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Journal of the American Podiatric Medical Association
Volume 100 Number 3 204-208 2010
Copyright © 2010 American Podiatric Medical Association

Hallux Valgus Correction in a Patient with Metatarsus Adductus with Multiple Distal Oblique Osteotomies

Nicolò Martinelli, MD *, Andrea Marinozzi, MD, PhD *, Francesco Cancilleri, MD * and Vincenzo Denaro, MD *

* Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Rome, Italy.

Corresponding author: Nicolò Martinelli, MD, Department of Orthopaedics and Trauma Surgery, University Campus Bio-Medico of Rome, Via Álvaro del Portillo, 21, Rome, 00100, Italy. (E-mail: n.martinelli{at}unicampus.it)

Abstract

Metatarsus adductus is a structural foot deformity that is rarely associated with hallux valgus deformity. Surgical treatment is challenging, and multiple osteotomies are often required to correct both deformities. However, surgical impact must be considered, especially in elderly patients. We present a clinical case of a 76-year-old woman affected by hallux valgus and metatarsus adductus deformity. Multiple distal oblique osteotomies were performed on the first, second, and third metatarsals, coupled with Z-lengthening of the extensor digitorum longus tendons. (J Am Podiatr Med Assoc 100(3): 204–208, 2010)


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