Hallux valgus-proximal ludloff osteotomy

Abstract

The patient was identified and the site of the surgery was marked in the holding area. He/she was brought to the operating room and placed supine on the operating table. Regional anesthesia was induced and 1 g of Ancef was administered intravenously. A thigh tourniquet was applied and inflated to 250 mmHg after the foot was prepped and draped in the usual sterile fashion.A longitudinal 2 cm incision was performed in the first web space. The adductor tendon was identified and released from its insertion on the lateral aspect of the proximal phalanx. Next, the metatarsal-sesamoid and intermetatarsal ligaments were released and the lateral capsule fenestrated at the joint line with a varus force applied to the hallux.