The modified Valenti procedure for the treatment of hallux limitus.

The modified Valenti procedure for the treatment of hallux limitus offers the advantage of being technically easy to perform, allows for the intrinsic musculature to remain intact for stability, and is a viable alternative for patients who are not candidates for implant arthroplasty. The operation involves resection of the dorsal one third to one half of the metatarsal head and the dorsum of the proximal hallucal phalangeal base, including all osteophytic lipping and osteochondral defects. To date the procedure has resulted in a significant increase in range of motion, and decreased preoperative pain symptoms. The most common complication seen in a review of 21 cases is sesamoiditis.