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Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus

Iatrogenic hallux varus is a difficult complication of hallux valgus surgery. Although tendon transfer combined with bony correction is performed for hallux varus, tendon transfer has several disadvantages, such as the complicated nature of the procedure and the donor site morbidity. We describe the...

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Autores principales: Nekomoto, Akinori, Nakasa, Tomoyuki, Ikuta, Yasunari, Sumii, Junichi, Adachi, Nobuo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564200/
https://www.ncbi.nlm.nih.gov/pubmed/34745678
http://dx.doi.org/10.1155/2021/8784421
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author Nekomoto, Akinori
Nakasa, Tomoyuki
Ikuta, Yasunari
Sumii, Junichi
Adachi, Nobuo
author_facet Nekomoto, Akinori
Nakasa, Tomoyuki
Ikuta, Yasunari
Sumii, Junichi
Adachi, Nobuo
author_sort Nekomoto, Akinori
collection PubMed
description Iatrogenic hallux varus is a difficult complication of hallux valgus surgery. Although tendon transfer combined with bony correction is performed for hallux varus, tendon transfer has several disadvantages, such as the complicated nature of the procedure and the donor site morbidity. We describe the case of a 70-year-old woman with iatrogenic hallux varus treated by lateral collateral ligament (LCL) reconstruction using a suture tape anchor with bony correction. Tarsometatarsal joint arthrodesis was performed to correct the narrow intermetatarsal angle (IMA), and the varus deformity of the great toe at the metatarsophalangeal joint was corrected by anatomical reconstruction of the LCL using the suture tape anchor. One year postoperatively, the Japanese Society for Surgery of the Foot Hallux Metatarsophalangeal-Interphalangeal Scale had improved from 37 to 90 points. Radiography confirmed that the hallux valgus angle had been corrected from -24° to 4° and the IMA from 0° to 8°. Reconstruction of the LCL using suture tape anchor is an easy procedure for iatrogenic hallux varus which can achieve good stabilization.
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spelling pubmed-85642002021-11-04 Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus Nekomoto, Akinori Nakasa, Tomoyuki Ikuta, Yasunari Sumii, Junichi Adachi, Nobuo Case Rep Orthop Case Report Iatrogenic hallux varus is a difficult complication of hallux valgus surgery. Although tendon transfer combined with bony correction is performed for hallux varus, tendon transfer has several disadvantages, such as the complicated nature of the procedure and the donor site morbidity. We describe the case of a 70-year-old woman with iatrogenic hallux varus treated by lateral collateral ligament (LCL) reconstruction using a suture tape anchor with bony correction. Tarsometatarsal joint arthrodesis was performed to correct the narrow intermetatarsal angle (IMA), and the varus deformity of the great toe at the metatarsophalangeal joint was corrected by anatomical reconstruction of the LCL using the suture tape anchor. One year postoperatively, the Japanese Society for Surgery of the Foot Hallux Metatarsophalangeal-Interphalangeal Scale had improved from 37 to 90 points. Radiography confirmed that the hallux valgus angle had been corrected from -24° to 4° and the IMA from 0° to 8°. Reconstruction of the LCL using suture tape anchor is an easy procedure for iatrogenic hallux varus which can achieve good stabilization. Hindawi 2021-10-26 /pmc/articles/PMC8564200/ /pubmed/34745678 http://dx.doi.org/10.1155/2021/8784421 Text en Copyright © 2021 Akinori Nekomoto et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nekomoto, Akinori
Nakasa, Tomoyuki
Ikuta, Yasunari
Sumii, Junichi
Adachi, Nobuo
Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title_full Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title_fullStr Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title_full_unstemmed Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title_short Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus
title_sort reconstruction of the lateral collateral ligament using a suture tape anchor for iatrogenic hallux varus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8564200/
https://www.ncbi.nlm.nih.gov/pubmed/34745678
http://dx.doi.org/10.1155/2021/8784421
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