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Abstract

Sixteen patients with duplication of the hallux were reviewed. Follow-up averaged 21 years. Duplication may be classified into three groups: simple hallucal duplication, a transitional type with a short thick first metatarsal, and complete first ray duplication. Routine removal of the most medial hallux or ray is to be avoided. Careful preoperative assessment is necessary to compare hallucal function, cosmesis, and metatarsal weightbearing. Surgery should also correct the associated congenital hallux varus. Surgical complications include functionless hallucis from inappropriate selection and medial soft tissue contractures with either recurrence of the hallux varus or the gradual development of a hallux varus interphalangeus.

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References

Boheme

Meyer

: L'hallux varus congenital. Rev. Orthop., 16: 397–418, 1929.

Carter

C. O.

Till

Fraser

Coffey

: A family study of cranio-synostosis, with probable recognition of a distinct syndrome. J. Med. Genet. 19: 280–285, 1982.

Cattaneo

Defabiani

: Alluce varo congenito. Minerva Orthop., 20: 648–649, 1929.

Cowan

R. J.

: Surgical problems associated with congenital malformations of the forefoot. Can. J. Surg., 8: 29–41, 1965.

Farmer

A. W.

: Congenital hallux varus. Am. J. Surg., 95: 274–278, 1958.

Grieg

D. M.

: Hallux varus. Edinb. Med. J., 30: 588–592, 1923.

Haas

S. L.

: An operation for the correction of hallux varus. J. Bone Joint Surg., 20: 705–708, 1938.

Horwitz

M. T.

: Unusual hallux-varus deformity and its surgical correction. J. Bone Joint Surg., 19: 828–829, 1937.

Kirmisson

Bailleul : Les deformities des orteils. Rev. Orthop., 5: 100–104, 1913.

10.

Lasserre

: Polysyndactylic du gros orteil avec hallux varus. Rev. Orthop. Chir., 33: 133–134, 1947.

11.

McElvenny

R. T.

: Hallux varus. Quart. Bull. Northwest University Med. School, 15: 277–280, 1941.

12.

Mestern

: Hallux varus congenitus und polydaktylic. Z. Orthop. Chir., 59: 563–582, 1933.

13.

Mygind

H. B.

: Operative behandling of hallux varus. Nord. Med., 49: 914–916, 1953.

14.

Nelson

M. M.

Thomson

A. J.

: The acrocallosal syndrome. Am. J. Med. Genet., 12: 195–199, 1982.

15.

Nováe

Josserand M. G.

: Sur un cas d'hallux varus congenital. Rev. Orthop, 63: 367–369, 1919.

16.

Schinzel

: Editorial comment: Acrocallosal syndrome. Am. J. Med. Genet., 12: 201–203, 1982.

17.

Schinzel

Schmid

: Hallucal duplication, postaxial polydactyly, absence of the corpus callosum, severe mental retardation, and additional anomalies in two unrelated patients: A new syndrome. Am. J. Med. Genet., 6: 241–249, 1980.

18.

Sloane

: Congenital hallux varus. J. Bone Joint Surg., 17: 209–211, 1935.

19.

Sugarman

G. I.

: A case of an eight-toed foot. Birth Defects, 10: 141–144, 1974.

20.

Venn

Watson E. A.

: Problems in polydactyly of the foot. Orthop. Clin. North Am., 7: 909–927, 1976.

Duplication of the Hallux

Abstract

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