For mild and moderate deformities, the best options are MICA, chevron and scarf techniques. For severe deformities, the scarf technique or its modifications are selected. If the deformity is associated with hypermobility of the first ray, or previous surgery has not produced the expected result, the best option is arthrodesis (fusion) of the first tarsometatarsal joint, known as the Lapidus procedure. In advanced destructive degenerative changes affecting more than 50% of the cartilage of the big-toe metatarsophalangeal joint, arthrodesis of that joint is indicated.

At our hospital, both feet can be operated on during the same session!

When hallux valgus is accompanied by damage to the cartilage surface of the metatarsophalangeal joint involving less than 50% of the surface, we use a combined local biological treatment. This involves creating microfractures in the cartilage defect and then covering it with a hyaluronic-acid polymer membrane prepared with growth factors and stem cells (combined local biological treatment).

The aim is to support regeneration of the damaged cartilage at the head of the first metatarsal bone and thereby improve load-bearing capacity and mobility.

Choosing the right surgical method and performing it correctly are among the conditions for success.

In our practice, we use the following implants:

  • bioresorbable
  • titanium
  • nitinol (a combination of titanium and nickel)

The implant selected depends on the severity of the deformity.