{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:38:38Z","timestamp":1785436718994,"version":"3.56.0"},"reference-count":15,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Iatrogenic hallux varus is a rare but functionally disabling complication most commonly following hallux valgus surgery. Traditional revision techniques, such as tendon transfer or arthrodesis, may compromise joint mobility or require implants. This study evaluates a biologically autologous alternative\u2014local soft tissue myoligamentoplasty\u2014for the correction of flexible deformities.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective case series of seven patients (mean age 62 years) with flexible iatrogenic hallux varus following prior hallux valgus surgery was conducted at a single tertiary care center. All patients underwent local soft tissue myoligamentoplasty using an F-shaped medial capsular flap and lateral release via a double-incision approach. Outcomes were assessed using the Visual Analog Scale (VAS) for pain, the American Orthopaedic Foot & Ankle Society (AOFAS) hallux score, and radiographic measurements (hallux valgus angle [HVA], intermetatarsal angle [IMA]) over a 12-month follow-up.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Mean VAS improved significantly from 6.1 \u00b1 1.2 preoperatively to 1.4 \u00b1 0.8 at 12 months (p < 0.01), and AOFAS scores increased from 47.6 \u00b1 6.9 to 83.7 \u00b1 7.1 (p < 0.01). HVA was corrected from \u221215.4\u00b0 \u00b1 4.3\u00b0 to 2.7\u00b0 \u00b1 3.8\u00b0 (p < 0.01), while IMA remained unchanged (10.3\u00b0 \u00b1 1.9\u00b0 to 9.8\u00b0 \u00b1 2.1\u00b0, p = 0.12), indicating mechanical neutrality. No recurrences, reoperations, or complications were reported. Patient satisfaction was high, with 5\/7 \u201ccompletely satisfied\u201d and 2\/7 \u201csatisfied with minor concerns.\u201d<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Local soft tissue myoligamentoplasty offers a safe, effective, and joint-preserving surgical option for correcting flexible iatrogenic hallux varus. The technique provides durable pain relief, functional improvement, and cosmetic restoration without the need for tendon harvesting or implants, making it especially suitable for patients with preserved joint surfaces or in resource-limited settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.157981","type":"journal-article","created":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T15:52:58Z","timestamp":1772553178000},"source":"Crossref","is-referenced-by-count":0,"title":["Management of Iatrogenic Hallux Varus with Local Soft Tissue Reconstruction: A Case Series with Mid-Term Outcomes"],"prefix":"10.52965","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9876-7773","authenticated-orcid":true,"given":"Baurzhan","family":"Izturov","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038mavt60","id-type":"ROR","asserted-by":"publisher"}],"name":"Astana Medical University","department":["Professor G.V. Tsoi Scientific and Educational Center of Surgery Source: https:\/\/amu.edu.kz\/en\/departments\/16099\/?changeLang=true Any use of materials is allowed only with a hyperlink to https:\/\/amu.edu.kz"]},{"name":"National Research Center of Traumatology and Orthopedics named after Academician N.D. Batpenov","department":["Department of Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8688-6329","authenticated-orcid":false,"given":"Mukhtar","family":"Abilmazhinov","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/038mavt60","id-type":"ROR","asserted-by":"publisher"}],"name":"Astana Medical University","department":["Professor G.V. 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Tsoi Scientific and Educational Center of Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8852-7934","authenticated-orcid":false,"given":"Nurbek","family":"Nadirov","sequence":"additional","affiliation":[{"name":"Mother and Child Health Center, University Medical Center","department":["Department of Orthopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"issue":"3","key":"ref1","first-page":"121","article-title":"Bilateral hallux varus deformity correction with a suture button construct","volume":"42","author":"A. R. Hsu","year":"2013","journal-title":"Am J Orthop (Belle Mead NJ)"},{"issue":"4","key":"ref2","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1177\/1938640020985970","article-title":"Hallux Varus Correction With Extensor Hallucis Longus Tendon Transfer and Reverse Scarf Osteotomy","volume":"14","author":"D. T. S. 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Maynou","year":"2000","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/157981-management-of-iatrogenic-hallux-varus-with-local-soft-tissue-reconstruction-a-case-series-with-mid-term-outcomes","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T15:53:00Z","timestamp":1772553180000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/157981-management-of-iatrogenic-hallux-varus-with-local-soft-tissue-reconstruction-a-case-series-with-mid-term-outcomes"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,3]]},"references-count":15,"URL":"https:\/\/doi.org\/10.52965\/001c.157981","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,3]]}}}