo
Choi Jun-Young
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Abstract
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A postoperative hallux varus deformity is a dreaded complication of hallux valgus surgery. Several surgical options have been introduced to overcome this problem. This paper reports an uncommon case of a 68-year-old female patient who presented with a postoperative hallux varus deformity combined with a rupture of the flexor hallucis longus (FHL) tendon. She was treated successfully by a minimally invasive correctional osteotomy with open tenorrhaphy. With experience in treating this complicated case, it was noted that FHL could be transected during the trans-articular adductor tenotomy. Hence, extra caution is needed when the degree of hallux valgus deformity is excessive. To the best of the author’s knowledge, correctional valgization osteotomy for a postoperative hallux varus deformity in a minimally invasive manner has not been reported. This case report is expected to benefit surgeons and their patients with severe hallux valgus deformity.
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KEYWORD
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Hallux valgus, Postoperative complications, Hallux varus, Flexor hallucis longus rupture, Minimally invasive surgical procedures
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