A Physiological Soft Tissue Procedure for Hallux Valgus Deformity Correction

Hallux valgus is a soft tissue condition of normal bones deviating from their normal alignment due to failure of their stabilizing ligaments. Affected bones are victims rather than culprits. Osteotomy of normal bones to compensate a soft tissue problem can compromise biomechanics of the all-important first ray for function and complicate the matter. To patients, hallux valgus deformity is mainly a function problem of the foot that can eventually produce secondary problems like clawed toes, collapsed arches, and metatarsalgia and bunionette pain. To surgeons, hallux valgus should always be a function issue and their chosen surgical technique should have been proven capable of improving and restoring foot function. A thought provoking case is presented to illustrate why a non-osteotomy and nonarthrodesis soft tissue procedure can correct not only a severe hallux valgus foot but also salvage a failed osteotomy procedure.