Hallux Varus (Surgery)

Question 1

Hallux varus

Congenital

 Acquired

1?

2?

3?

4?

Answer 1

1. Traumatic
2. Rheumatoid Arthritis
3. Idiopathic
4. Iatrogenic

Question 2

What are some of the etiologies for hallux varus?

1?

2?

3?

4?

Answer 2

1.  Overaggressive Medial Capsulorrhaphy
2.  Overaggressive Plantar-lateral Release
3.  Excessive Medial Exostectomy/”Staking”
4.  Osseous Overcorrection

Question 3

What does it mean by overaggressive plantar-lateral release?

1?

2?

3?

4?

Answer 3

1. Lateral Capsule (42.2%)
2. Adductor Hallucis (+25.2%)
3. FHB – Lateral Slip (+14.2%)
4. Fibular Sesamoidectomy

Question 4

What are the options of complete soft tissue release for hallux varus?

Answer 4

 1. Joint Evaluation / Arthrolysis

2.  Capsule Tendon Rebalancing
3.  Tendon Transfers

4. Osseous Correction (When Indicated and At Level of Deformity)

5. Joint Destructive / Salvage Procedures

Question 5

1. What does the soft tissue procedure for hallux varus?
2. what condition?

Answer 5

2. Flexible, Non-arthritic, Hallux Varus

Question 6

What are the surgical options for structural correction of hallux varus?

1?

2?

3?

4?

Answer 6

1. Reverse Austin

2. Opening Wedge Osteotomy

3.  Reverse Reverdin
4.  Reverse Akin

Question 7

What surgical option would you use for this x-ray?

Answer 7

Arthrex Mini thightrope

Question 8

Surgical repair/ Joint destructive

Unstable

Stable

Answer 8

1. Resection Arthroplasty

2. Resection Arthroplasty with Implant

3. Arthrodesis

Question 9

Step 1 of extensor hallucis brevis transfer:

Answer 9

Harvesting of the extensor hallucis brevis

Question 10

Step 2 of extensor hallucis brevis transfer:

Answer 10

Rerouting the tendon under the intermetatarsal ligament

Question 11

Step 3 of extensor hallucis brevis transfer?

Answer 11

Passing the tendon through a bone tunnel and securing the tendon to the medial aspect of the first metatarsal