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Surgical Reconstruction of the Forefoot with Hallux Valgus Associated with Metatarsus Adductus

Luis M. Gordillo-Fernández Department of Podiatry, University of Seville, Seville, Spain.

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Mercedes Ortiz-Romero Department of Podiatry, University of Seville, Seville, Spain.

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Jose Luis S.M. Salcini Macías Department of Podiatry, University of Seville, Seville, Spain.

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José Valero-Salas
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Julia Álvarez-Pérez Department of Podiatry, University of Seville, Seville, Spain.

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Álvaro Fernández-Garzón Department of Podiatry, University of Seville, Seville, Spain.

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Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes.

Corresponding author: Luis M. Gordillo-Fernández, PhD, Department of Podiatry, University of Seville, Avicena S/N, Seville, Spain 41009. (E-mail: lgordillo@us.es)
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