Iatrogenic dorsal bunions in children, observed mostly after operations
for post-poliomyelitic paralysis or club foot, have been successfully
treated by an operation in which the tendons of the flexor brevis and the
abductor and adductor muscles of the hallux are transferred to the neck of
the first metatarsal. This is supplemented by removal of the sesamoids,
capsulotomy of the metatarsophalangeal joint, and when necessary by
arthrodesis or tenodesis of the metatarsophalangeal joint. In seventeen
feet treated in this way only one failure, in a patient with
arthrogryposis, was recorded.