Hallux varus is a varus deformity of the first metatarsal phalangeal joint. The lateral joint capsule is attenuated or absent while the medial side is contracted. This deformity can be caused by direct trauma. However, it is most often seen as an iatrogenic (sometimes unavoidable) complication of bunion surgery where aggressive medial eminence excision and soft tissue balancing techniques were performed. If the condition is addressed before the onset of arthritis, the surgeon may choose to realign the joint using capsular repair techniques and a Mini TightRope device along the lateral collateral ligaments to support the joint while it heals. If the joint is already arthritic, the surgeon may choose to perform a first MTP joint arthrodesis.
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