Hallux Valgus Correction with Bunionectomy, Lateral Release, and Proximal Opening Wedge Osteotomy Using Wedge-Plate Fixation.

Background: Treatment of hallux valgus with an increased intermetatarsal angle (approximately 12° to 20°) involves surgical correction of the hallux valgus by performing a bunionectomy, lateral release, and proximal opening wedge osteotomy of the first metatarsal. Perform a bunionectomy using a plantar and medial approach over the metatarsophalangeal joint. Release the contracted soft tissues lateral to the metatarsophalangeal joint to allow reduction of the noncongruent metatarsophalangeal joint using a 1 to 2-cm incision in the web space. Make the proximal opening wedge osteotomy through a dorsal medial incision. Close the wounds using nylon sutures, and apply sterile dressings and a cast. Patients are restricted to non-weight-bearing and then are progressed to full weight-bearing.

Results: Hallux valgus surgical correction, using a bunionectomy, lateral release, and a proximal opening wedge osteotomy, was performed for the treatment of hallux valgus with an increased intermetatarsal angle in a randomized controlled trial.IndicationsContraindicationsPitfalls & Challenges.