. 2017 Sep 4;6(5):e1481–e1487. doi: 10.1016/j.eats.2017.06.004

Table 2.

Pearls and Pitfalls of Arthroscopic Arthrodesis of the First Metatarsophalangeal Joint in Hallux Valgus Deformity

Pearls	Pitfalls
1. The toe web portal is placed slightly toward the hallux to facilitate subsequent screw insertion via this portal. 2. The suspensory sesamoid ligament should be released before the fibular sesamoid can be reduced. 3. The contour of the articular surfaces should be preserved. 4. The first metatarsal bone can be shortened at the joint level by means of arthroscopic burr if indicated, e.g., in rheumatoid forefoot deformity or in severe hallux valgus with contracted skin over the lateral side.	1. Release of the proximal part lateral capsule-ligamentous complex may injure the nearby hallucal digital nerve. 2. The dislocated fibular sesamoid bone should be reduced under the first metatarsal head. Subluxed fibular sesamoid bone will block the reduction of the 1-2 intermetatarsal angle after first metatarsophalangeal arthrodesis.

Pearls

Pitfalls

1. The toe web portal is placed slightly toward the hallux to facilitate subsequent screw insertion via this portal.
2. The suspensory sesamoid ligament should be released before the fibular sesamoid can be reduced.
3. The contour of the articular surfaces should be preserved.
4. The first metatarsal bone can be shortened at the joint level by means of arthroscopic burr if indicated, e.g., in rheumatoid forefoot deformity or in severe hallux valgus with contracted skin over the lateral side.

1. Release of the proximal part lateral capsule-ligamentous complex may injure the nearby hallucal digital nerve.
2. The dislocated fibular sesamoid bone should be reduced under the first metatarsal head. Subluxed fibular sesamoid bone will block the reduction of the 1-2 intermetatarsal angle after first metatarsophalangeal arthrodesis.