I read with great interest the article entitled “Alternative treatment for varus instability of the hallux interphalangeal joint: A case report” published recently (1). The authors reported a good surgical outcome which was achieved by reconstruction of the collateral ligament using the 4th extensor tendon for varus instability of the hallux interphalangeal joint. They described that a literature review of reconstruction of the this type injury reported techniques using allograft, palmaris longus tendon or suture tape. Therefore, they emphasized the advantage of using the 4th extensor tendon, which have less donor site morbidity and better cost effectiveness than reconstruction using an allograft.
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