{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:48Z","timestamp":1783509288378,"version":"3.55.0"},"reference-count":14,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Acquired hallux varus deformity secondary to postburn contracture is a rare condition. It causes cosmetic disfigurement, pain, and inability to wear a shoe. Soft-tissue procedures and tendon transfers have been described for correction; however, these may require multiple operations and the outcome may be poor. We report a 6-year-old neglected case of hallux varus deformity secondary to burn contracture successfully managed by contracture release with pivotless distraction technique using a biplanar distractor and skin grafting with Z-plasty in the same procedure. The deformity was corrected to a lesser extent and with good functional outcomes. The scar was excised and Z-plasty was performed. The medial joint capsule was released. We used gradual differential distraction with monitoring on sequential radiographs. Pain-free flexion of 45\u00b0 and extension of 40\u00b0 were achieved and the patient was able to wear shoes after 4 weeks postoperatively. Hallux varus is a multidimensional deformity. A severe and rigid deformity might not respond well to tendon transfers in a single stage. Our described technique can be used to correct rigid hallux varus deformity with preservation of joint function.<\/jats:p>","DOI":"10.7547\/21-197","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T13:33:52Z","timestamp":1694525632000},"source":"Crossref","is-referenced-by-count":0,"title":["Acquired Hallux Varus Deformity Correction: Pivotless Distraction Technique"],"prefix":"10.3390","volume":"113","author":[{"given":"Yasim","family":"Khan","sequence":"first","affiliation":[{"name":"Maulana Azad Medical College, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhananjaya","family":"Sabat","sequence":"additional","affiliation":[{"name":"Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit","family":"Maini","sequence":"additional","affiliation":[{"name":"Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Dhal","sequence":"additional","affiliation":[{"name":"Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"Med Chir Pied","first-page":"41","article-title":"Hallux varus: review and surgical treatment","volume":"30","author":"Jastifer JR","year":"2014","unstructured":"Jastifer JR, Coughlin MJ: Hallux varus: review and surgical treatment. Med Chir Pied 30: 41, 2014."},{"key":"B2","series-title":"Burns","first-page":"593","article-title":"Post-burn hallux varus: a case report and management of a rare deformity","volume":"26","author":"Saraiya H","year":"2000","unstructured":"Saraiya H: Post-burn hallux varus: a case report and management of a rare deformity. Burns 26: 593, 2000."},{"key":"B3","series-title":"J Bone Joint Surg Am","first-page":"681","article-title":"Extensor hallucis longus transfer for hallux varus deformity","volume":"66","author":"Johnson KA","year":"1984","unstructured":"Johnson KA, Spiegl PV: Extensor hallucis longus transfer for hallux varus deformity. 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Clin Orthop Relat Res 76: 169, 1971."},{"key":"B6","series-title":"Acta Orthop Belg","first-page":"227","article-title":"A new surgical procedure for iatrogenic hallux varus: reverse transfer of the abductor hallucis tendon: a report of 7 cases","volume":"74","author":"Leemrijse T","year":"2008","unstructured":"Leemrijse T, Hoang B, Maldague P, : A new surgical procedure for iatrogenic hallux varus: reverse transfer of the abductor hallucis tendon: a report of 7 cases. Acta Orthop Belg 74: 227, 2008."},{"key":"B7","series-title":"Foot Ankle Surg","first-page":"777","article-title":"Long term clinical results of hallux varus correction by a reversed abductor hallucis transfer","volume":"26","author":"Schwagten K","year":"2020","unstructured":"Schwagten K, Vandeputte G, Somville J, : Long term clinical results of hallux varus correction by a reversed abductor hallucis transfer. 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J Foot Ankle Surg 46: 65, 2007."},{"key":"B12","series-title":"Foot Ankle Int","first-page":"586","article-title":"Acquired hallux varus","volume":"18","author":"Donley BG","year":"1997","unstructured":"Donley BG: Acquired hallux varus. Foot Ankle Int 18: 586, 1997."},{"key":"B13","series-title":"J Foot Ankle Surg","first-page":"1127","article-title":"Arthroscopic first metatarsophalangeal arthrodesis for repair of fixed hallux varus deformity","volume":"54","author":"Lui TH","year":"2015","unstructured":"Lui TH: Arthroscopic first metatarsophalangeal arthrodesis for repair of fixed hallux varus deformity. J Foot Ankle Surg 54: 1127, 2015."},{"key":"B14","series-title":"J Foot Ankle Surg","first-page":"283","article-title":"Gradual correction of traumatic hallux varus with metatarsal hemicallotasis","volume":"55","author":"Kobayashi H","year":"2016","unstructured":"Kobayashi H, Kageyama Y, Shido Y: Gradual correction of traumatic hallux varus with metatarsal hemicallotasis. J Foot Ankle Surg 55: 283, 2016."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/21-197.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/21-197.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/113\/4\/21-197.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:19:19Z","timestamp":1783505959000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/113\/4\/21197"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":14,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.7547\/21-197","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}