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Ligamentation of the Adductor Hallucis Tendon in Bunionectomy

Dale G. Shrum Diplomate, American Board of Podiatric Surgery; Fellow, American College of Foot and Ankle Surgeons; private practice, Palm Desert, CA. Mailing address:42-335 Washington F-338, Palm Desert, CA 92211.

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Several techniques are available for the correction of hallux abducto valgus, but none of them provide a direct and mechanically sound attachment to the lateral aspect of the first metatarsal head. The author describes adductor hallucis tendon ligamentation, a technique that produces direct stability between the first and second metatarsals. This stability is achieved by transferring the adductor hallucis tendon. The tendon is attached to the distal aspects of the first and second metatarsals. Adductor hallucis tendon ligamentation is a dependable option in the correction of hallux abducto valgus, providing an excellent outcome with good long-term results. (J Am Podiatr Med Assoc 92(9): 512-515, 2002)