Private practice: Hauptstraße 62 Top 12, 2344 Maria Enzersdorf+43 664 / 84 98 100

  +43 664 84 98 100

Toes so ugly want to hide
after Vitek´s surgery full of pride !

Hallux valgus in adolescents

About the surgery

For the very moving feet of children and adolescents, a surgery described by McBride is known since the 1930s, which preserves the joint, and no bone cut is necessary at the first metatarsal. The tendon of the so-called adductor muscle, that pulls the big toe in the deformity, is simply transferred to the contrary now to pull the abducted first metatarsal towards the middle of the foot.

A very elegant and gentle method for the tissue. The weak point of the operation, namely the attachment of the tendon to the first metatarsal has been improved by Prof. Michael Vitek, as now a bone canal is formed in the first metatarsal. The tendon is then fed into the bone canal and firmly attached with our newly developed titanium screw.

Important: In this operation, there are no cuts made at the joints and growth areas. This does not damage the adolescent foot and growth is not affected by the operation.


After correction the toe joints are parallel (horizontal green lines), the "ganglion" is gone, the first metatarsal is closer to the second metatarsal, and the foot ist narrower.

At the first metatarsal our new "interference screw" can be seen to have fixed the offset adductor tendon.

The toe itself is straightened by an operation according to Akin. A saw guide is designed by Prof. Dr. Michael Vitek, which enables very precise bone cuts. The fully retractable screw is also a separate new development. It allows a faster bone recovery due to a dynamic compression.

This way, only the young or the very mild Hallux deformities are treated.

For everyone else, so for about 90% of all hallux deformities, our newer, so called intramedullary locking plates are used. This is a completely new approach to hallux surgery, allowing complete correction of all deformities with immediate full activity resumable, as the plate (like a nail in trauma surgery) sits inside the bone and allows all possible correction. The forces are retained where they occur, namely in the center of the bone axis and not the outside, as has been the case with all other fixation systems so far.


Michael Vitek Dr. Prof inv. UAG
Meidlinger Hauptstraße 26
(1st floor without elevator)

Vienna,  1120

Private Practice

Hauptstraße 62 Top 12,
2344 Maria Enzersdorf

Opening hours

Monday 12:00 - 16:00

Tuesday 12:00 - 16:00

Thursday 12:00 - 16:00

Private and insured patients

Phone reservation required!

 insured patients: +43 1 815 52 75

 private: +43 664 849 81 00

Information about Cookies and Data Protection:

This website uses cookies. Cookies are small pieces of text, a web browser stores on the user’s device. They cause no harm.

Cookies that are required for the functionality of the website are set in accordance with Art 6 para. 1 lit b) GDPR (legal basis). All other cookies are only stored providing that you give consent according to Art 6 para. 1 lit a) GDPR (legal basis).

You have the right to withdraw your consent at any time. The withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal. You are not obliged to give your consent in order to use the website. You can use the website irrespectively of your given, refused or withdrawn consent. However, the functionality of the website may be limited, when you refuse or withdraw your consent.

The offered information on this website is not addressed to children and persons below the age of 16.

To withdraw your consent or to restrict cookies, you have particularly the following possibilities:

Necessary Cookies:

This website could use the following cookies that are essential for operating the website:

Optional cookies for marketing and analysis purposes:

Cookies that are set for marketing and analysis purposes usually are stored longer than for the particular session; the precise storage time can be learned from the guidelines of the respective providers.

Additional information about the utilization of personal data in connection with the usage of this website can be found in our Data Protection Guidelines in accordance with Art 13 GDPR.