481 results match your criteria Bunion


Hallux Valgus Surgery in the Athlete: Current Evidence.

J Foot Ankle Surg 2018 Nov 14. Epub 2018 Nov 14.

Professor, Orthopedic Surgery, Department of Musculoskeletal Disorders, University of Salerno School of Medicine and Dentistry, Salerno, Italy; Professor, Centre for Sports and Exercise Medicine, Bart's and London School of Medicine and Dentistry, Queen Mary School of Medicine, London, UK.

Hallux valgus is a common disorder characterized by a medial deviation of the 1st metatarsal, eventually leading to subluxation and pain of the 1st metatarsophalangeal joint. This can inhibit sports activity. Despite being a common forefoot pathology, debate exists regarding the appropriate surgical approach in the athletic population. Read More

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November 2018
4 Reads

Relationship of Duration of Wait for Surgery and Postoperative Patient-Reported Outcomes for Hallux Valgus Surgery.

Foot Ankle Int 2018 Oct 21:1071100718805964. Epub 2018 Oct 21.

3 Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Background: Little is known about the effect of delayed access to bunion correction (hallux valgus) surgery on patient-reported outcomes. The objective of this study was to measure the association between preoperative wait time for bunion correction surgery and postoperative patient-reported outcomes.

Methods: This study prospectively recruited patients to complete preoperative patient-reported outcomes measuring depression, pain, and foot and ankle health, including the Patient Health Questionnaire-9 (PHQ-9); the pain intensity (P), interference with enjoyment (E) of life and general (G) instrument (ie, PEG); and the Foot and Ankle Outcome Score (FAOS), a condition-specific instrument. Read More

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October 2018
6 Reads

Challenges in the treatment of fibrodysplasia ossificans progressiva.

Rheumatol Int 2018 Oct 20. Epub 2018 Oct 20.

Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, 34899 Pendik Ust Kaynarca, Istanbul, Turkey.

Fibrodysplasia ossificans progressiva (FOP), is a rare autosomal dominant connective tissue disease with a prevalence of 1 in 2 million. It is characterized by congenital foot deformities and multiple heterotopic ossifications in fibrous tissue. It usually starts with painful soft tissue swellings occurring with attacks at the ages of three or four. Read More

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October 2018
7 Reads

Minimally Invasive Bunion Correction.

Clin Podiatr Med Surg 2018 Oct 11;35(4):387-402. Epub 2018 Aug 11.

Geisinger CMC, 1800 Mulberry St, Scranton, PA 18510, USA; Our Lady of Lourdes Memorial Hospital, 169 Riverside Dr, Binghamton, NY 13905, USA.

Hallux valgus is a common condition that results in lateral deviation of the hallux and medial deviation of the metatarsal. When conservative management fails, surgical management is often necessary. More than 150 procedures have been described, and most recommend an open approach. Read More

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October 2018
4 Reads

Resorbable Polymer Pin Inserted with Ultrasound Activated BoneWelding Technique Compared with a Screw for Osteotomy Fixation in the Reverse L Bunion Correction.

Authors:
Thomas M Rocchio

Clin Podiatr Med Surg 2018 Oct 11;35(4):373-385. Epub 2018 Aug 11.

PA Foot and Ankle Associates, 2895 Hamilton Boulevard, Suite 101, Allentown, PA 18104, USA; Easton Hospital Wound Healing Center, 21 Community Drive, Easton, PA 18045, USA. Electronic address:

Screw fixation of an osteotomy in the first metatarsal for bunion correction represents a compromise. The need to return to the operating room for removal exposes patients to added anesthesia risk, expense, time, and possible surgical complications. This article compares screw fixation with a novel new bioresorbable polymer pin that is inserted with an ultrasound activated BoneWelding technique to fixate a bunion correction using a reversed L osteotomy. Read More

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October 2018
3 Reads

Evaluation of the Mechanical Axis of the First Ray Before and After First Metatarsal-Phalangeal Joint Reconstructive Surgery.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1140-1142. Epub 2018 Sep 7.

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

LaPorta et al published a description of measurement of the mechanical axis of the first ray in an attempt to introduce center-of-rotation angulation principles into forefoot reconstructive surgery. They found significant differences in the measurement of the first intermetatarsal angle between groups of feet with and without hallux abducto valgus deformity, but they found no difference in the measurement of the M1-M2 mechanical axis angle between groups. The objectives of this study were to further investigate the proposed M1-M2 mechanical axis angle and to examine the effect of hallux abducto valgus corrective surgery on its measurement. Read More

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September 2018
1 Read

Correlation of Radiographic Measurements With Patient-Centered Outcomes in Hallux Valgus Surgery.

Foot Ankle Int 2018 Dec 23;39(12):1416-1422. Epub 2018 Aug 23.

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

Background:: Evaluation of patients undergoing hallux valgus surgery has historically emphasized radiographic angles and relationships. However, patient-reported outcomes are increasingly important as health care systems trend towards a "value-based" delivery approach.

Methods:: We conducted a retrospective analysis of pre-existing data in our practice to examine whether patient-reported outcomes after bunion surgery, determined via Foot and Ankle Outcome Scores (FAOS), correlated with radiographic parameters commonly measured in hallux valgus deformity. Read More

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December 2018
9 Reads

Management of Bunionette Deformity.

J Am Acad Orthop Surg 2018 Oct;26(19):e396-e404

From the Department of Orthopedic Surgery, Mayo Clinic Florida, Jacksonville, FL (Dr. Shi, Dr. Humayun, and Dr. Whalen), and Department of Orthopedic Surgery, Mayo Clinic Minnesota, Rochester, MN (Dr. Kitaoka).

Bunionette deformity, historically known as tailor's bunion, is a forefoot protuberance laterally, dorsolaterally, or plantarlaterally along the fifth metatarsal head. Although bunionette deformity has been compared to hallux valgus deformity, it is likely due to a multifactorial, anatomic interplay between fifth metatarsal bony morphology and forefoot soft-tissue imbalance. Friction generated between the bony prominence, soft tissue, and associated constrictive footwear can result in keratosis, inflammation, pain, and ulceration. Read More

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October 2018
2 Reads

[Application of anterograde fascial flap of digital artery in Wassel -D thumb duplication reconstruction].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1201-1204

Department of Pediatric Orthopaedics, Wuxi No.9 People's Hospital Affiliated to Soochow University, the Orthopaedic Hospital of Wuxi, Wuxi Jiangsu, 214000,

Objective: To explore the effectiveness of anterograde fascial flap of digital artery in reconstruction of Wassel Ⅳ-D thumb duplication.

Methods: Twelve cases of Wassel Ⅳ-D thumb duplication were treated with anterograde fascial flap of digital artery between June 2014 and March 2017. There were 7 boys and 5 girls with an age of 9-32 months (mean, 13. Read More

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September 2018

Radiographic Evaluation of First Metatarsal and Medial Cuneiform Morphology in Juvenile Hallux Valgus.

Foot Ankle Int 2018 Oct 2;39(10):1223-1228. Epub 2018 Aug 2.

3 Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA, USA.

Background: Operative treatment of juvenile hallux valgus (JHV) has a high recurrence rate. The aim of this study was to better understand the pattern of radiographic deformity.

Methods: Standing radiographs of 93 feet in 57 patients with JHV, and 50 feet in 36 normal patients were measured. Read More

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October 2018
1 Read

Caffeine Delays Light-entrained Activity and Potentiates Circadian Photic Phase-resetting in Mice.

J Biol Rhythms 2018 Oct 23;33(5):523-534. Epub 2018 Jul 23.

Indiana University of Pennsylvania, Indiana, Pennsylvania.

Caffeine is widely used to reduce sedation and increase alertness. However, long-term caffeine use may disrupt circadian (daily, 24-h) rhythms and thereby negatively affect health. Here, we examined the effect of caffeine on photic regulation of circadian activity rhythms in mice. Read More

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October 2018
1 Read

Point vs. traditional method evaluation of hallux valgus: interreader reliability and intermethod performance using X-ray and MRI.

Skeletal Radiol 2018 Jul 12. Epub 2018 Jul 12.

Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX, USA.

Background: The two most widely used measurements for diagnosing and assessing the severity of hallux valgus are the hallux valgus angle (HVA) and the intermetatarsal angle (IMA). Traditionally, these have been measured by using the midaxial lines approximating the axis of each bone. A new simpler point method has been recently suggested for measuring these angles by connecting points along the medial corners of each bone. Read More

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July 2018
6 Reads

A Comparative Study of Mini-Scarf Versus Standard Scarf Osteotomy for Hallux Valgus Correction.

J Foot Ankle Surg 2018 Sep - Oct;57(5):948-951. Epub 2018 Jul 9.

Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, Leicester General Hospital, Leicester, United Kingdom.

Scarf osteotomy is widely used for hallux valgus treatment. More recently, a trend has begun toward the use of minimally invasive techniques, including the mini-scarf osteotomy, in which the diaphyseal cut is shortened. We compared the mini-scarf and traditional scarf osteotomy to determine whether the mini-scarf osteotomy is as effective as the scarf osteotomy in correcting mild to moderate hallux valgus and improving clinical function. Read More

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July 2018
2 Reads

Reproducibility and Reliability of the Radiographic Angles Used to Assess Tailor's Bunions.

J Am Podiatr Med Assoc 2018 May;108(3):205-209

Background: Tailor's bunion, or bunionette, deformity is a common condition of the lateral forefoot. To aid in assessing the deformity, radiographic angular measurements are frequently used. The objective of this study was to determine the reliability and reproducibility of these angular measurements. Read More

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Minimally invasive versus open chevron osteotomy for hallux valgus correction: a randomized controlled trial.

Int Orthop 2018 Jun 4. Epub 2018 Jun 4.

Orthopaedic Department of the Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.

Purpose: The purpose of this study was to compare a minimally invasive chevron osteotomy technique (MIS group) and the well-established open chevron technique (OC group) for correction of hallux valgus deformity.

Methods: Patients who were scheduled to undergo a hallux valgus surgery by means of a distal chevron osteotomy were randomly assigned to one of the two groups. Pre-operatively, six weeks, 12 weeks, and nine months post-operatively the following outcome parameters were determined: Visual Analog Scores (VAS) of pain, the American Orthopedic Foot and Ankle Society (AOFAS) forefoot score, radiographic outcome measures, range of motion (ROM), and patient satisfaction. Read More

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History of surgical treatments for hallux valgus.

Authors:
Laurent Galois

Eur J Orthop Surg Traumatol 2018 Dec 31;28(8):1633-1639. Epub 2018 May 31.

Orthopedic and Trauma Surgery Department, University Hospital of Nancy, Centre Chirurgical Emile Gallé, 49 rue Hermite, 54000, Nancy, France.

In the nineteenth century, the prevalent understanding of the hallux valgus was that it was purely an enlargement of the soft tissue, first metatarsal head, or both, most commonly caused by ill-fitting footwear. Thus, treatment had varying results, with controversy over whether to remove the overlying bursa alone or in combination with an exostectomy of the medial head. Since 1871, when the surgical technique was first described, many surgical treatments for the correction of hallux valgus have been proposed. Read More

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December 2018

Editorial Commentary: The Great Endoscopically Assisted Bunion Surgery That Will Never Become Popular-I Will Not Try This at Home.

Authors:
David Thordarson

Arthroscopy 2018 Jun;34(6):1964-1965

Los Angeles, California.

Bunion surgery almost invariably involves osteotomies and open incisions. Recently, some surgeons have been performing minimally invasive osteotomies with less morbidity, more rapid healing, and good results. These surgeries are heavily technique dependent, and other surgeons cannot always reproduce these results. Read More

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June 2018
2 Reads

Triplane Hallux Abducto Valgus Classification.

J Foot Ankle Surg 2018 Sep - Oct;57(5):972-981. Epub 2018 May 18.

President and Fellowship Director, Weil Foot and Ankle Institute, Des Plaines, IL.

One of the most common procedures performed in the foot and ankle is correction of hallux abducto valgus deformity or "bunion surgery." Most foot and ankle surgeons recognize the challenges associated with defining each patient's individual deformity and selecting the optimal procedure for the best long-term results. Using current 2-dimensional algorithms that focus on the severity of the transverse plane deformity, surgical outcomes have varied. Read More

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Green Bone: Minocycline-Induced Discoloration of Bone Rarely Reported in Foot and Ankle.

J Foot Ankle Surg 2018 Jul - Aug;57(4):801-807. Epub 2018 May 7.

PGY-IV, Fellow, Department of Surgery, American Health Network, Indianapolis, IN.

The tetracycline antibiotics incorporate into bone similar to bisphosphonates. Tetracycline stains bone a fluorescent yellow and minocycline, more commonly used for chronic acne, stains bone dark green. Owing to its frequent use, the occurrence of green bone discoloration due to antibiotics in the tetracycline class is well understood. Read More

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December 2018
15 Reads

Quantifying Patient-Reported Disability and Health While Waiting for Bunion Surgery.

Foot Ankle Int 2018 Sep 7;39(9):1047-1055. Epub 2018 May 7.

3 Department of Surgery, University of Calgary, Calgary, AB, Canada.

Background: Many patients with hallux valgus progress to experiencing pain and loss of function that requires corrective surgery when nonoperative treatments fail. The primary goal of this study was to measure changes in participants' health while patients waited for their operative correction.

Methods: Patients were prospectively recruited to complete a number of patient-reported outcome measures preoperatively. Read More

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September 2018

Hallux Valgus Deformity and Treatment: A Three-Dimensional Approach: Modified Technique for Lapidus Procedure.

Foot Ankle Clin 2018 Jun 9;23(2):281-295. Epub 2018 Mar 9.

Foot and Ankle Division, Moore Center for Orthopedics, Lexington, SC, USA.

In a hallux valgus deformity, the problem is deviation of the hallux at the metatarsophalangeal joint and of the first metatarsal at the tarsometatarsal joint. Although anterior-posterior radiograph findings have been prioritized, deviation in the other planes can substantially change visible cues. The modified technique for Lapidus procedure procedure, uses all 3 planes to evaluate and correct the deformity, making radiographic measurements less useful. Read More

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June 2018
1 Read

Introduction: Why Are There so Many Different Surgeries for Hallux Valgus?

Foot Ankle Clin 2018 Jun 5;23(2):171-182. Epub 2018 Mar 5.

Department of Orthopaedic Surgery, University of Miami, 1611 Northwest 12th Avenue, Miami, FL 33136, USA. Electronic address:

Hallux valgus is a common pathology of the foot and ankle. Surgical correction of the condition has been described as early as 1836. Since then, numerous different surgical techniques have been documented in the literature. Read More

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June 2018
1 Read

Minimally invasive bunionette correction.

Oper Orthop Traumatol 2018 Jun 27;30(3):184-194. Epub 2018 Apr 27.

Medizinische Fakultät, Universität zu Köln, Köln, Germany.

Objective: Bunionette or 'tailor's bunion' is a deformity of the fifth ray, which comes along with a metatarsus quintus valgus and a varus deformity of the fifth toe with subluxation of the metatarsophalangeal joint. A minimally invasive osteotomy of the fifth metatarsal without internal fixation using burrs is an increasingly used alternative for symptomatic tailor's bunion deformity. Similar to open surgery procedures the type of osteotomy complies with the underlying pathology. Read More

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[The minimally invasive Chevron and Akin osteotomy (MICA)].

Oper Orthop Traumatol 2018 Jun 18;30(3):148-160. Epub 2018 Apr 18.

Zentrum für Fuß- und Sprunggelenkchirurgie, Schön Klinik München Harlaching, Harlachinger Strasse 51, 81547, München, Deutschland.

Objective: Percutaneous correction of a hallux valgus deformity with or without transfer metatarsalgia.

Indications: Hallux valgus deformity up to 20° intermetatarsal angle, without instability of the first tarsometatarsal joint.

Contraindications: Symptomatic arthritis of the first metatarsophalangeal joint, as well as instability of the first tarsometatarsal joint. Read More

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June 2018
4 Reads

[Minimally invasive therapy for hallux valgus with deformity of little toe varus].

Zhongguo Gu Shang 2018 Mar;31(3):208-212

Department of Anesthesiology, No.1 Hospital of Xi'an City, Xi'an 710002, Shaanxi, China;

Objective: To explore clinical effect of minimally corrective osteotomy for the treatment of hallux valgus with deformity of little toe varus through small incision.

Methods: From January 2013 to June 2016, 168 hallux valgus patients with deformity of little toe varus were treated by minimally corrective osteotomy through small incision. Among them, 7 males and 161 females were aged from 22 to 75 years old with an average of(59. Read More

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March 2018
17 Reads

Symptomatic hallux valgus and dorsal bunion in adolescents with cerebral palsy: clinical and biomechanical factors.

Dev Med Child Neurol 2018 06 8;60(6):624-628. Epub 2018 Mar 8.

Orthopaedic Department, The Royal Children's Hospital, Parkville, Victoria, Australia.

Aim: The prevalence of severely symptomatic deformities of the first metatarsophalangeal (MTP) joint in adolescents with cerebral palsy (CP) requiring arthrodesis is unknown. Recent literature regarding these deformities is limited. We studied the presentation of severe, symptomatic deformities of the first ray in a large population of children and adolescents with CP and their association with gross motor function, CP subtype, and other musculoskeletal deformities. Read More

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June 2018
4 Reads

Surgical correction of hallux valgus deformity in children with cerebral palsy.

Acta Orthop Traumatol Turc 2018 May 22;52(3):174-178. Epub 2018 Feb 22.

Ortopediatri Istanbul, Istanbul, Turkey.

Objective: This study aimed to present a treatment algorithm for the correction of the hallux valgus deformity in Cerebral Palsy (CP) patients and to discuss the outcomes based on our clinical and radiological results.

Methods: 29 patients (45 feet) were included in the study. The mean age of the patients at the time of the surgery was 14 (range 6-22) years. Read More

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May 2018
5 Reads

Stability of Locking Plate and Compression Screws for Lapidus Arthrodesis: A Biomechanical Comparison of Plate Position.

J Foot Ankle Surg 2018 May - Jun;57(3):466-470. Epub 2018 Feb 19.

Chief Resident, Foot & Ankle Surgery, Department of Orthopaedic Surgery, John Peter Smith Hospital, Fort Worth, TX.

Lapidus (first tarsometatarsal joint) arthrodesis is an established and widely used procedure for the management of moderate to severe hallux valgus, especially in cases involving hypermobility of the first tarsometatarsal joint. Multiple fixation methods are available, and several previous investigations have studied the relative strengths of these methods, including dorsomedial and plantar plating comparisons. However, these studies compared plates of varying designs and mechanical properties and used varying modes of compression and interfragmentary screw techniques. Read More

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October 2018
8 Reads

Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults.

Acta Orthop Traumatol Turc 2018 May 19;52(3):167-173. Epub 2018 Feb 19.

Genetic Diseases Diagnosis Center, Ankara, Turkey.

Objective: This survey was designed to evaluate the prevalence estimations of HV, bunionette, hammertoe as well as their relations to shoe wearing and also familial tendency, in Turkey.

Material And Methods: Two thousand six hundred sixty two volunteers (1615 females and 1047 males) with a mean age of 34.15 ± 14. Read More

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May 2018
10 Reads

The results of Scarf osteotomy combined with distal soft tissue procedure are mostly satisfactory in surgical management of moderate to severe hallux valgus.

Foot Ankle Surg 2018 Oct 29;24(5):448-452. Epub 2017 May 29.

Yeditepe University, School of Medicine, Department of Orthopaedic Surgery and Traumatology, İstanbul, Turkey. Electronic address:

Background: Intrinsically stable diaphyseal osteotomy gained popularity in recent years for symptomatic hallux valgus deformities. In this study, Scarf osteotomy results, in surgical management of moderate to severe hallux valgus, are presented.

Methods And Patients: Study group consisted of 40 feet of 32 (28 females, four males) patients surgically managed by Scarf osteotomy between September 2009 and 2011, with a mean age of 52,98 (range, 31-75) years at the time of surgery. Read More

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October 2018
3 Reads

Medial and lateral exostoses of the distal phalanx of the hallux: A potentially painful bunion-like structure. Part 1: Incidence and clinical application.

Foot Ankle Surg 2017 Nov 13. Epub 2017 Nov 13.

Dpto de COT, Clínica Univeristaria de Navarra, Avda Pio XII 36, 31008 Pamplona, Spain.

Background: Exostoses at the base of the distal phalanx of the great toe are usually asymptomatic. The literature has not generally considered them as the origin of a possible problem resulting from a pressure conflict between hallux and shoe (medial aspect) or second toe (lateral aspect) nor a potential complication of surgical correction of hallux valgus deformity. No studies, to our knowledge, have evaluated its possible correlation with other foot disorders. Read More

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November 2017

Minimally invasive distal first metatarsal osteotomy can be an option for recurrent hallux valgus.

Foot Ankle Surg 2018 Jan 12. Epub 2018 Jan 12.

Department of Orthopaedics and Trauma Surgery, University of Verona, Azienda Ospedaliera Universitaria Integrata di Verona, Italy.

Background: Recurrence rate of surgical treatment of hallux valgus ranges in the literature from 2.7% to 16%, regardless of used procedure. In this study, long-term results of a minimally invasive distal osteotomy of the first metatarsal bone for treatment of recurrent hallux valgus are described. Read More

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January 2018
1 Read

Can the Syndesmosis Procedure Prevent Metatarsus Primus Varus and Hallux Valgus Deformity Recurrence? A 5-Year Prospective Study.

J Foot Ankle Surg 2018 Mar - Apr;57(2):316-324. Epub 2018 Jan 12.

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

One of the main objectives of hallux valgus surgery is correction of the metatarsus primus varus deformity by osteotomy, arthrodesis, or soft tissue correction. The syndesmosis procedure uses intermetatarsal cerclage sutures to realign the first metatarsal and also induces a syndesmotic bonding between the first and second metatarsals to prevent metatarsus primus varus deformity recurrence. The purpose of the present study was to demonstrate radiologic evidence of the effectiveness of the syndesmosis concept and to identify the incidence and nature of deformity recurrence. Read More

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September 2018
2 Reads

Hallux Valgus Evaluation on MRI: Can Measurements Validated on Radiographs Be Used?

J Foot Ankle Surg 2018 Mar - Apr;57(2):305-308. Epub 2018 Jan 11.

Associate Professor and Musculoskeletal Division Chief, Department of Radiology, UT Southwestern Medical Center, Dallas, TX. Electronic address:

Hallux valgus (HV) is a common deformity of the great toe affecting >23% of adults in the United States. The severity of the deformity is traditionally analyzed using radiographs to determine measurements such as the HV and intermetatarsal angles. We sought to determine the relationship between the radiographic and magnetic resonance imaging (MRI) measurements because this is not yet known. Read More

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September 2018
1 Read

Relationship Between the Intersesamoid Ligament and Sesamoid Bones in Cadaveric Feet with Hallux Valgus.

Cureus 2017 Nov 3;9(11):e1819. Epub 2017 Nov 3.

Department of Surgery, New York College of Podiatric Medicine.

There is heterogeneity in the literature regarding the anatomy, exact location, and definition of the intersesamoid ligament (IL). Anatomic knowledge of the IL and its variations are important for surgeons who undertake corrective surgery for hallux abducto valgus (HAV). The IL was dissected in 16 feet from 32 formalin-fixed cadavers (12 females, four males; mean age at death, 76. Read More

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November 2017
1 Read

Treatment of Hallux Varus After Traumatic Adductor Hallucis Tendon Rupture.

J Foot Ankle Surg 2018 Mar - Apr;57(2):418-420. Epub 2018 Jan 5.

Medical Researcher, UnityPoint Health Des Moines, Des Moines, IA; Adjunct Faculty, Carver College of Medicine, University of Iowa, Iowa City, IA.

Hallux varus is a deformity of acquired and less commonly congenital etiologies. It can present secondary to the release of the soft tissues surrounding the first metatarsophalangeal joint surfaces during bunion surgery. If the condition is left untreated, it can be debilitating, with progressive pain and destruction of joint surfaces. Read More

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September 2018
6 Reads

Fifth Metatarsal Osteotomies for Treatment of Bunionette Deformity: A Meta-Analysis of Angle Correction and Clinical Condition.

J Foot Ankle Surg 2018 Jan - Feb;57(1):140-148

Orthopaedic Surgeon, Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.

We assessed which type of osteotomy would be most suited for correcting an increased fourth to fifth intermetatarsal angle (IMA) and metatarsophalangeal angle (MPA) and would have the best results regarding the clinical condition and satisfaction. The study design was a systematic review and meta-analysis. The main outcome measures were the IMA, MPA, and American Orthopaedic Foot and Ankle Society Lesser Metatarsophalangeal-Interphalangeal scale and satisfaction scores. Read More

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August 2018
1 Read

Factors Associated With Early Loss of Hallux Valgus Correction.

J Foot Ankle Surg 2018 Mar - Apr;57(2):236-240. Epub 2017 Dec 15.

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

Recurrence is common after hallux valgus corrective surgery. Although many investigators have studied the risk factors associated with a suboptimal hallux position at the end of long-term follow-up, few have evaluated the factors associated with actual early loss of correction. We conducted a retrospective cohort study to identify the predictors of lateral deviation of the hallux during the postoperative period. Read More

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September 2018
4 Reads

A Prospective Study of Distal Metatarsal Chevron Osteotomies with K-Wire Fixations to Treat Hallux Valgus Deformities.

Cureus 2017 Sep 20;9(9):e1704. Epub 2017 Sep 20.

Department of Orthopaedics, Poole Hospital, Poole, United Kingdom.

Introduction Hallux valgus is one of the most common forefoot deformities worldwide. Females are affected more often than males. The three most common clinical symptoms are the painful bunion, transfer metatarsalgia, and hammer or claw toes. Read More

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September 2017
2 Reads

Understanding Frontal Plane Correction in Hallux Valgus Repair.

Clin Podiatr Med Surg 2018 Jan 23;35(1):27-36. Epub 2017 Oct 23.

Department of Podiatric Medicine and Surgery, North Colorado PMS Residency, 1600 23rd Avenue, Greeley, CO 80634, USA.

Hallux-abducto-valgus or "bunion" surgery is one of the most common surgical procedures for the foot and ankle specialist. As our understanding of the hallux-abducto-valgus deformity has grown, it is becoming clear that the anatomic CORA of the deformity may lie at the tarsometatarsal joint. There is also the component of the 3-dimensional nature of the deformity that may be best addressed at this CORA. Read More

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January 2018
8 Reads

Percutaneous treatment of hallux valgus: What's the evidence? A systematic review.

Musculoskelet Surg 2018 Aug 28;102(2):111-117. Epub 2017 Oct 28.

II Clinic of Orthopaedics and Traumatology, Istituto Ortopedico Rizzoli, Bologna, Italy.

Hallux and first MTP joint have a fundamental role in the transfer of the weight-bearing load during the normal ambulation. The aim of this paper is to review and analyze the available literature about the percutaneous surgical management of the hallux valgus to highlight its strengths and weakness, also comparing with other minimal invasive techniques. A systematic search of PubMed and Google Scholar databases has been performed, covering the period between 1981 and 2016. Read More

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August 2018
4 Reads

Continuous Wound Infiltration After Hallux Valgus Surgery.

Foot Ankle Int 2018 02 27;39(2):180-188. Epub 2017 Oct 27.

1 Department of Orthopedic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: Hallux valgus surgery is associated with significant early postoperative pain. The aim of this study was to investigate the use of continuous wound infiltration (CWI) with ropivacaine for pain management after hallux valgus surgery.

Methods: In this prospective, randomized, double-blind, and placebo-controlled single-center trial, 50 patients undergoing distal metatarsal osteotomy for idiopathic hallux valgus were allocated to CWI with ropivacaine 2 mg/mL at a rate of 2 mL/h or placebo for 24 hours postoperatively. Read More

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February 2018

Retrospective Analysis of the Akin Osteotomy.

J Foot Ankle Surg 2018 Jan - Feb;57(1):38-43. Epub 2017 Sep 30.

Research Director, Medical Education, Oakwood Hospital and Medical Center, Dearborn, MI.

Hallux abductovalgus is one of the most common deformities addressed by foot and ankle surgeons. Surgically, it can be approached using a wide variety of procedures. After performing the first metatarsal osteotomy, the final step is often to realign the great toe in a rectus position. Read More

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August 2018
1 Read

Weightbearing CT Scan Assessment of Foot Alignment in Patients With Hallux Rigidus.

Foot Ankle Int 2018 Jan 3;39(1):67-74. Epub 2017 Oct 3.

4 Department of Orthopaedic Surgery, Mount Sinai West, New York, NY, USA.

Background: An association between hallux rigidus and metatarsus primus elevatus (MPE) has been suggested, although there remains no general consensus about the nature of this relationship. Past studies were limited due to inaccuracies of assessing MPE on 2-dimensional radiographs. The aims of this study were to (1) assess and compare foot alignment in patients with and without hallux rigidus using 3-dimensional (3D) reconstructions from weightbearing computed tomography (CT) and (2) assess intraobserver and interobserver reliability of these measurements. Read More

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January 2018
2 Reads

Mobility of the First Ray in Patients With or Without Hallux Valgus Deformity: Systematic Review and Meta-Analysis.

J Foot Ankle Surg 2017 Sep - Oct;56(5):1070-1075. Epub 2017 Jul 18.

Assistant Professor, Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX.

The hypermobility theory of the first ray is the reason for the popularization of procedures such as the modified Lapidus procedure involving arthrodesis of the first tarsal-metatarsal joint for correction of hallux valgus deformity. Although many studies have involved motion of the first ray in hallux valgus patients, the presence and clinical significance of hypermobility in the first ray remains controversial. We performed a systematic review and meta-analysis to evaluate the difference in the first ray range of motion between patients with or without hallux valgus deformity. Read More

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June 2018
3 Reads

Treatment of hallux valgus deformity.

EFORT Open Rev 2016 Aug 25;1(8):295-302. Epub 2016 Aug 25.

University of Würzburg, Germany.

Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient's history and a thorough physical examination are important steps. Read More

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August 2016
22 Reads

Correction of Recurred Hallux Valgus Deformity by Endoscopic Distal Soft Tissue Procedure.

Authors:
Tun Hing Lui

Arthrosc Tech 2017 Apr 10;6(2):e435-e440. Epub 2017 Apr 10.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, Hong Kong, China.

The underlying reason for recurrence of hallux valgus deformity after bunion surgery is multifactorial and includes surgeon-based and patient-based factors as well as original components of deformity initially unaddressed at the index procedure. Surgical treatment of a recurred hallux valgus deformity should be undertaken using the same guidelines for correction of a primary hallux valgus deformity. It requires correction of bony alignment, restoration of joint congruity, and achievement of soft tissue balance. Read More

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April 2017
17 Reads

Early results of an intraosseous device for arthrodesis of the hallux metatarsophalangeal joint.

Indian J Orthop 2017 May-Jun;51(3):299-303

Department of Orthopaedics, Manchester Royal Infirmary, Manchester, UK.

Background: Arthrodesis of the hallux metatarsophalangeal (MTP) joint is commonly done as a primary procedure either to correct severe hallux valgus deformities or for rheumatoid arthritis, hallux rigidus, in patients with neuromuscular disorders and as a salvage procedure for failed bunion surgery or infection. Prominent metalwork frequently can cause soft tissue impingement and thus require removal. In contrast, osteosynthesis with a completely intraosseous implant has the advantage of less damage to the periosteal circulation. Read More

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June 2017
11 Reads

Reduced foot pain after spasticity control with alcohol block in a patient with chronic hemiparetic stroke: a case report.

Authors:
Min Cheol Chang

J Phys Ther Sci 2017 Apr 20;29(4):767-770. Epub 2017 Apr 20.

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

[Purpose] This study report a case of a patient with hemiparetic stroke who showed significantly reduced foot pain when ankle spasticity was reduced using nerve and motor point blocks with 20% ethyl alcohol. [Subject and Methods] A 58-year-old woman with left hemiparesis following intracranial hemorrhage five years previously presented with pain in the left fifth metatarsal head for two years (numeric rating scale[NRS]: 8). Erythema and edema were observed on the lateral aspect of the head of the fifth metatarsal bone. Read More

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April 2017
6 Reads