691 results match your criteria Bunion


Radiographic and Cadaveric Analysis of Minimally Invasive Bunionectomy Osteotomy Position-"MIS Bunion Sweet Spot".

Foot Ankle Spec 2022 Jun 22:19386400221101950. Epub 2022 Jun 22.

Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania.

Minimally invasive surgery (MIS) is a growing technique that favors faster recovery and cosmetic results. We propose a recommended osteotomy position or "MIS Sweet Spot" to make the procedure more reproducible and lessen the learning curve to improve outcomes. A total of 211 patients from 3 surgeons between 2 different study centers were included in a retrospective radiograph measurement analysis and a cadaveric dissection to confirm the safety of nearby anatomical structures. Read More

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Are Radiographs Associated With Patient Satisfaction After Scarf Bunionectomy?

J Foot Ankle Surg 2022 May 13. Epub 2022 May 13.

Director of Research, Weil Foot & Ankle Institute, Mount Prospect, IL; Professor, Rosalind Franklin University of Medicine and Science, North Chicago, IL.

There are over 350,000 bunion surgeries performed in the USA annually, making it one of the most common elective forefoot surgeries. Studies have suggested that as many as 10% of patients remain dissatisfied after bunion surgery. The purpose of this study is to evaluate if radiographic variables are associated with patient satisfaction at 1 year postoperatively. Read More

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Neuroma as an unusual complication of transarticular lateral release and distal chevron metatarsal osteotomy for hallux valgus: A case report.

Acta Orthop Traumatol Turc 2022 May;56(3):232-235

Department of Orthopedic Surgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Compared to other lateral soft tissue release methods during hallux valgus surgery, the medial transarticular approach has the advantages of being reproducible, safe, and simple. However, a few reports have described the disadvantages of medial transarticular lateral soft tissue release, including only inadequate lateral soft tissue release. Herein, we report a case of intermetatarsal neuroma in the first web space after hallux valgus correction using distal chevron metatarsal osteotomy and medial transarticular lateral soft tissue release. Read More

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Distributional patterns of subchondral bone density and histopathological features of the first tarsometatarsal joint in hallux valgus feet.

BMC Musculoskelet Disord 2022 Jun 14;23(1):569. Epub 2022 Jun 14.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Hypermobility of the first tarsometatarsal (TMT) joint is frequently identified in patients with hallux valgus (HV); however, its association with the development of osteoarthritis in the first TMT joint in such patients remains unknown. The purpose of this study was to clarify the distribution of subchondral bone density of the first TMT joint via computed tomography (CT) using Hounsfield units (HU).

Methods: Patients were divided into three groups: the osteotomy (20 feet; 20 women, mean age: 61. Read More

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Disability and Quality of Life After Talectomy for Arthrogryposis Multiplex Congenita.

Foot Ankle Int 2022 Jun 14:10711007221104076. Epub 2022 Jun 14.

Department of Orthopedics, Health Science University Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey.

Background: Arthrogryposis multiplex congenita (AMC) is one of the causes of rigid and resistant clubfoot. Talectomy is considered as a primary or salvage procedure for recurrent equinovarus deformity in these patients. We conducted this study to assess patients with AMC who underwent talectomy for the correction of foot and ankle deformities in terms of health-related quality of life and disability. Read More

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Managing Complications of Foot and Ankle Surgery: Hallux Valgus.

Authors:
Hans-Jörg Trnka

Foot Ankle Clin 2022 Jun 11;27(2):271-285. Epub 2022 May 11.

Foot and Ankle Center Vienna, Alserstrasse 43/8d, Vienna 1080, Austria. Electronic address:

Hallux valgus deformity is nowadays one of the most common and symptomatic disorders affecting the foot. Surgical corrections of hallux valgus deformity are among the most common orthopedic procedures. Despite the general high success rate complications can occur. Read More

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An Operational Definition of First Ray Hypermobility.

Authors:
Ward M Glasoe

Foot Ankle Spec 2022 Jun 3:19386400221093864. Epub 2022 Jun 3.

Division in Physical Therapy, Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, Minnesota (WMG).

Background: The first ray (metatarsocuneiform) behaves as a load-bearing strut in supporting weight. Due to its functional importance, stress-testing techniques are used to assess the stability of the first ray and objectify evidence of hypermobility. The test and measurement of first ray hypermobility (FRH) is of interest to clinicians and researchers. Read More

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Correction of hallux abducto valgus by scarf osteotomy. A ten-year retrospective multicentre review of patient reported outcomes shows high satisfaction rates with podiatric surgery.

J Foot Ankle Res 2022 Jun 2;15(1):44. Epub 2022 Jun 2.

Department of Podiatric Surgery, Northamptonshire Healthcare NHS Foundation Trust (NHFT), Northampton, UK.

Background: Corrective surgery for hallux abducto valgus is one of the most performed elective procedures in foot and ankle practice. Numerous methods of surgical correction have been reported within the literature, with varying clinical and patient reported outcomes. This study reviews the patient experience and outcomes in five podiatric surgery centres using the scarf diaphyseal osteotomy. Read More

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Modified Chevron Osteotomy with Distal Soft Tissue Release for Treating Moderate to Severe Hallux Valgus Deformity: A Minimal Clinical Important Difference Values Study.

Orthop Surg 2022 May 28. Epub 2022 May 28.

Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, Peking University Fourth School of Clinical Medicine, Beijing, China.

Objective: To explore whether modified Chevron osteotomy together with distal soft tissue release would correct moderate to severe HV deformity and what is the minimal clinical important difference (MCID) for objective and subjective evaluating parameters.

Methods: From March 2018 to January 2019, 40 hallux valgus patients (including moderate to severe) were enrolled in this retrospective study. The cohort included four males and 36 females. Read More

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The Linear Hallux Valgus Offset- A novel way to measure Hallux Valgus.

J Clin Orthop Trauma 2022 Jul 18;30:101898. Epub 2022 May 18.

Department of Musculoskeletal Radiology, Royal Orthopaedic Hospital, Birmingham, UK.

Introduction: Hallux Valgus (HV) is a complex deformity involving the first ray of the forefoot and a common cause of forefoot pain. Several radiological measurements such as Hallux Valgus Angle (HVA), First Metatarsophalangeal Angle (IMA) and Distal metatarsal articular angle (DMAA) exist to calculate the severity of HV and direct patient management. However, these are angular measurements are prone to error with variable intra- and inter-observer reliability. Read More

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Minimally Invasive Distal Chevron Osteotomy for Symptomatic Bunionette: Clinical and Radiologic Results of a 31-Case Retrospective Study.

Foot Ankle Orthop 2022 Apr 19;7(2):24730114221099022. Epub 2022 May 19.

Cologne Foot and Ankle Surgery Center, Fußzentrum Köln, Cologne, Germany.

Background: Bunionette is a common forefoot deformity that usually leads to significant discomfort. Multiple surgical techniques have been described for correcting bunionette. The purpose of this study is to analyze the clinical and radiologic outcomes of a new surgical technique via minimally invasive distal Chevron osteotomy of the fifth metatarsal without fixation, trying to find an effective technique with fewer complications. Read More

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One- and Two-Year Analysis of a Five-Year Prospective Multicenter Study Assessing Radiographic and Patient-Reported Outcomes Following Triplanar First Tarsometatarsal Arthrodesis With Early Weightbearing for Symptomatic Hallux Valgus.

J Foot Ankle Surg 2022 Apr 27. Epub 2022 Apr 27.

Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

We report one- and 2-year results of a prospective, 5-year, multicenter study of radiographic, clinical, and patient-reported outcomes following triplanar first tarsometatarsal arthrodesis with early weightbearing. One-hundred and seventeen patients were included with a mean (95% confidence interval [CI]) follow-up time of 16.6 (15. Read More

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Rotation scarf + Akin osteotomy for severe hallux valgus with a new evaluation index: distance between the first and second metatarsals.

BMC Musculoskelet Disord 2022 May 5;23(1):421. Epub 2022 May 5.

Department of Orthopedics and Trauma, Peking University People's Hospital, Beijing, 100044, China.

Background: Although rotation scarf + Akin osteotomy has been described for correcting hallux valgus deformity, the treatment efficacy of rotation scarf + Akin osteotomy for severe hallux valgus should be further studied. The purpose of our study was to evaluate the outcomes of rotation scarf + Akin osteotomy on severe hallux valgus.

Methods: We conducted a retrospective study of patients with hallux valgus who underwent surgery using rotation scarf + Akin osteotomy in our hospital between June 2014 and January 2020. Read More

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Addressing Transverse Plane Instability in the Modified Lapidus Arthrodesis: A Comparative Study of Screw Versus Suture and Button Fixation Device Technique.

J Foot Ankle Surg 2021 Dec 20. Epub 2021 Dec 20.

Attending Staff, Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Department of Orthopedics, Kaiser Foundation Hospital, San Francisco, CA.

The Lapidus arthrodesis is a powerful procedure for the correction of hallux valgus with metatarsus primus varus. Yet, first ray instability may persist despite correction of the primary deformity with 2 crossed screw fixation. A third screw is often utilized as the additional point of fixation for noteworthy residual transverse plane motion, but it is not without potential complications. Read More

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December 2021

Minimally Invasive vs. Open Surgery for Hallux Valgus: A Meta-Analysis.

Front Surg 2022 21;9:843410. Epub 2022 Mar 21.

Department of Ankle and Foot Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

Purpose: In recent years, minimally invasive surgery (MIS) for hallux valgus has emerged and gained popularity. To date, evidence on the benefits of MIS for hallux valgus is still controversial. This updated meta-analysis aimed to comprehensively evaluate the efficiency of MIS vs. Read More

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Biomechanical Cadaveric Evaluation of the Role of Medial Column Instability in Hallux Valgus Deformity.

Foot Ankle Int 2022 Jun 3;43(6):830-839. Epub 2022 Apr 3.

Department of Informatics and Sports, University Pablo de Olavide, Seville, Spain.

Background: Medial column instability is a frequent finding in patients with flatfeet and hallux valgus, within others. The etiology of hallux valgus is multifactorial, and medial ray axial rotation has been mentioned as having an individual role. Our objective was to design a novel cadaveric foot model where we could re-create through progressive medial column ligament damage some components of a hallux valgus deformity. Read More

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Lapidus Arthrodesis.

Clin Podiatr Med Surg 2022 Apr;39(2):187-206

Orthopedic Foot and Ankle Center, 350 W Wilson Bridge Road Suite 200, Worthington, OH 43085, USA.

There has been significant enhancement in surgical management of hallux valgus deformity. Recognition of the role of medial column hypermobility has resulted in better functional outcomes with decreased risk of recurrence. Modern techniques have evolved to include enhanced fixation in a move toward minimal postoperative downtime. Read More

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High Utility of the 1st Metatarsal Phalangeal Joint Fusion.

Clin Podiatr Med Surg 2022 Apr;39(2):157-165

Orthopedic Foot and Ankle Center, 350 W Wilson Bridge Road, Suite 200, Worthington, OH 43085, USA.

Fusion of the first metatarsophalangeal joint has been used by foot and ankle surgeons as a reproducible and useful means of treating end-stage arthritis of the great toe. However, the overall utility and successful outcomes of this procedure have led to its incorporation into the treatment of more significant bunion deformities, reconstruction forefoot, and salvage procedures. The authors review surgical fixation methods, offer insightful technical pearls for challenging cases and share examples of complex reconstructive and salvage procedures. Read More

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The influence of concomitant hammertoe correction on postoperative outcomes in patients undergoing hallux valgus correction.

Foot Ankle Surg 2022 Mar 19. Epub 2022 Mar 19.

Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, United States. Electronic address:

Background: Patients with hallux valgus often develop secondary hammertoe deformities of the lesser toes. Operative management of bunions with hammertoe can be more extensive; however, it is unclear whether this affects patient-reported outcomes. The aim of this study was to compare postoperative patient-reported outcome measures and radiographic outcomes between patients who underwent isolated bunion correction and patients who underwent simultaneous bunion and hammertoe correction. Read More

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Plantar Plating in the Modified Lapidus Procedure: Evaluation of Function and Impairment of the Tibialis Anterior Tendon.

J Foot Ankle Surg 2022 Feb 15. Epub 2022 Feb 15.

Department of Orthopaedic Surgery, Kantonsspital Baden, Baden, Switzerland. Electronic address:

The modified "Lapidus" procedure (MLP) describes the arthrodesis of the first tarsometatarsal joint. We investigate if there are detectable changes of the tendon or the function of the muscle and clinical outcome after MLP. We reviewed 22 feet. Read More

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February 2022

Comparison between Weightbearing-CT semiautomatic and manual measurements in Hallux Valgus.

Foot Ankle Surg 2022 Jun 7;28(4):518-525. Epub 2022 Mar 7.

University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Iowa City, IA, USA. Electronic address:

Background: Radiographic measurements are an essential tool to determine the appropriate surgical treatment and outcome for Hallux Valgus (HV). HV deformity is best evaluated by weight-bearing computed tomography (WBCT). The objective was (1) to assess the reliability of WBCT computer-assisted semi-automatic imaging measurements in HV, (2) to compare semi-automatic with manual measurements in the setting of an HV, and (3) to compare semi-automatic measurements between HV and control group. Read More

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Outcomes of modified chevron osteotomy for hallux valgus.

Foot Ankle Surg 2022 Jun 22;28(4):514-517. Epub 2022 Feb 22.

Department of Orthopedic Surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi 830002, China. Electronic address:

Purpose: This study aimed to detect the effect of a modified chevron osteotomy on hallux valgus (HV) deformity at five-year follow up.

Methods: Twenty patients with symptomatic HV who underwent modified chevron osteotomy between June 2014 and January 2016 were included in the present study. The minimum follow-up duration was five years. Read More

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Ambulatory Surgery Centers Versus Hospital Outpatient Departments for Orthopaedic Surgeries.

J Am Acad Orthop Surg 2022 Mar;30(5):207-214

From the Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD (Wang, Puvanesarajah, Marrache, Ficke and, Jain), and the Johns Hopkins Bloomberg School of Public Health, Baltimore, MD (Levy).

Background: The goals of this study were to compare the utilization and costs of ambulatory surgery centers (ASCs) versus hospital outpatient department (HOPD) for commonly performed outpatient orthopaedic surgical procedures.

Methods: Commercially insured patients undergoing elective, outpatient orthopaedic surgery were queried using an administrative claims database. We queried the following surgeries: carpal tunnel release, lumbar microdiskectomy, anterior cruciate ligament reconstruction, knee arthroscopy, arthroscopic rotator cuff repair, and bunion repair. Read More

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Imaging Findings and First Metatarsal Rotation in Hallux Valgus.

Foot Ankle Int 2022 05 8;43(5):665-675. Epub 2022 Feb 8.

Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom.

Background: Failure to identify and correct malrotation of the first metatarsal may lead to recurrent hallux valgus deformity. We aimed to identify the proportion of hallux valgus patients with increased first metatarsal pronation using weightbearing computed tomography (WBCT) and to identify the relationship with conventional radiographic measurements.

Methods: WBCT scans were analyzed for 102 feet with a hallux valgus angle (HVA) and intermetatarsal angle (IMA) greater than or equal to 16 and 9 degrees, respectively. Read More

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Minimally invasive surgery for severe hallux valgus in 106 feet.

Foot Ankle Surg 2022 Jun 31;28(4):503-509. Epub 2022 Jan 31.

The London Clinic, London, UK. Electronic address:

Background: There is widespread variation in the optimal procedure for correction of severe hallux valgus deformity defined as hallux valgus angle (HVA) (≥40°) and/or 1-2 intermetatarsal angle (IMA) (≥20°). There is limited evidence investigating the clinical or radiological outcomes following treatment of severe hallux valgus deformity with third-generation minimally invasive chevron and Akin osteotomies (MICA).

Methods: This was a prospective observational single surgeon series of consecutive patients who underwent primary third-generation MICA with screw fixation for severe hallux valgus. Read More

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Cavovarus Foot Surgery Including a Peroneus Longus Transfer: A 2- to 6-Year Follow-up.

Foot Ankle Orthop 2021 Jul 23;6(3):24730114211021030. Epub 2021 Sep 23.

Victorian Orthopaedic Foot & Ankle Clinic, Richmond, Victoria, Australia.

Background: The primary aim of this longitudinal study was to describe patient satisfaction and clinical outcome at least 2 years following cavovarus foot surgery, utilizing a peroneus longus to brevis transfer, lateral ligament reconstruction, and corrective osteotomies of the first metatarsal, occasionally with the added calcaneal osteotomy.

Methods: Sixteen patients (17 feet) were examined in 2010-2012, 3.5 (range, 2-6. Read More

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Litigation after hallux valgus surgery in France between 2000 and 2020: A review of the two national legal research databases.

Foot Ankle Surg 2022 Jun 13;28(4):497-502. Epub 2022 Jan 13.

Department of Orthopedics Pediatrics, Children Hospital Purpan, Toulouse University, Toulouse, France.

Background: The objectives of this review were to: 1) describe reasons for lawsuits following primary hallux valgus surgery in France from 2000 to 2020; 2) to compare private and public practice.

Methods: Civil (private practice) and administrative (public practice) court decisions in France between 2000 and 2020 were collected using the two leading legal data sources (Legifrance, Doctrine).

Results: Seventy-two court decisions related to hallux valgus surgery were included. Read More

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3rd generation MICA with the "K-wires-first technique" - a step-by-step instruction and preliminary results.

BMC Musculoskelet Disord 2022 Jan 18;23(1):66. Epub 2022 Jan 18.

Department of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, CH-9007, St. Gallen, Switzerland.

Background: Minimally-invasive techniques for hallux valgus correction are becoming increasingly popular. In the last decades, multiple techniques for minimally-invasive hallux valgus correction have been described. MICA (Minimally-invasive Chevron & Akin), representing the 3rd generation of minimally-invasive hallux valgus correction, combines the advantages of an extraarticular osteotomy, stable internal fixation, and high potential for correction. Read More

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January 2022

The use of intramedullary devices for fixation of metatarsal osteotomies in hallux valgus surgery - A systematic review.

Foot Ankle Surg 2022 Jun 28;28(4):483-491. Epub 2021 Dec 28.

Royal National Orthopaedic Hospital, Stanmore, UK.

Background: Hallux valgus is a common foot condition with numerous surgical techniques described. Minimally invasive surgery is becoming more popular, with resultant development of suitable fixation devices. The aim of this systematic review was to evaluate the evidence on the use of intramedullary devices in hallux valgus first metatarsal corrective osteotomies, and describe clinical and radiological outcomes, with an overview of techniques and implants used. Read More

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Hallux valgus surgery in children with cerebral palsy: A systematic review.

Foot Ankle Surg 2022 Jun 24;28(4):476-482. Epub 2021 Dec 24.

Evelina Children's Hospital, St Thomas Hospital, Westminster Bridge Road, London, UK.

Background: Children with cerebral palsy are highly likely to develop foot deformities, some of which may require surgical intervention. Hallux valgus is a common forefoot deformity which can cause issues with pain, footwear, orthotic splints and soft tissues. It remains unclear what the optimal surgical treatment is for children with cerebral palsy and hallux valgus deformity. Read More

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