Year: 2025 | Month: August | Volume: 12 | Issue: 8 | Pages: 140-146
DOI: https://doi.org/10.52403/ijrr.20250816
Combination Lapidus and Chevron Osteotomy Procedure on Hallux Valgus Deformity in Female: A Case Report
Nyoman Gilang Putrayasa*, I Wayan Subawa**, N. Indra Tri Cahyadi*
*Resident of Orthopaedic and Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia
**Department of Orthopaedic and Traumatology, Prof Ngoerah General Hospital, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia
Corresponding Author: Nyoman Gilang Putrayasa
ABSTRACT
Introduction: Hallux valgus is a common forefoot deformity involving lateral deviation and pronation of the great toe, often causing pain, impaired joint function, and footwear limitations, especially in females with ligamentous laxity or hypermobility.
Case Presentation: A 45-year-old female presented with a two-year history of left hallux valgus deformity and ankle pain, worsening over the past year with swelling. Pain intensified during walking and shoe use. Conservative treatment, including steroid injection, failed. Surgical correction using combined Chevron and Lapidus procedures achieved satisfactory realignment and symptom improvement.
Discussion: Hallux valgus is a complex deformity often treated conservatively. In this case, combined Chevron and Lapidus osteotomies were chosen for correction, achieving excellent clinical and radiographic outcomes. This combination significantly reduced the HVA angle and improved cosmesis, supporting its potential as an effective option in severe deformities.
Conclusions: In this case, hallux valgus treated with combined Lapidus and Chevron osteotomies showed good functional and cosmetic outcomes. Further studies with larger samples are needed to validate the effectiveness of this combined approach.
Keywords: Hallux Valgus, Chevron Osteotomy, Lapidus Procedure, Foot Deformity Correction
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