545 results match your criteria Bunion


The relationship of the Phantom® Lapidus Intramedullary Nail System to neurologic and tendinous structures in the foot: An anatomic study.

Foot Ankle Surg 2020 May 20. Epub 2020 May 20.

Graduate Medical Education Department, Wellstar Atlanta Medical Center, United States.

Background: The purpose of our cadaveric study was to determine the proximity of nail insertion and interlocking mechanisms in the Phantom® Lapidus Intramedullary Nail System to neurologic and tendinous structures in the foot.

Methods: We used 10 fresh-frozen human lower-extremity specimen cadavers. For each specimen, the Nail System was inserted as described in the published technique guide. Read More

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http://dx.doi.org/10.1016/j.fas.2020.04.007DOI Listing

Results of Hallux Valgus Surgery in Diabetic Patients With Good Glycemic Control.

Foot Ankle Int 2020 Jun 13:1071100720930011. Epub 2020 Jun 13.

Singapore General Hospital, Singapore.

Background: Literature is sparse on whether diabetes affects outcomes of hallux valgus surgery. With the rising global prevalence of diabetes and diabetes being an independent predictor of poorer outcomes, particularly in foot and ankle surgery, we aimed to investigate the impact of diabetes on the outcomes of hallux valgus surgery.

Methods: We conducted a retrospective comparative cohort study of prospectively collected registry data of 951 feet in 721 patients who underwent surgery for symptomatic hallux valgus between 2007 and 2015 at our institution. Read More

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http://dx.doi.org/10.1177/1071100720930011DOI Listing

Percutaneous Techniques in Orthopedic Foot and Ankle Surgery.

Orthop Clin North Am 2020 Jul 22;51(3):403-422. Epub 2020 Apr 22.

Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

This article presents the indications, contraindications, preoperative surgical planning, surgical technique, and postoperative management of some of the most common percutaneous procedures in orthopedic foot and ankle surgery. The background of each procedure also is presented, supported by the latest in published literature to educate surgeons. Such topics include percutaneous bunionectomy, lesser toe deformity and bunionette correction, calcaneal osteotomy, cheilectomy, and first metatarsophalangeal joint arthrodesis. Read More

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http://dx.doi.org/10.1016/j.ocl.2020.02.004DOI Listing

Randomised control trial on the optimal duration of non-weight-bearing walking after hallux valgus surgery.

J Orthop Translat 2020 Jul 13;23:61-66. Epub 2020 May 13.

Department of Orthopaedics and Traumatology, Faculty of Medicine, CUHK, Hong Kong.

Introduction: Hallux valgus surgery is one of the most commonly performed operations in Orthopaedics. Multiple surgical techniques have been described including arthrodesis, osteotomies and soft tissue procedures. The endoscopic-assisted distal soft tissue procedure is one of the minimally invasive surgical options with a good long-term outcome. Read More

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http://dx.doi.org/10.1016/j.jot.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256050PMC

Percutaneous Oblique Distal Osteotomy of the Fifth Metatarsal for Bunionette Correction.

Foot Ankle Int 2020 May 21:1071100720917906. Epub 2020 May 21.

Head of Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, SP, Brazil.

Background: Bunionette is a common foot disorder, and several types of corrective surgery have been described. With the popularization of minimally invasive surgeries, the forefoot region has become a suitable area for this type of technique. The aim of this study was to evaluate the results of oblique distal osteotomy of the fifth metatarsal adapted for a percutaneous approach. Read More

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http://dx.doi.org/10.1177/1071100720917906DOI Listing

Minimally invasive vs open distal metatarsal osteotomy for hallux valgus - A systematic review and meta-analysis.

J Clin Orthop Trauma 2020 May-Jun;11(3):348-356. Epub 2020 Apr 21.

Indian Spinal Injuries Centre, New Delhi, India.

Background: Numerous publications of the late 20th century have presented the radiological outcome of open technique for distal metatarsal osteotomy for mild to moderate hallux valgus and the clinical outcomes by means of well-established scoring systems which have been published and make these open techniques today's benchmark and gold standard. Minimally invasive procedures reduce surgical trauma because they are performed without large incisions, and injury to the soft tissues is limited. This has the theoretical advantages of improved recovery and decreased rehabilitation times. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.04.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211908PMC

Correction of Severe Hallux Valgus with Metatarsal Adductus Applying the Concepts of Minimally Invasive Surgery.

Foot Ankle Clin 2020 Jun 23;25(2):337-343. Epub 2020 Mar 23.

Orthopedic Department, Meir Medical Service, Sackler University, Tel Aviv University, 59 Tchernichovsky Street, Kfar-Saba 4428164, Israel.

The combination of hallux valgus and metatarsus adductus presents a surgical challenge even for the experienced foot and ankle surgeon, as the position of the lesser metatarsals restricts the space for metatarsal head displacement. We describe the application of concepts of minimally invasive techniques to correct this deformity. Proximal metatarsal osteotomy to correct the position of lesser metatarsals, followed by minimally invasive bunion surgery, shows promising results. Read More

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http://dx.doi.org/10.1016/j.fcl.2020.02.001DOI Listing

MICA: A Learning Curve.

J Foot Ankle Surg 2020 Jul - Aug;59(4):781-783. Epub 2020 Apr 25.

Surgeon, Orthopedic Department, Sapir Medical Center, Meir Hospital, Kfar Saba, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Techniques of minimally invasive bunion surgery have become increasingly popular in recent years. However, the learning curve involved in mastering these innovative techniques has not been described. To address this issue, a trained foot and ankle surgeon in a university hospital operated on 50 patients using the minimally invasive Chevron and Akin procedure over the course of 3 years, from January 2016 through December 2018. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.07.027DOI Listing

Non-weightbearing compared with weightbearing x-rays in hallux valgus decision-making.

Skeletal Radiol 2020 Apr 21. Epub 2020 Apr 21.

Department of Orthopedics and Rehabilitation, University Hospital in Krakow, Krakow, Poland.

Objective: To report the effect of weightbearing x-ray imaging on clinical decisions in hallux valgus. Weightbearing (WB) x-ray is standard imaging for symptomatic hallux valgus (HV). In our clinical practice, often patients are presenting with non-weightbearing (NWB) x-rays. Read More

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http://dx.doi.org/10.1007/s00256-020-03441-9DOI Listing

Comparison of Radiographic Measurements Before and After Triplane Tarsometatarsal Arthrodesis for Hallux Valgus.

J Foot Ankle Surg 2020 Mar - Apr;59(2):291-297

Surgeon, Foot & Ankle Center of Iowa/Midwest Bunion Center, Ankeny, IA.

We present a comparison of preoperative and final postoperative first ray measurements in 109 feet after triplane tarsometatarsal arthrodesis at a mean follow-up time of 17.4 months. Preoperative and final postoperative first ray variables including intermetatarsal angle (IMA), hallux valgus angle (HVA), tibial sesamoid position (TSP), distal metatarsal articular angle (DMAA), Seiberg index, metatarsal rotation angle (MRA), sesamoid subluxation, osseous union, and hardware failure were evaluated. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.08.020DOI Listing

Effect of Severity of Deformity on Clinical Outcomes of Scarf Osteotomies.

Foot Ankle Int 2020 Jun 4;41(6):705-713. Epub 2020 Mar 4.

Singapore General Hospital, Singapore.

Background: Literature is sparse on whether severity of hallux valgus affects outcomes of surgery. We thus aimed to evaluate the impact of hallux valgus severity on the clinical outcomes of surgery.

Methods: 83 consecutive scarf osteotomies performed by a single surgeon for symptomatic hallux valgus between 2007 and 2011 were divided into 3 groups (mild, moderate, and severe) based on severity of their preoperative hallux valgus using the hallux valgus and intermetatarsal angles. Read More

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http://dx.doi.org/10.1177/1071100720907387DOI Listing
June 2020
1.626 Impact Factor

Revision of the Failed Bunion Surgery.

Instr Course Lect 2019 ;68:247-264

Complications and failures of corrective surgery for hallux valgus are not infrequent, and their reported rates vary widely. This is at least partly because of the variety of surgical techniques performed as well as a lack of consensus regarding what constitutes a successful outcome. Some of the most commonly encountered reasons for failure include recurrence, hallux varus, nonunion, and malunion. Read More

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February 2020

The Adolescent Bunion.

Authors:
Jacob R Zide

Instr Course Lect 2020 ;69:363-370

The management of bunion deformities in adolescent patients is often a source of consternation for orthopaedic surgeons. Reports of recurrence and surgical failure along with a multitude of procedures to choose from create a wariness to manage the problem surgically. The biggest challenge in managing this problem is a lack of understanding by orthopaedic surgeons that adolescent bunions and adult bunions frequently arise from two distinct etiologies. Read More

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February 2020

Use of Advanced Weightbearing Imaging in Evaluation of Hallux Valgus.

Foot Ankle Clin 2020 Mar 19;25(1):31-45. Epub 2019 Nov 19.

Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital, Rummelsberg, Rummelsberg 71, Schwarzenbruck 90592, Germany.

Hallux valgus (HV) represents a progressive 3-dimensional deformity that includes bone malalignment, hypermobility of the first ray, and imbalanced soft-tissue structures of the midfoot and forefoot. Conventional radiographs provide sectorized and limited information of the deformity in different planes. The literature evidence supporting the use of cone beam weightbearing computed tomography in the assessment of HV has been growing. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.10.001DOI Listing

Cost-Effectiveness of Surgical Techniques in Hallux Valgus.

Foot Ankle Clin 2020 Mar 28;25(1):19-29. Epub 2019 Nov 28.

Trauma and Orthopaedics Department, Aintree University Hospital, Lower Lane, Liverpool L9 7AL, UK.

Health care costs are increasing. Funding is not increasing at a commensurate rate. Demonstrable cost-effectiveness is critical when selecting operation and implant type. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.10.005DOI Listing

Intraoperative and Postoperative Evaluation of Hallux Valgus Correction: What Is Important?

Foot Ankle Clin 2020 Mar 4;25(1):127-139. Epub 2019 Dec 4.

Federal University of Minas Gerais - UFMG, Felício Rocho Hospital, Belo Horizonte, Minas Gerais, Brazil.

The hallux valgus is one of the most challenging foot and ankle deformities to correct. The current concept is to consider the hallux valgus as a triplane deformity, and the parameters in transverse, sagittal, and frontal planes must be considered. The hallux valgus angle, intermetatarsal angle, tibial sesamoid position, and lateral edge of the first metatarsal head are valuable parameters to evaluate to understand the magnitude of the deformity. Read More

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http://dx.doi.org/10.1016/j.fcl.2019.10.007DOI Listing

Scarf osteotomy for hallux valgus deformity: Radiological outcome, metatarsal length and early complications in 118 feet.

Foot Ankle Surg 2020 Jan 9. Epub 2020 Jan 9.

Cantonal Hospital Baden, Department of Orthopaedics and Traumatology, Im Ergel 1, 5404 Baden, Switzerland.

Background: Scarf osteotomy has been widely used to restore axial orientation of the first ray in the treatment of hallux valgus deformity. The aim of the study was to present our radiological outcomes of bunion reconstruction, identify surgical complications in early follow-up, and assess to what extent a shortening of the first metatarsal is present after surgery as a possible cause of postoperative metatarsalgia.

Methods: We enrolled 106 patients (118 feet) and assessed patients' pre- and postoperative measurements of hallux valgus and intermetatarsal angles on weightbearing X-ray images. Read More

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http://dx.doi.org/10.1016/j.fas.2020.01.002DOI Listing
January 2020

Structures at Risk During Percutaneous Extra-Articular Chevron Osteotomy of the Distal First Metatarsal.

Foot Ankle Spec 2019 Dec 31:1938640019895917. Epub 2019 Dec 31.

Romano Orthopaedic Center, Oak Park, Illinois (MM).

Minimally invasive surgery of the forefoot has regained popularity as an alternative to traditional open procedures. Minimally invasive hallux valgus surgery has been shown to be effective and reproducible for the treatment of mild to moderate hallux valgus. The aim of this study is to identify vital structures that are at risk for iatrogenic damage while performing a minimally invasive distal chevron osteotomy due to limited direct visualization. Read More

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http://dx.doi.org/10.1177/1938640019895917DOI Listing
December 2019

Maintenance of Correction of the Modified Lapidus Procedure With a First Metatarsal to Intermediate Cuneiform Cross-Screw Technique.

Foot Ankle Int 2020 Apr 26;41(4):428-436. Epub 2019 Dec 26.

Orthopedic Foot and Ankle Center, Worthington, OH, USA.

Background: Recurrence of deformity remains a concern when fusing the first tarsometatarsal joint for correction of hallux valgus (HV). A recently described construct adds an additional point of fixation from the plantar medial first metatarsal to the intermediate cuneiform. The purpose of this study was to determine the maintenance of correction of the first and second intermetatarsal angle, hallux valgus angle, and tibial sesamoid position after undergoing a first tarsometatarsal joint arthrodesis using the proposed construct. Read More

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http://dx.doi.org/10.1177/1071100719895268DOI Listing

Validating the Foot and Ankle Outcome score for measuring foot dysfunction among hallux valgus surgery patients using item response theory.

Foot Ankle Surg 2019 Dec 4. Epub 2019 Dec 4.

Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada. Electronic address:

Background: There is an absence of high quality research validating instruments that measure foot and ankle related quality of life among hallux valgus (bunion) patients' perspectives. The Foot and Ankle Outcome Scale is a patient-reported outcome instrument, that when administered to patients with symptomatic hallux valgus, provides a patient-centric perspective of their foot function. The aim of this study is to assess the psychometric properties of the instrument's five subscales among preoperative bunion surgery patients. Read More

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http://dx.doi.org/10.1016/j.fas.2019.11.002DOI Listing
December 2019

Radiological Evaluation of a Preoperative First Metatarsal Realignment Test for Metatarsus Primus Varus and Hallux Valgus Correction by the Syndesmosis Procedure.

Foot Ankle Int 2020 Mar 5;41(3):342-349. Epub 2019 Dec 5.

Department of Statistics and Actuarial Science, Pokfulam, University of Hong Kong, Hong Kong, China.

Background: Metatarsus primus varus correction is one of the primary surgical objectives for hallux valgus correction. Some soft tissue procedures have shown that the first metatarsal can be adequately realigned without osteotomy. The hypothesis of this study was that this correctability should also be demonstrable preoperatively. Read More

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http://dx.doi.org/10.1177/1071100719893339DOI Listing

A Clinicoradiological and Functional Evaluation of Lapidus Surgery for Moderate to Severe Bunion Deformity Shows Excellent Stable Correction and High Long-Term Patient Satisfaction.

Foot Ankle Spec 2019 Dec 2:1938640019890716. Epub 2019 Dec 2.

Department of Orthopedic Surgery, Central Arkansas Veterans Healthcare System, University of Arkansas College of Medicine, Little Rock, Arkansas.

Lapidus surgery involving arthrodesis of the first metatarsocuneiform (MTC) joint is an effective procedure for the correction of moderate to severe hallux valgus. The aim of this study was to collect and analyze radiographic data from our institution and determine the extent of first metatarsal shortening associated with the Lapidus procedure. A total of 53 patients (54 feet) who underwent arthrodesis of the first MTC joint combined with modified McBride bunionectomy for correction of moderate to severe hallux valgus deformity, between 2010 and 2015 were included in this study. Read More

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http://dx.doi.org/10.1177/1938640019890716DOI Listing
December 2019

Follow-up of post-bunionectomy pain in two in- and outpatient cohorts: interest in patient analgesic education.

Anaesthesiol Intensive Ther 2019 ;51(5):417-419

Centre Hospitalier Privé Saint-Grégoire, Saint-Grégoire, France.

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http://dx.doi.org/10.5114/ait.2019.89195DOI Listing

Fibrodysplasia Ossificans Progressiva and Its Implications in Podiatric Medicine: A Case Report.

J Am Podiatr Med Assoc 2019 Jul;109(4):317-321

The purpose of this case report is to show the clinical presentation of a rare genetic disorder, called fibrodysplasia ossificans progressiva, on the development of the foot in a newborn. Shortened great toes and malformations of the first metatarsals are present in all affected individuals at birth. Irreversible heterotopic endochondral ossification of soft tissues occurs in the first decade of life, often resulting in permanent immobility by the third decade of life. Read More

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http://dx.doi.org/10.7547/18-021DOI Listing

Arthroscopic Lateral Soft Tissue Release for Hallux Valgus.

J Foot Ankle Surg 2020 Jan - Feb;59(1):210-212. Epub 2019 Nov 19.

Professor and Chairman, Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR.

Release of the tight lateral soft tissue is an important procedure during surgery for hallux valgus. The authors describe an arthroscopic assisted lateral soft tissue release technique that is minimally invasive and easy to perform, while also providing precise visualization of the released structures. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.01.021DOI Listing

Role of Patient-Reported Outcome Measures on Predicting Outcome of Bunion Surgery.

Foot Ankle Int 2020 Feb 8;41(2):133-139. Epub 2019 Nov 8.

Department of Orthopaedics, University of Rochester, Rochester, NY, USA.

Background: Prior studies have suggested preoperative patient-reported outcome scores could predict patients who would achieve a clinically meaningful improvement with hallux valgus surgery. Our goal was to determine bunionectomy-specific thresholds using Patient-Reported Outcomes Measurement Information System (PROMIS) values to predict patients who would or would not benefit from bunion surgery.

Methods: PROMIS physical function (PF), pain interference (PI), and depression assessments were prospectively collected. Read More

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http://dx.doi.org/10.1177/1071100719886286DOI Listing
February 2020

Radiographic Outcomes of a Percutaneous, Reproducible Distal Metatarsal Osteotomy for Mild and Moderate Bunions: A Multicenter Study.

J Foot Ankle Surg 2019 Nov;58(6):1215-1222

Surgeon, Orthopedic Surgery Department, Verdun Hospital, Montreal, Quebec, Canada.

Hallux valgus is a prevalent condition. Many open surgical methods of correction have been described. We performed a percutaneous, extra-articular distal metatarsal osteotomy for mild to moderate bunion deformity. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.04.012DOI Listing
November 2019
3 Reads

Neurovascular structures at risk with percutaneous fixation in tarsometatarsal fusion: A cadaveric study.

Foot (Edinb) 2019 Dec 18;41:19-23. Epub 2019 May 18.

University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL, 35205, USA. Electronic address:

Introduction: First tarsometatarsal (TMT) joint fusion is routinely used for arthritis and deformities. Common fixation methods include a locking plate construct, cross-screws, or combinations of the two. Cross screws have proven effective for union and stability; however, there is a potential for harm to nearby neurovascular structures due to the nature of percutaneous insertion technique. Read More

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http://dx.doi.org/10.1016/j.foot.2019.05.006DOI Listing
December 2019
1 Read

Management of Juvenile Hallux Valgus Deformity: the role of combined Hemiepiphysiodesis.

BMC Musculoskelet Disord 2019 Oct 25;20(1):472. Epub 2019 Oct 25.

Department of Orthopaedic Surgery, National Taiwan University Hospital, No.7, Chung Shan S. Rd., Zhongzheng Dist., Taipei City, 10002, Taiwan.

Background: This study aimed to investigate the efficacy of percutaneous hemiepiphysiodesis for gradual correction of symptomatic juvenile hallux valgus (HV) deformity.

Methods: Between 2012 to 2014, 24 patients with symptomatic juvenile HV were treated by combined percutaneous medial drilling hemiepiphysiodesis of the first proximal phalanx and lateral transphyseal screw hemiepiphysiodesis of the first metatarsal at our institution. Twenty-one of 24 patients fulfilled inclusion criteria had a complete radiological and clinical follow-up of at least 2 years. Read More

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http://dx.doi.org/10.1186/s12891-019-2867-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813977PMC
October 2019

Forefoot disorders and conservative treatment.

Yeungnam Univ J Med 2019 05 14;36(2):92-98. Epub 2019 May 14.

Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea.

Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Read More

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http://dx.doi.org/10.12701/yujm.2019.00185DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6784640PMC
May 2019
1 Read

The Impact of a Foot-Toe Orthosis on Dynamic Balance: An Exploratory Randomized Control Trial.

J Sport Rehabil 2019 Sep 30:1-8. Epub 2019 Sep 30.

Context: The influence of custom and over-the-counter foot orthoses on dynamic balance has been investigated in the past. However, there has not been an exploration of the use of a foot-toe orthosis for improving balance. The ability of clinicians to influence balance could have important implications for injury prevention and rehabilitation. Read More

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https://journals.humankinetics.com/view/journals/jsr/aop/art
Publisher Site
http://dx.doi.org/10.1123/jsr.2017-0321DOI Listing
September 2019
4 Reads

Relationships Between First Metatarsal and Sesamoid Positions and Other Clinically Relevant Parameters for Hallux Valgus Surgery.

J Foot Ankle Surg 2019 Nov 25;58(6):1095-1099. Epub 2019 Sep 25.

Associate Professor, Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX; Associate Professor, Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX.

Relationships between hallux valgus (HV) and other measurements within the first ray have been extensively studied. It is becoming more popular to correct HV deformity with tarsometatarsal joint arthrodesis while internally (varus) rotating the first metatarsal. This, in turn, reduces the sesamoid position when viewed in the dorsoplantar projection on radiographs. Read More

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http://dx.doi.org/10.1053/j.jfas.2019.01.014DOI Listing
November 2019
3 Reads

Management of Hallux Valgus in General Practice in Australia.

Arthritis Care Res (Hoboken) 2019 Sep 24. Epub 2019 Sep 24.

School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, 3086, Australia.

Objective: To describe the management of hallux valgus by general practitioners (GPs) in Australia.

Design: We analysed data from the Bettering the Evaluation and Care of Health program April 2000 to March 2016 inclusive. Patient and GP encounter characteristics were extracted. Read More

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http://dx.doi.org/10.1002/acr.24075DOI Listing
September 2019

Third-Generation Minimally Invasive Chevron Akin Osteotomy for Hallux Valgus.

Foot Ankle Int 2020 Jan 14;41(1):50-56. Epub 2019 Sep 14.

Department of Trauma & Orthopaedics, Croydon University Hospital, Croydon, UK.

Background: Multiple operative techniques have been developed for hallux valgus with varying success. The most recent developments in minimally invasive surgery have evolved into the third-generation minimally invasive chevron Akin (MICA) osteotomy. Good results have been shown from originator centers, but this is one of the first series from a nonoriginator center, and the first to use a validated patient-reported outcome measure. Read More

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http://dx.doi.org/10.1177/1071100719874360DOI Listing
January 2020

Efficacy and Safety of an Intravenous Acetaminophen/Ibuprofen Fixed-dose Combination After Bunionectomy: a Randomized, Double-blind, Factorial, Placebo-controlled Trial.

Clin Ther 2019 10 22;41(10):1982-1995.e8. Epub 2019 Aug 22.

AFT Pharmaceuticals Ltd, Auckland, New Zealand.

Purpose: Multimodal analgesia with acetaminophen and/or nonsteroidal anti-inflammatory drugs is recommended for the treatment of postoperative pain. Although oral fixed-dose combinations (FDCs) are available, parenteral administration may be clinically justified. The goal of this study was to investigate the clinical efficacy and safety of an intravenous FDC of ibuprofen and acetaminophen after bunionectomy. Read More

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http://dx.doi.org/10.1016/j.clinthera.2019.07.008DOI Listing
October 2019
3 Reads

Hallux valgus correction utilising a modified short scarf osteotomy with a magnesium biodegradable or titanium compression screws - a comparative study of clinical outcomes.

BMC Musculoskelet Disord 2019 Jul 19;20(1):334. Epub 2019 Jul 19.

University of KwaZulu-Natal, Pietermaritzburg, South Africa.

Background: Biodegradable implants reduce the likelihood of further surgery for hardware removal and reduce the risks of associated infection and allergy. The purpose of this study is to evaluate the clinical efficacy and determine the comparability of biodegradable magnesium alloy MgYREZr (MAGNEZIX® CS) compression screw fixation compared with standard titanium screw fixation in the surgical treatment of hallux valgus deformity.

Methods: Eleven patients undergoing corrective surgery for hallux valgus utilising biodegradable magnesium screws and a control group of 25 patients undergoing corrective hallux valgus surgery with standard titanium screws were reviewed at a median of 19 months (range 12-30 months). Read More

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http://dx.doi.org/10.1186/s12891-019-2717-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639924PMC
July 2019
2 Reads
1.898 Impact Factor

Ultrasound-guided Therapeutic Injection and Cryoablation of the Medial Plantar Proper Digital Nerve (Joplin's Nerve): Sonographic Findings, Technique, and Clinical Outcomes.

Acad Radiol 2020 Apr 3;27(4):518-527. Epub 2019 Jul 3.

NYU Center for Musculoskeletal Care, Department of Radiology, Center for Musculoskeletal Care, New York, New York.

Rationale And Objectives: The medial plantar proper digital nerve, also called Joplin's nerve, arises from the medial plantar nerve, courses along the medial hallux metatarsophalangeal joint, and can be a source of neuropathic pain due to various etiologies, following acute injury including bunion surgery and repetitive microtrauma. We describe our clinical experience with diagnostic ultrasound assessment of Joplin's neuropathy and technique for ultrasound-guided therapeutic intervention including both injection and cryoablation over a 6-year period.

Materials And Methods: Retrospective review of all diagnostic studies performed for Joplin's neuropathy and therapeutic Joplin's nerve ultrasound-guided injections and cryoablations between 2012 and 2018 was performed. Read More

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http://dx.doi.org/10.1016/j.acra.2019.05.014DOI Listing
April 2020
1 Read

Mitchell's osteotomy augmented with bio-absorbable pins for the treatment of hallux valgus: A comparative finite element study.

J Musculoskelet Neuronal Interact 2019 06;19(2):234-244

3rd Orthopaedic Department of "Hygeia" General Hospital, Athens, Greece.

Background: There is an inadequacy of conventional means to assess the surgical outcomes of a bunion surgery. We used the Finite Element Analysis for evaluating the typical Mitchell's procedure outcomes with or without bio-absorbable pins.

Methods: We developed a 3D FE model based on the CT images of a female volunteer with hallux valgus. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6587079PMC
June 2019
14 Reads

Bone Reconstruction in the Diabetic Foot.

Clin Podiatr Med Surg 2019 Jul;36(3):457-468

Department of Surgery, Division of Plastic and Reconstructive Surgery, Hospital of the University of Pennsylvania, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.

Surgical bone reconstructive procedures of the foot and ankle in diabetic patients must be considered when performing evaluation of a diabetic foot for patients with preulcerative lesions and preexisting wounds. Preventive deformity correction can reduce the potential risk of ulceration, infection, and possible amputation in a patient with an at-risk foot type. It can also expedite wound healing and prevent further breakdown in a patient with lower extremity ulcerations. Read More

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http://dx.doi.org/10.1016/j.cpm.2019.02.007DOI Listing
July 2019
6 Reads

Multicenter Early Radiographic Outcomes of Triplanar Tarsometatarsal Arthrodesis With Early Weightbearing.

Foot Ankle Int 2019 Aug 5;40(8):955-960. Epub 2019 May 5.

1 Department of Orthopaedics, West Virginia University, Morgantown, WV, USA.

Background: Hallux valgus is a multiplanar deformity of the first ray. Traditional correction methods prioritize the transverse plane, a potential factor resulting in high recurrence rates. Triplanar first tarsometatarsal (TMT) arthrodesis uses a multiplanar approach to correct hallux valgus in all 3 anatomical planes at the apex of the deformity. Read More

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http://journals.sagepub.com/doi/10.1177/1071100719847700
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http://dx.doi.org/10.1177/1071100719847700DOI Listing
August 2019
13 Reads

Correlation of Preoperative Radiographic Severity With Disability and Symptom Severity in Hallux Valgus.

Foot Ankle Int 2019 Aug 22;40(8):923-928. Epub 2019 Apr 22.

1 Weil Foot and Ankle Institute, Des Plaines, IL, USA.

Background: Some US insurance companies have recently started to require minimum angular measurements, for coverage decisions, in patients seeking operative correction for symptomatic hallux valgus. This logic naturally assumes that the magnitude of radiographic bunion deformity is related to the magnitude of patient's presenting symptoms and/or disability.

Methods: We conducted an analysis of existing data in our practice to determine whether patient-reported symptoms and disability prior to bunion surgery correlated with preoperative radiographic measurements commonly used to quantify hallux valgus severity. Read More

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http://dx.doi.org/10.1177/1071100719845002DOI Listing
August 2019
22 Reads

New Persistent Opioid Use Following Common Forefoot Procedures for the Treatment of Hallux Valgus.

J Bone Joint Surg Am 2019 Apr;101(8):722-729

Departments of Orthopaedic Surgery (F.T.F, T.D.G., P.G.T., and J.R.H.), Surgery (H.M.H. and J.F.W.), and Anesthesiology (C.M.B.), University of Michigan, Ann Arbor, Michigan.

Background: Orthopaedic surgeons are the fourth highest on the list of top prescribers of opioid analgesics by specialty and have a direct impact on opioid-related morbidity in the United States. Operative bunion correction is one of the most commonly performed elective foot surgical procedures in this country. We sought to determine the rate of new persistent opioid use following exposure to opioids after surgical treatment of hallux valgus (bunionectomy) and to identify associated risk factors. Read More

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http://dx.doi.org/10.2106/JBJS.18.00793DOI Listing
April 2019
4 Reads

Quantitative Assessment of the Obliquity of the First Metatarsal-Medial Cuneiform Articulation.

J Foot Ankle Surg 2019 Jul 6;58(4):679-686. Epub 2019 Apr 6.

Clinical Associate Professor, Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania. Electronic address:

The so-called obliquity of the first metatarsal-medial cuneiform articulation has been described as an atavistic trait of human foot morphology, and it is commonly proposed as a relative risk factor for development of the hallux abductovalgus (HAV) deformity. The objectives of this investigation were to 1) provide descriptive normative radiographic data on a series of first metatarsal-medial cuneiform articulations and 2) correlate these findings to other common radiographic parameters used to define the HAV deformity. We measured radiographic parameters including the first intermetatarsal angle, hallux abductus angle, tibial sesamoid position, Engel's angle, and 2 measures of obliquity in the transverse and sagittal planes on a consecutive series of 136 weightbearing foot radiographic projections from subjects without a history of foot/ankle surgery or fracture/dislocation. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.11.017DOI Listing
July 2019
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Minimally Important Difference in the Foot and Ankle Outcome Score Among Patients Undergoing Hallux Valgus Surgery.

Foot Ankle Int 2019 Jun 15;40(6):694-701. Epub 2019 Mar 15.

2 Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, Canada.

Background: Patient-reported outcomes are increasingly used as measures of effectiveness of interventions. To make the tools more useful, therapeutic thresholds known as minimally important differences have been developed. The objective of this study was to calculate minimally important differences for the domains of the Foot and Ankle Outcome Score for hallux valgus surgery. Read More

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http://dx.doi.org/10.1177/1071100719831392DOI Listing
June 2019
2 Reads

[Distal Chevron osteotomy of the first metatarsal and soft-tissue release for hallux valgus].

Zhongguo Gu Shang 2019 Jan;32(1):64-67

The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210029, Jiangsu, China;

Objective: To explore distal Chevron osteotomy of the first metatarsal and soft-tissue release for the treatment of mild and moderate hallux valgus.

Methods: From June 2015 to June 2017, 32 patients(40 feet) with mild and moderate hallux valgus were treated with distal Chevron osteotomy with soft tissue release. including 3 males(3 feet) and 29 females (37 feet), aged from 22 to 80 years old with an average of 57. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.014DOI Listing
January 2019
30 Reads

Bunionectomy.

Authors:

AORN J 2019 03;109(3):P14-P16

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http://dx.doi.org/10.1002/aorn.12654DOI Listing
March 2019
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Digital Measurements With Hallux Valgus Before and After Modified Long Oblique Osteotomy.

J Foot Ankle Surg 2019 May 15;58(3):458-464. Epub 2019 Feb 15.

Resident, Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, South Korea.

Radiographic measurements of the hallux valgus (HV) angle (HVA) and the first intermetatarsal angle (IMA) are important for assessing the severity of HV. The purpose of the present study was to digitally investigate the intraobserver and interobserver reliability of various methods for measuring HVA and IMA, as well as each axis composing them, such as axes of the first proximal phalanx (PP1), the first metatarsal (MT1), and the second metatarsal (MT2) in patients with a metatarsal shaft osteotomy-modified long oblique osteotomy. Three orthopedic surgeons measured the HVA, IMA, and the angles between axes of PP1, MT1, and MT2, and the digitally-set reference line (α, β, and γ, respectively) using 6 different methods for 39 patients with a minimum of 1 year of follow-up after operative treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183042
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http://dx.doi.org/10.1053/j.jfas.2018.09.020DOI Listing
May 2019
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The Perception of the Scope of Practice of Podiatric Medicine in a Large Teaching Hospital Demonstrated by Internal Medicine Residents and Patients.

J Am Podiatr Med Assoc 2018 Nov;108(6):503-507

Background:: The scope of podiatric practice has changed significantly in the past couple of decades. Despite the increased quality of training, many people outside of podiatry may not realize what our scope of practice entails.

Methods:: We conducted a survey consisting of 10 items and asked internal medicine residents at Rush University Medical Center and patients whether they would feel comfortable consulting podiatrists, or being treated for each issue. Read More

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http://dx.doi.org/10.7547/17-128DOI Listing
November 2018
8 Reads

Development of an Institutional Opioid Prescriber Education Program and Opioid-Prescribing Guidelines: Impact on Prescribing Practices.

J Bone Joint Surg Am 2019 Jan;101(1):5-13

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY.

Background: Our institution developed a 1-hour mandatory narcotics-prescribing education program as well as postoperative opioid-prescribing guidelines in response to the opioid epidemic. The purpose of this study was to evaluate the effect of this hospital-wide opioid education and subsequent institution of postoperative opioid guidelines on opioid-prescribing practices after ambulatory surgery.

Methods: This retrospective study was performed at 1 academic orthopaedic hospital. Read More

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http://dx.doi.org/10.2106/JBJS.17.01645DOI Listing
January 2019
9 Reads