Research Article| Volume 58, ISSUE 4, P641-643, July 2019

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Hallux Valgus Surgery in the Athlete: Current Evidence

Published:November 15, 2018DOI:


      Hallux valgus is a common disorder characterized by a medial deviation of the 1st metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal joint. This can inhibit sports activity. Despite being a common forefoot pathology, debate exists regarding the appropriate surgical approach in the athletic population. Paucity in literature exists with reporting of outcomes of 1st metatarsal procedures leading to best outcomes. This review was able to identify 5 studies of surgical correction of hallux valgus in athletes published to date. The aim is to guide the physician in treating athletes with hallux valgus deformity. Currently, the literature supports distal 1st metatarsal osteotomy (Chevron) with a return to activity of approximately 3 months for mild to moderate deformity, and the Ludloff osteotomy for moderate to severe deformity at a slightly slower time frame of return to sports. At best, the Lapidus procedure allows approximately 80% of patients to return to activity. Studies need to document activity level and return to sport in order to help guide treatment.

      Level of Clinical Evidence


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        • Banks AS
        • Downey MS
        • Martin DE
        • Miller SJ
        McGlamary's Comprehensive Textbook of Foot and Ankle Surgery.
        3rd ed. Lippincott Williams & Wilkins, 2001: 481-491
      1. Baxter DE. Orthop Clin North Am 1994;25(1):33–39.

      2. Mann R. Bunion deformity in the elite athlete. In: Porter DA, Schon LC, eds. Baxter's The Foot and Ankle in Sports. 2nd ed, Mosby Elsevier Wilkins, Philadelphia, PA, 1994:435–443.

        • Saxena A.
        Return to athletic activities after foot and ankle surgery: a preliminary report on select procedures.
        J Foot Ankle Surg. 2000; 39: 114-119
        • Lillich JS
        • Baxter DE
        Bunionectomies and related surgery in the elite female middle-distance and marathon runner.
        Am J Sports Med. 1985; 14: 491-493
        • Giotis D
        • Paschos NK
        • Zampeli F
        • Giannoulis D
        • Gantsos A
        • Mantellos G
        Modified Chevron osteotomy for hallux valgus deformity in female athletes. A 2-year follow-up study.
        J Foot Ankle Surg. 2016; 22: 181-185
        • MacMahon A
        • Karbassi J
        • Burket JC
        • Elliott AJ
        • Levine DS
        • Roberts MM
        • Deland JT
        • O'Malley MJ
        • Yu J
        • Mancuso CA
        • Ellis SJ
        Return to sports after the modified Lapidus procedure for hallux valgus in young patients.
        Foot Ankle Int. 2016; 37: 378-385
        • McInnes BD
        • Bouché RT
        Critical evaluation of the modified Lapidus procedure.
        J Foot Ankle Surg. 2001; 40: 71-90
        • Saxena A
        • McCammon D
        The Ludloff osteotomy: a critical analysis.
        J Foot Ankle Surg. 1997; 36: 100-105
        • Saxena A
        • St. Louis A
        Medial locking plate versus screw fixation of the Ludloff osteotomy.
        J Foot Ankle Surg. 2013; 52: 153-157