Iatrogenic Hallux Varus

Iatrogenic H. Varus, is a surgeon pitfall, happens when he overcorrects the Hallux Valgus. In this situation, the big toe goes further to outside from a normal angle of 9 degrees, and when you see the foot, the big toe is separated from the other toes. This problem happens, when you underestimate the power of the abductor muscle of the first toe, and when the adductor muscle is anatomized, the big to is retracted to varus by the unopposed abductor muscle. In some cases, the osteotomy is overridden, and the distal part of the osteotomy is lateralized. The surgical solution is to perform a corrective surgery by reverse Scarf operation plus transferring abductor tendon origin to adductor origin. The worst thing a surgeon can do is to perform another Akin osteotomy on the first proximal phalangeal bone because it makes a skew foot deformity or serpentine foot. The other approach is, to use Osteopathic technics, and Orthosis, and to teach the corrective exercises. Osteopathy should reinforce the new attachment of adductor muscle, and release of the abductor. These technics may resolve more than 60% of the surgeon-made deformities. If the deformity is fixed after several years of onset, and painful osteoarthritis or Hallux rigidus appeared, then the surgery will be inevitable, but if the patient doesn’t waste the time, and come in the golden period to an Osteopath, he/she will benefit from Osteopathic technics.