Arthroscopic Assisted Correction of Hallux valgus Deformity

  • Tun Hing LuiEmail author


Endoscopic assisted distal soft-tissue correction for hallux valgus deformity follows the same principle of the open procedure.1–3 This approach is indicated with symptomatic hallux valgus with an incongruent metatarsophalangeal joint and no significant bony abnormality (e.g., severe hallux valgus interphalangeus or abnormal distal metatarsal articular angle). It is contraindicated if the intermetatarsal angle cannot be corrected manually (e.g., presence of os intermetatarseum). Sometimes, the correction may be obstructed by the dislocated fibular sesamoid bone in the web space. This is not a contraindication of the procedure, since the sesamoid can be reduced after lateral release and the intermetatarsal space can then be closed up. Osteoarthritis of the first metatarso-phalangeal joint and deformity resulting from neuromuscular conditions are other contraindications.


Hallux Valgus Digital Nerve Sesamoid Bone Plantar Aponeurosis Metatarsal Osteotomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Lui TH, Dr Ng S, Dr Chan KB. New technique: endoscopic distal soft tissue procedure in hallux valgus. Arthroscopy. 21:1403.e1–1403.e7.Google Scholar
  2. 2.
    Lui TH. Current concepts: foot and ankle arthroscopy and endoscopy: indications of new technique. Arthroscopy. 2007;23:889–902.PubMedCrossRefGoogle Scholar
  3. 3.
    Lui TH, Chan KB, Chow HT, Ma CM, Chan PK, Ngai WK. Arthroscopy-assisted correction of hallux valgus deformity. Arthroscopy. 2008;24:875–880.PubMedCrossRefGoogle Scholar
  4. 4.
    Lui TH, Chan KB, Chan LK. Lateral release of endoscopic distal soft tissue procedure in treatment of hallux valgus: a cadaveric study. Arthroscopy. 2010;26:1111–1116.Google Scholar
  5. 5.
    Lui TH. First metatarsophalangeal arthroscopy in patients with hallux valgus. Arthroscopy. 2008;14:1122–1129.Google Scholar
  6. 6.
    Friscia DA. Distal soft tissue correction for hallux valgus with proximal screw fixation of the first metatarsal. Foot Ankle Clin. 2000;5:581–589.PubMedGoogle Scholar
  7. 7.
    Coughlin MJ, Jones CP, Viladot R, Glano P, Grebing BR, Kennedy MJ. Hallux valgus and first ray mobility: a cadeveric study. Foot Ankle Int. 2004;25:537–44.PubMedGoogle Scholar
  8. 8.
    Lui TH, Chan KB, Ng S. Technical note: arthroscopic lapidus arthrodesis. Arthroscopy. 2005;21:1516.e1–1516.e4.CrossRefGoogle Scholar
  9. 9.
    Dr Lui TH. Arthroscopically assisted Z-lengthening of the extensor hallucis longus tendon. Arch Ortho Trauma Surg. 2007;127:855–857.CrossRefGoogle Scholar

Copyright information

© Springer London 2010

Authors and Affiliations

  1. 1.Department of Orthopaedics and TraumatologyNorth District HospitalHong Kong SARChina

Personalised recommendations