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J Foot Ankle Surg. 2010 Sep-Oct;49(5):488.e15-9. doi: 10.1053/j.jfas.2010.04.004. Epub 2010 Jul 15.

Bilateral second metatarsal stress fractures after hallux valgus correction with the use of a tension wire and button fixation system.

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Yale Podiatric Surgical Residency, New Haven, CT 06770, USA.


The pathomechanics and treatments of hallux valgus vary widely by deformity and surgeon, and are extensively described in the orthopedic and podiatric literature. With each newly described treatment, new complications can be encountered. In this report, we describe the case of a 22-year-old woman who underwent bilateral hallux valgus repair with a tension wire and button fixation system, and developed bilateral second metatarsal stress fracture at the point of fixation application during the postoperative period. Although this fixation system has been useful in our practice, like other surgical implants, it conveys a certain amount of risk that should be considered by surgeons using the device.

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