586 results match your criteria Bunion

Short-Term, Retrospective Radiographic Evaluation Comparing Pre- and Postoperative Measurements in the Chevron and Minimally Invasive Distal Metatarsal Osteotomy for Hallux Valgus Correction.

J Foot Ankle Surg 2021 May 1. Epub 2021 May 1.

Attending Physician, Physicians Footcare, Florence, SC.

Various techniques exist for correction of mild to moderate hallux valgus (HAV) deformity. Recently, minimally invasive distal metatarsal osteotomy (MIDMO) has gained popularity for HAV correction. This retrospective radiographic review aims to report the surgical correction obtained by the chevron and MIDMO osteotomies at a single institution between 2012 and 2017. Read More

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Modified Lapidus Versus Scarf Osteotomy Outcomes for Treatment of Hallux Valgus Deformity.

Foot Ankle Int 2021 Jun 4:10711007211013776. Epub 2021 Jun 4.

Hospital for Special Surgery, New York, NY, USA.

Background: The Lapidus procedure and scarf osteotomy are indicated for the operative treatment of hallux valgus; however, no prior studies have compared outcomes between the procedures. The aim of this study was to compare clinical and radiographic outcomes between patients with symptomatic hallux valgus treated with the modified Lapidus procedure versus scarf osteotomy.

Methods: This retrospective cohort study included patients treated by 1 of 7 fellowship-trained foot and ankle surgeons. Read More

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Hallux valgus deformity and postural sway: a cross-sectional study.

BMC Musculoskelet Disord 2021 May 31;22(1):503. Epub 2021 May 31.

Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa, Gunma, 371-8511, Maebashi, Japan.

Background: Hallux valgus deformity has been reported to be associated with increased postural sway. However, the direction and magnitude of postural sway associated with hallux valgus remain inconclusive. We assessed the association between hallux valgus deformity and postural sway using a force plate. Read More

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The videos on YouTube® related to hallux valgus surgery have insufficient information.

Foot Ankle Surg 2021 May 18. Epub 2021 May 18.

Department of Orthopaedics, Umraniye Training and Research Hospital, Istanbul, Turkey. Electronic address:

Background: Previous studies have determined the videos on YouTube® have misleading information in medicine, however the assessment of the information for hallux valgus surgery is lacking.

Methods: YouTube® was analyzed using two keywords as 'hallux valgus surgery' and 'bunion surgery'. Once redundancies were eliminated, each video was evaluated for the characteristic as following: duration, number of views, likes and dislikes, days since upload, view and like ratios and video power index (VPI). Read More

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Late Effects of Clubfoot Deformity in Adolescent and Young Adult Patients Whose Initial Treatment Was an Extensive Soft-tissue Release: Topic Review and Clinical Case Series.

J Am Acad Orthop Surg Glob Res Rev 2020 May;4(5):e1900126

From the Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO (Dr. Johnson, Dr. Klein, Dr. McCormick, Dr. Dobbs, Dr. Gordon, Dr. Schoenecker); the Department of Orthopaedic Surgery, Dartmouth-Hitchcock School of Medicine, New Hampshire, NH (Dr. Fortney); and the Congress Orthopaedic Associates, Arcadia, CA (Dr. Luk).

Children with congenital clubfoot often have residual deformity, pain, and limited function in adolescence and young adulthood. These patients represent a heterogeneous group that often requires an individualized management strategy. This article reviews the available literature on this topic while proposing a descriptive classification system based on a review of patients at our institution who underwent surgery for problems related to previous clubfoot deformity during the period between January 1999 and January 2012. Read More

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Complications associated with talectomy in paediatric patients: a comparative retrospective study of two surgical techniques.

BMC Musculoskelet Disord 2021 May 7;22(1):423. Epub 2021 May 7.

Department of Orthopedics King Faisal specialist hospital and research centre, Riyadh, Saudi Arabia.

Background: Studies describing the surgical approaches utilized for talectomy and their associated complications are scarce. We aimed to compare the surgical techniques and associated procedures from two groups of patients who underwent talectomy using two approaches. The main purpose of this study was to describe the complications and recurrence rates associated with each technique. Read More

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[Minimally Invasive Hallux Valgus Surgery: First Experience].

Acta Chir Orthop Traumatol Cech 2021 ;88(2):137-143

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

PURPOSE OF THE STUDY The Minimally Invasive Chevron Akin (MICA) is a percutaneous technique used to correct hallux valgus deformity. The combination of distal osteotomy of the first metatarsal and the proximal phalanx of the big toe stabilized with internal fixation was used over the last decade. The retrospective study presents the results of measurements performed on preoperative and postoperative X-rays and offers a comparison with conventional osteotomies. Read More

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Adjusted Indirect and Mixed Comparisons of Conservative Treatments for Hallux Valgus: A Systematic Review and Network Meta-Analysis.

Int J Environ Res Public Health 2021 04 6;18(7). Epub 2021 Apr 6.

Faculty of Sports Science, Ningbo University, Ningbo 315211, China.

: Hallux valgus (HV) deformity is a common, potentially debilitating deformity. And evidence with high-quality for the conservative treatments of HV deformity is still required.; AIMS: To compare the effects of different conservative treatments for hallux valgus deformity by using the method of network meta-analysis. Read More

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Normative Distribution of First Metatarsal Axial Rotation.

Foot Ankle Int 2021 Apr 23:10711007211001015. Epub 2021 Apr 23.

Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.

Background: First metatarsal (M1) axial rotation is recognized as a clinically relevant component of hallux valgus deformity. Methods to realign the M1 in 3 dimensions have been developed. One goal of these operations is to restore normal rotation of the first ray. Read More

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Life threatening abscess in the visceral space with penicillin and metronidazole resistant Prevotella Denticola following use of a laryngeal mask airway: case report.

BMC Anesthesiol 2021 Apr 5;21(1):102. Epub 2021 Apr 5.

Head of the department Nose Throat Ear surgery, University hospital Antwerp, Drie Eikenstraat 655, 2650, Edegem, Belgium.

Background: Laryngeal mask airways (LMA) are commonly used for airway management. Complications with this device are rare. However, when they do occur, there is a high risk for respiratory problems, necessitating early diagnosis and treatment. Read More

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A Prospective Evaluation of First Metatarsophalangeal Fusion Using an Innovative Dorsal Compression Plating System.

J Foot Ankle Surg 2021 Mar 6. Epub 2021 Mar 6.

Consultant Orthopaedic Surgeon, Basingstoke and North Hampshire Hospital, England, UK.

Numerous techniques have been described for first metatarsophalangeal joint (MTPJ) fusion. The aim of this study was to prospectively evaluate an innovative plating system which uses a cross plate compression screw. Thirty consecutive first MTPJ fusions in 28 patients were evaluated. Read More

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First Metatarsal Rotation in Hallux Valgus Deformity.

Foot Ankle Int 2021 Apr 25;42(4):510-522. Epub 2021 Mar 25.

Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.

Rotation of the first metatarsal (M1) as a potential etiological factor of hallux valgus (HV) deformity was described relatively early in the description of HV pathoanatomy. However, because biplanar radiographs have been the standard method for imaging HV, clinicians primarily developed measurement methods and corrective operations confined to 2 dimensions, medial-lateral and inferior-superior. Recently, as our understanding of HV pathoanatomy has further developed, aided in part by advanced imaging technology, M1 rotation about its axis ("axial rotation") and its implications for HV deformity and treatment has reemerged. Read More

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The metatarsaus adductus effect by the syndesmosis procedure for hallux valgus correction.

Bone Jt Open 2021 Mar;2(3):174-180

Department of Statistics & Actuarial Science, University of Hong Kong, Hong Kong, China.

Aims: The purpose of this study is to examine the adductus impact on the second metatarsal by the nonosteotomy nonarthrodesis syndesmosis procedure for the hallux valgus deformity correction, and how it would affect the mechanical function of the forefoot in walking. For correcting the metatarsus primus varus deformity of hallux valgus feet, the syndesmosis procedure binds first metatarsal to the second metatarsal with intermetatarsal cerclage sutures.

Methods: We reviewed clinical records of a single surgical practice from its entire 2014 calendar year. Read More

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Diagnosis and conservative management of great toe pathologies: a review.

Postgrad Med 2021 May 4;133(4):409-420. Epub 2021 Apr 4.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Acute great toe (Hallux) pain is a common complaint encountered by the primary care physician. Pathological conditions can vary from acute trauma to acute exacerbation of underlying chronic conditions. Delay in treatment or misdiagnosis can lead to debilitating loss of function and long-lasting pain. Read More

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Avascular Necrosis of the First Metatarsal: A Case of Second Metatarsal Bone Transport with External Fixation.

J Foot Ankle Surg 2021 May-Jun;60(3):595-599. Epub 2021 Feb 8.

Deformity Correction Fellow, The Paley Institute at St. Mary's Medical Center and Palm Beach Children's Hospital, West Palm Beach, FL.

Avascular necrosis (AVN) after bunion surgery is an unfortunate complication which can be devastating and painful. We present a case report of gradual medializing transport of the second metatarsal with external fixation to repair a large bone defect caused by AVN affecting >50% of the first metatarsal. The procedure was performed on a 49-year-old female who suffered AVN after failed bunion surgery. Read More

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February 2021

Functional Outcomes of Talectomy in Pediatric Feet.

Foot Ankle Int 2021 May 9;42(5):609-615. Epub 2021 Feb 9.

King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

Background: Historically, talectomy has been predominantly performed to operatively treat severely rigid equinovarus feet. A limited number of investigators have studied functional outcomes in pediatric patients posttalectomy. We aimed to assess the outcomes of pediatric patients undergoing talectomy using the American Orthopaedic Foot & Ankle Society (AOFAS) score and a subjective survey of patients' and their caregivers' satisfaction. Read More

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Short Term Radiographic and Patient Outcomes of a Biplanar Plating System for Triplanar Hallux Valgus Correction.

J Foot Ankle Surg 2021 May-Jun;60(3):461-465. Epub 2020 Aug 15.

Assistant Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Hallux valgus is a complex deformity with a variety of techniques described for correction. A biplanar plating system for triplanar correction system has been developed to address both the translation and rotational component of the hallux valgus deformity and allow an accelerated weightbearing protocol. The purpose of this study was to determine the correction and complications using radiographic parameters and patient reported outcomes. Read More

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Frontal Plane Rotation of the First Ray in Hallux Valgus using Standing Computerized Tomography (CT).

J Foot Ankle Surg 2021 May-Jun;60(3):489-493. Epub 2020 Sep 21.

Attending Physician, OSF St. Anthony Medical Center Podiatric Residency Program, Rockford, IL; Foot and Ankle Surgeon, Orthoillinois Ltd., Rockford, Illinois, Rockford, IL.

The purpose of the present study was to analyze the difference in frontal plane rotation of the entire first ray in patients with and without hallux valgus using standing weightbearing computed tomography (CT). Ten feet of 10 patients with hallux valgus and 36 feet of 36 patients without hallux valgus were examined. Standing weightbearing CT scans and radiographs were taken for all subjects. Read More

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September 2020

Early Results of Immediate Weightbearing Following First Tarsometatarsal Joint Arthrodesis With Plantar Locking Plate and Dorsal Compression Screw.

J Foot Ankle Surg 2021 May-Jun;60(3):494-500. Epub 2020 Sep 30.

Attending Physician, Orthollinois, Rockford, IL.

Arthrodesis of the first tarsometatarsal joint (TMT1) reduces pathologic angles at the anatomic center of rotation of angulation and presents a substantial correction potential in 3 planes in the treatment of hallux abductovalgus. The optimal fixation method remains unclear since prevailing dorsomedial locking plates and/or compression screws depict elevated implant-associated complications. Medical records of 49 patients that underwent 53 TMT1 arthrodeses in hallux abductovalgus interventions were included. Read More

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September 2020

Outcomes and Surgical Strategies of Minimally Invasive Chevron/Akin Procedures[Formula: see text].

Foot Ankle Int 2021 Jan 27:1071100720982967. Epub 2021 Jan 27.

Wake Orthopaedics, Raleigh, NC, USA.

Background: Minimally invasive surgery (MIS) is increasingly being used for bunion correction, but limited patient outcome data have been reported for third-generation minimally invasive chevron/Akin (MICA) techniques. The aim of this study was to report on radiographic outcomes, pain control, satisfaction, learning curve, and complication rates in a consecutive series of 94 patients undergoing MICA procedures for hallux valgus. It also describes strategies for avoiding perioperative complications that may arise with MIS bunionectomies. Read More

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January 2021

Degree of Impact of Tailor's Bunion on Quality of Life: A Case-Control Study.

Int J Environ Res Public Health 2021 01 16;18(2). Epub 2021 Jan 16.

Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain.

Tailor's bunion (TB) disease should be considered one of the foot injuries that causes disability in feet as well as general health. This case-control descriptive study investigated and contrasted the effects of different TB types in a sociodemographic population using the Foot Health Status Questionnaire (FHSQ). A sample of 100 subjects with a mean age of 51. Read More

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January 2021

Forefoot Success.

Instr Course Lect 2021 ;70:587-610

The goal of this chapter is to familiarize orthopaedic surgeons with the latest information pertaining to typical problems of the forefoot. Painful and deforming problems of the forefoot are surprisingly common. The understanding of forefoot deformity and pathology has evolved considerably over the past decade. Read More

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January 2021

Management of acute lesser toe pain.

Postgrad Med 2021 Apr 18;133(3):320-329. Epub 2021 Jan 18.

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.

Patients with foot pain commonly present to their primary care physicians for their initial management and treatment. These patients and their respective foot or lesser toe pain can present the physician with a complex problem with a long differential list. Depending on the timing of the pain and underlying pathology, these differentials can be divided into acute and acute exacerbation of chronic conditions. Read More

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Anatomical reconstruction of first ray instability hallux valgus with a medial anatomical TMTJ1 plate.

Foot Ankle Surg 2020 Dec 5. Epub 2020 Dec 5.

Department of Trauma & Orthopaedics, St. Vincent's University Hospital, Elm Park, Dublin, D04 T6F4, Ireland.

Background: First tarsometatarsal joint (TMTJ1) arthrodesis is a powerful tool for hallux valgus correction. Past criticism of the TMTJ1 arthrodesis has focused on high non-union rates, and consequent need for delayed weightbearing as prevention. In this study we present a selection and treatment protocol to minimise non-union while allowing early weightbearing. Read More

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December 2020

The Lapidus Arthrodesis: Examining the Effect of the Metatarsal Base Transfixion Screw.

J Foot Ankle Surg 2021 Mar-Apr;60(2):333-338. Epub 2020 Nov 18.

Assistant Professor, Division of Foot and Ankle Surgery, Kent State University College of Podiatric Medicine, Independence, OH.

The modified Lapidus bunionectomy is a useful and highly powerful procedure for correcting hallux abducto valgus. Traditionally reserved for "severe" deformities, this procedure has seen a recent resurgence in the podiatric community for its unique ability to achieve tri-planar correction of this challenging deformity. Although this procedure has been extensively studied in both biomechanical labs and the clinical arenas, no clear consensus has been achieved regarding optimal fixation for this thought-provoking procedure. Read More

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November 2020

Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus.

Foot Ankle Int 2021 Apr 15;42(4):409-424. Epub 2020 Dec 15.

Orthopaedic, Traumatology and Oncology Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padova, Padova, Italy.

Background: This study was aimed at assessing clinical and radiographic outcomes of the Minimally Invasive Intramedullary Nail Device (MIIND) to correct moderate to severe hallux valgus (HV) and the long-term persistence of its effects.

Methods: This case series study involved 100 patients, 84 women and 16 men (mean age, 59 years), who underwent the MIIND procedure with a mean follow-up of 97 months. Assessment was performed preoperatively, postoperatively, at 6 and 12 months, and at last follow-up. Read More

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Accuracy of Palpation to Identify the Medial Branch of the Medial Dorsal Cutaneous Nerve in Medial Column Surgery: Correlation of Preoperative Nerve Marking With Intraoperative Findings During Lapidus Fusion.

J Foot Ankle Surg 2021 Jan-Feb;60(1):2-5. Epub 2020 Jul 8.

Chief Resident, Foot and Ankle Surgery, Regions Hospital/HealthPartners Institute for Education & Research, St. Paul, MN. Electronic address:

The medial branch of the medial dorsal cutaneous nerve is frequently encountered in medial column surgery. Postoperative sensory nerve symptoms can lead to dissatisfaction and suboptimal outcome. The purpose of this case series is to correlate intraoperative nerve location on direct viewing with preoperative nerve localization to assess the accuracy of a specific nerve palpation technique. Read More

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Technical Tip Kerfing for Lapidus Arthrodesis: Deformity Correction With Minimal Bone Resection.

J Foot Ankle Surg 2021 Mar-Apr;60(2):424-427. Epub 2020 Oct 7.

Associate Professor of Orthopaedic Surgery, Rush University Medical Center, Midwest Orthopedics at Rush, Chicago, IL.

The Lapidus arthrodesis can be a powerful but technically challenging procedure. Common pitfalls include gapping at the arthrodesis site, shortening, and residual malalignment. Herein is described a simple and reproducible technique to obtain a congruent arthrodesis site with excellent deformity correction and minimal bone loss by the use of joint kerfing. Read More

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October 2020

Consensus in percutaneous bunionette correction.

Orthop Traumatol Surg Res 2020 Nov 10:102642. Epub 2020 Nov 10.

Orthopaedic Department, Mérignac sports clinic, 2, rue Georges-Negrevergne, 33700 Mérignac, France; MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Mérignac, France.

Purpose: The percutaneous treatment of bunionette deformity has been demonstrated as a reliable and satisfying technique with low risk of complications. However, there are some obvious variations in the surgical technique and perioperative protocol. The purpose of this study is to analyze the currently used techniques and to look for some agreements. Read More

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November 2020

Minimally Invasive vs Open Akin Osteotomy.

Foot Ankle Int 2021 Mar 9;42(3):278-286. Epub 2020 Nov 9.

Department of Orthopaedics and Traumatology, Martin Luther University Halle Wittenberg, Halle, Germany.

Background: Minimally invasive techniques of Akin osteotomy have grown in popularity, as early results suggest faster recovery, earlier return to work, and minimized wound healing problems. Preserving lateral cortex integrity during first phalanx osteotomy thereby presents a challenge because of the lack of direct visual control. This retrospective comparative study investigated clinical and radiographic outcomes of minimally invasive and open Akin osteotomy with different fixation methods and analyzed whether or not intraoperative violation of the lateral cortex caused loss of correction or delayed bone healing. Read More

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