- Department of Foot and Ankle Surgery, the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200233, P. R. China;
SHI Zhongmin,
Email: szm1972@sjtu.edu.cn
Severe hallux valgus, a triplanar foot deformity significantly impairing patients’ quality of life, has witnessed progressive advancements in surgical management. This article systematically reviews the therapeutic progress through literature analysis, encompassing modifications of conventional surgical procedures and applications of novel techniques and innovative biomaterials. A critical analysis and discussion of these technological advancements and future developmental directions are presented to provide valuable insights and references for clinical management of severe hallux valgus.
Citation： YANG Fan, SHI Zhongmin. Advances in surgical management of severe hallux valgus. Chinese Journal of Reparative and Reconstructive Surgery, 2025, 39(10): 1225-1231. doi: 10.7507/1002-1892.202506003 Copy
Copyright ? the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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| 2. | Perera AM, Mason L, Stephens MM. The pathogenesis of hallux valgus. J Bone Joint Surg (Am), 2011, 93(17): 1650-1661. |
| 3. | Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int, 2007, 28(7): 759-777. |
| 4. | 王正義, 姜保國, 唐康來, 等. 踇外翻外科治療專家共識. 中華骨與關節外科雜志, 2018, 11(2): 87-95. |
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| 8. | Chuckpaiwong B. Comparing proximal and distal metatarsal osteotomy for moderate to severe hallux valgus. Int Orthop, 2012, 36(11): 2275-2278. |
| 9. | Monteagudo M, Martínez-de-Albornoz P. Management of complications after hallux valgus reconstruction. Foot Ankle Clin, 2020, 25(1): 151-167. |
| 10. | Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin, 2014, 19(2): 259-274. |
| 11. | Peng YN, Peng YH, Chen CPC. Chevron osteotomy and scarf osteotomy for hallux valgus angle and intermetatarsal angle correction: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res, 2024, 19(1): 566. doi: 10.1186/s13018-024-05007-0. |
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| 20. | Schuh R, Willegger M, Holinka J, et al. Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity. Int Orthop, 2013, 37(9): 1771-1780. |
| 21. | Vasso M, Del Regno C, D’Amelio A, et al. A modified Austin/chevron osteotomy for treatment of hallux valgus and hallux rigidus. J Orthop Traumatol, 2016, 17(1): 89-93. |
| 22. | Badekas A, Georgiannos D, Lampridis V, et al. Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate. Int Orthop, 2013, 37(9): 1765-1770. |
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- 2. Perera AM, Mason L, Stephens MM. The pathogenesis of hallux valgus. J Bone Joint Surg (Am), 2011, 93(17): 1650-1661.
- 3. Coughlin MJ, Jones CP. Hallux valgus: demographics, etiology, and radiographic assessment. Foot Ankle Int, 2007, 28(7): 759-777.
- 4. 王正義, 姜保國, 唐康來, 等. 踇外翻外科治療專家共識. 中華骨與關節外科雜志, 2018, 11(2): 87-95.
- 5. Ying J, Xu Y, István B, et al. Adjusted indirect and mixed comparisons of conservative treatments for hallux valgus: a systematic review and network meta-analysis. Int J Environ Res Public Health, 2021, 18(7): 3841. doi: 10.3390/ijerph18073841.
- 6. Menz HB, Lim PQX, Hurn SE, et al. Nonsurgical management of hallux valgus: findings of a randomised pilot and feasibility trial. J Foot Ankle Res, 2023, 16(1): 78. doi: 10.1186/s13047-023-00677-1.
- 7. Plaass C, Karch A, Koch A, et al. Short term results of dynamic splinting for hallux valgus—A prospective randomized study. Foot Ankle Surg, 2020, 26(2): 146-150.
- 8. Chuckpaiwong B. Comparing proximal and distal metatarsal osteotomy for moderate to severe hallux valgus. Int Orthop, 2012, 36(11): 2275-2278.
- 9. Monteagudo M, Martínez-de-Albornoz P. Management of complications after hallux valgus reconstruction. Foot Ankle Clin, 2020, 25(1): 151-167.
- 10. Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin, 2014, 19(2): 259-274.
- 11. Peng YN, Peng YH, Chen CPC. Chevron osteotomy and scarf osteotomy for hallux valgus angle and intermetatarsal angle correction: a systematic review and meta-analysis of randomized controlled trials. J Orthop Surg Res, 2024, 19(1): 566. doi: 10.1186/s13018-024-05007-0.
- 12. Tsikopoulos K, Papaioannou P, Kitridis D, et al. Proximal versus distal metatarsal osteotomies for moderate to severe hallux valgus deformity: a systematic review and meta-analysis of clinical and radiological outcomes. Int Orthop, 2018, 42(8): 1853-1863.
- 13. Füssenich W, Seeber GH, Zwoferink JR, et al. Non-union incidence of different joint preparation types, joint fixation techniques, and postoperative weightbearing protocols for arthrodesis of the first metatarsophalangeal joint in moderate-to-severe hallux valgus: a systematic review. EFORT Open Rev, 2023, 8(3): 101-109.
- 14. Barg A, Harmer JR, Presson AP, et al. Unfavorable outcomes following surgical treatment of hallux valgus deformity: a systematic literature review. J Bone Joint Surg (Am), 2018, 100(18): 1563-1573.
- 15. 何至, 孫寧, 楊曉松, 等. 采用改良Chevron截骨術治療重度拇外翻的中期療效觀察. 骨科臨床與研究雜志, 2024, 9(5): 294-301.
- 16. 余建華, 方添順, 宋濤, 等. 改良Chevron截骨術治療中重度足拇外翻. 中國骨傷, 2022, 35(1): 90-94.
- 17. 林建輝, 鄭明, 趙梁, 等. Chevron截骨聯合第一跖骨基底開放截骨治療重度踇外翻的療效分析. 福建醫藥雜志, 2023, 45(1): 30-33.
- 18. 莊宇嘉, 劉建全, 李文翠, 等. 跖骨近端截骨矯正踇外翻的研究進展. 足踝外科電子雜志, 2022, 9(2): 91-99.
- 19. 劉吉帥, 韓婷婷, 張智超, 等. Scarf截骨術治療足拇外翻畸形的臨床研究進展. 臨床醫學研究與實踐, 2024, 9(36): 195-198.
- 20. Schuh R, Willegger M, Holinka J, et al. Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity. Int Orthop, 2013, 37(9): 1771-1780.
- 21. Vasso M, Del Regno C, D’Amelio A, et al. A modified Austin/chevron osteotomy for treatment of hallux valgus and hallux rigidus. J Orthop Traumatol, 2016, 17(1): 89-93.
- 22. Badekas A, Georgiannos D, Lampridis V, et al. Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate. Int Orthop, 2013, 37(9): 1765-1770.
- 23. Baertich C, Tablante AJC, Tablante EB, et al. Percutaneous, implantless basal closing wedge osteotomy for hallux valgus: Surgical technique and preliminary results in 114 patients. Foot Ankle Surg, 2022, 28(7): 1083-1088.
- 24. 莊宇嘉, 王光輝, 陳小強, 等. 第1跖骨近端推移截骨治療中重度足踇外翻. 中國矯形外科雜志, 2025, 33(6): 557-560.
- 25. Castioni D, Fanelli D, Gasparini G, , et al. Scarf osteotomy for the treatment of moderate to severe hallux valgus: Analysis of predictors for midterm outcomes and recurrence. Foot Ankle Surg, 2020, 26(4): 439-444.
- 26. Li Z, Yu W, Lin S, et al. Comparative effects of modified rotary scarf osteotomy and traditional scarf osteotomy in treating moderate to severe hallux valgus: a retrospective cohort study. BMC Musculoskelet Disord, 2024, 25(1): 61. doi: 10.1186/s12891-023-07156-5.
- 27. 石守印, 周敏, 海拉提·巴合提, 等. 單切口Scarf旋轉截骨聯合外側軟組織松解術在中重度拇外翻畸形中的療效分析. 生物骨科材料與臨床研究, 2025, 22(2): 71-74+80.
- 28. 王超, 王智, 孫超, 等. 改良卡槽單釘Scarf截骨術與傳統Scarf截骨術治療足拇外翻畸形效果的比較. 中華解剖與臨床雜志, 2023, 28(7): 423-430.
- 29. Basile A, Battaglia A, Campi A. Retrospective analysis of the Ludloff osteotomy for correction of severe hallux valugs deformity. Foot and Ankle Surgery, 2001, 7(1): 1-8.
- 30. Castaneda DA, Myerson MS, Neufeld SK. The Ludloff osteotomy: a review of current concepts. Int Orthop, 2013, 37(9): 1661-1668.
- 31. Robinson AH, Bhatia M, Eaton C, et al. Prospective comparative study of the scarf and Ludloff osteotomies in the treatment of hallux valgus. Foot Ankle Int, 2009, 30(10): 955-963.
- 32. 殷大利, 初嬌, 紀祥, 等. 第一跖骨干Scarf截骨結合趾骨Akin截骨治療中重度踇外翻的短期效果. 精準醫學雜志, 2021, 36(6): 541-543.
- 33. Li C, Lu L, Zhang Y, et al. F-shaped osteotomy combined with basal opening wedge osteotomy for severe hallux valgus. Orthop Surg, 2019, 11(4): 604-612.
- 34. Symeonidis PD, Anderson JG. Original and modified lapidus procedures: proposals for a new terminology. J Bone Joint Surg (Am), 2021, 103(4): e15. doi: 10.2106/JBJS.20.01010.
- 35. Jackson JB, Kennedy B, Deal P, et al. The surgical learning curve for modified lapidus procedure for hallux valgus deformity. Foot Ankle Spec, 2024, 17(1): 9-13.
- 36. Santrock RD, Smith B. Hallux valgus deformity and treatment: A three-dimensional approach: modified technique for lapidus procedure. Foot Ankle Clin, 2018, 23(2): 281-295.
- 37. 李大成, 王青松, 宋傳航, 等. 改良Lapidus截骨術第1跖楔關節單平面截骨聯合第1跖骨下移治療拇外翻的療效分析. 生物骨科材料與臨床研究, 2024, 21(3): 53-57, 63.
- 38. Anderson MR, Ho BS, Baumhauer JF. Republication of “Current concepts review: hallux rigidus”. Foot Ankle Orthop, 2023, 8(3): 24730114231188123. doi: 10.1177/24730114231188123.
- 39. McGaver RS, Attia AK, Seiffert KJ, et al. Comparative study of staples vs plate and screws for arthrodesis of the first metatarsophalangeal joint. Foot Ankle Orthop, 2024, 9(4): 2473011424S00194. doi: 10.1177/2473011424S00194.
- 40. Duff JR, Alecxih AG, White CC, et al. Minimally invasive first metatarsophalangeal joint arthrodesis with a low-profile hybrid locking plate and a beveled compression screw: a surgical technique. Foot Ankle Spec, 2025. doi: 10.1177/19386400251331648.
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