An Avant-Garde, minimally traumatic surgical technique for hallux varus with lesser digit deviation; a comprehensive review

Non-iatrogenic hallux varus, a rare deformity without prior surgical history, presents unique challenges when compounded by medial deviation of lesser digits. This case report details a 57-year-old female with non-iatrogenic hallux varus managed via a novel hybrid technique combining lateral collateral ligament (LCL) stabilization with suture anchors, and medial capsule release. Concurrent second metatarsophalangeal joint (MPJ) stabilization using the ''keystone concept'' indirectly realigned lesser digits without direct osteotomies. Postoperative hallux valgus angle improved, with restored lesser digit alignment and preserved hallux dorsiflexion. Functional, Rapid recovery underscores this approach as a less invasive alternative to traditional arthrodesis or multi-metatarsal osteotomies.