Mild to moderate hallux valgus deformity can be rectified with minimally invasive chevron osteotomy surgery. However, this is only a possible solution for bunions that are not particularly pronounced.
The resulting scar is less, but the results are varied because the osteotomies are set only by the bandage.
For major deformations and/or hallux valgus instability at the base of the first metatarsal, a double osteotomy is usually performed.
It is a more serious surgical procedure, but it does allow large deformations to be corrected in a very effective way.
However, this technique comes with two additional constraints:
• The patient will need to use crutches following surgery for two weeks
• And wear a post-operative shoe for one month
This technique, also called the “Lapidus technique”, is useful for large deformations with instability of the joint at the base of the first metatarsal. This is observed in large losses of the first support beam, in certain types of arthritis or flat feet.
Again, the post-surgery consequences are more serious because you cannot use the forefoot (put weight on it) for 45 days.
If the deformation or cartilage damage is severe, it is not possible to keep the metatarsophalangeal joint of the big toe.
A metatarsophalangeal arthrodesis will be performed, consisting of a full and final locking of the joint. This surgery is effective and well tolerated.
We are, of course, here at your disposal to answer any questions you will ask if this technique is offered.
Following surgery, you should not use the newly merged link.