The development of foot surgery over the last decade has been revolutionized by the invention of new osteosynthetic materials and rapid postoperative care in the US.
Let us start with the most common deformities such as splayfoot (flexible flatfoot), the closely associated Hallux valgus (bunion) condition and hammer toes. For the correction of a Hallux valgus deformity, osteotomy (for example the Austin bunionectomy) is recommended, in which the big toe mid-foot bones are surgically shifted. Larger Hallux valgus deformations, particularly in children, require a corrective device on the mid-foot base. As each foot is different, each operative procedure needs to be adapted to suit the patient’s condition. Other corrective measures include resetting the angle of the big toe joint in the mid-foot and correction of the base bone of the big toe and its surfaces.
Hammer toe treatment has been treated in recent years by the introduction of a capsule and ligament release around the base joint. In addition, the raising of midfoot bones and adjustment of length by corrective osteotomy according to the Weil procedure are occasionally indicated.