Halleck Valgus - The Most Appropriate Surgery

A 56 year old male presents with pain over the medial eminence of his first meta tarsal head. The most appropriate surgical plan would include a proximat first metatarsal ostiatomy with a modified mc bride procedure, given the widened i m a. There is considerable variability in surgical treatment to correct halleck valgus. Newer techniques, such as the tri planer t m t corrective arthurdesis are emerging and hold promise.