Rincón-Lozano JD, Bossio JE, Martínez-Pérez RO, Benito-Revollo IM, Soto A

Language: Spanish
References: 10
Page: 29-33
PDF size: 1800.64 Kb.

ABSTRACT

Introduction: congenital talipes equinovarus (CTEV) is a highly prevalent deformity that affects patient functionality. Even with adequate treatment, overcorrection can result in deformities such as hallux alterations. The most common deformity in this context is hallux flexus, or dorsal bunion; however, we present a case of hallux varus as a complication not previously reported in the secondary literature secondary to the management of CTEV. Case presentation: a 17-year-old patient with a history of CTEV was treated with a posterior internal release (PIR) at five years of age. He presents with left hallux varus with significant functional impairment. Soft tissue release and transfer of the abductor hallucis and extensor hallucis longus tendons are proposed. During follow-up, adequate maintenance of the deformity correction is evident with no recurrence at 18 months. Conclusion: hallux varus after PIR in CTEV is an unusual complication, whose etiology lies in persistent contracture or fibrosis of the adjacent capsuloligamentous and musculotendinous structures. Treatment should address the various dynamic and static alterations through specific soft tissue releases, tendon transfers, or arthrodesis. In patients with flexible hallux valgus, restoring muscle balance may be sufficient to correct the deformity and prevent recurrence.

REFERENCES

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EVIDENCE LEVEL

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