The treatment of hallux valgus in runners using a modified McBride procedure.

We have carried out a modified McBride procedure in 21 patients with hallux valgus which caused pain during running. They have been followed up for a mean of 5.5 years. Metatarsophalangeal pain and metatarsalgia were relieved or significantly decreased in the majority of patients, but callosities beneath the second metatarsal head were not affected. When the angle between the first and second metatarsals did not exceed 14 degrees before operation, satisfactory correction could be obtained. In the absence of degenerative changes in the first metatarsophalangeal joint and with a moderate hallux valgus, a consistently good result was obtained in this group of active patients.