McBride's 1928 classic describes a soft-tissue-only correction for hallux valgus. The procedure requires no osteotomy and no joint resection. It is built on the principle that the adductor hallucis conjoined tendon is the dominant deforming force and can be rerouted to become corrective.
Hallux valgus surgery has evolved substantially since 1928, but the McBride procedure remains the conceptual foundation for soft-tissue correction and is still performed — or incorporated into osteotomy-based corrections. Today.
When you see a young patient with flexible hallux valgus and no articular change, the McBride approach is the historical benchmark: address the deforming force, not just the deformity.
Know the three contraindications cold. Hallux rigidus, extreme deformity, marked articular changes. Because these are the same criteria that still define when soft-tissue correction alone is insufficient and bony correction is required.
The sesamoid displacement finding is high-yield: when you see the lateral sesamoid between the first and second metatarsal heads on AP radiograph, that is not just a marker of deformity severity. McBride's model explains it as an active perpetuator of the deformity, pushing the first metatarsal head medially with each step.
The paper does not report outcomes data. It is a technique description, so do not expect complication rates or recurrence figures from this source.
McBride's 1928 classic describes a soft-tissue-only correction for hallux valgus. The procedure requires no osteotomy and no joint resection. It is built on the principle that the adductor hallucis conjoined tendon is the dominant deforming force and can be rerouted to become corrective.
Hallux valgus surgery has evolved substantially since 1928, but the McBride procedure remains the conceptual foundation for soft-tissue correction and is still performed — or incorporated into osteotomy-based corrections. Today.
When you see a young patient with flexible hallux valgus and no articular change, the McBride approach is the historical benchmark: address the deforming force, not just the deformity.
Know the three contraindications cold. Hallux rigidus, extreme deformity, marked articular changes. Because these are the same criteria that still define when soft-tissue correction alone is insufficient and bony correction is required.
The sesamoid displacement finding is high-yield: when you see the lateral sesamoid between the first and second metatarsal heads on AP radiograph, that is not just a marker of deformity severity. McBride's model explains it as an active perpetuator of the deformity, pushing the first metatarsal head medially with each step.
The paper does not report outcomes data. It is a technique description, so do not expect complication rates or recurrence figures from this source.