497 results match your criteria Bunion


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

Foot Ankle Int 2019 Apr 22:1071100719845002. 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

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

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

J Foot Ankle Surg 2019 Apr 6. 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
April 2019
1 Read

Minimally Important Difference in the Foot and Ankle Outcome Score Among Patients Undergoing Hallux Valgus Surgery.

Foot Ankle Int 2019 Mar 15:1071100719831392. 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

[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
4 Reads

Digital Measurements With Hallux Valgus Before and After Modified Long Oblique Osteotomy.

J Foot Ankle Surg 2019 Feb 15. 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
February 2019
2 Reads

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
2 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
2 Reads

Comparison of the Type of Fixation of Akin Osteotomy.

Foot Ankle Int 2019 Apr 19;40(4):390-397. Epub 2018 Dec 19.

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

Background:: The objective of the study was to assess the influence of the type of fixation of the Akin osteotomy when used during hallux valgus surgery.

Methods:: Between 2013 and 2016, we performed 138 Akin osteotomy procedures employing a staple (group A, 43 patients), screw (group B, 47 patients), and single or double transosseous suture stabilization (group C, 48 patients). We assessed the pre- and postoperative interphalangeal angle (IPA), hallux valgus angle (HVA), and intermetatarsal angle (IMA) on dorsoplantar and lateral foot weightbearing x-rays and used the American Orthopaedic Foot & Ankle Society (AOFAS) hallux-metatarsophalangeal-interphalangeal scale for preoperative and 12-month postoperative follow-up clinical assessment. Read More

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http://dx.doi.org/10.1177/1071100718816052DOI Listing

Cost-Utility Study of the Economics of Bunion Correction Surgery.

Foot Ankle Int 2019 Mar 17;40(3):336-342. Epub 2018 Dec 17.

3 Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada.

Background:: Bunion correction surgery is a very common procedure to improve patients' pain and physical function attributable to a misaligned first metatarsophalangeal joint. The objective of this study was to apply a health utility framework to estimate the cost utility of bunion correction surgery.

Methods:: Patients were prospectively recruited from the population of patients seen in a lower-extremity orthopedic clinic and scheduled for isolated bunion surgery. Read More

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http://dx.doi.org/10.1177/1071100718815663DOI Listing
March 2019
11 Reads

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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https://linkinghub.elsevier.com/retrieve/pii/S10672516183018
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http://dx.doi.org/10.1053/j.jfas.2018.04.003DOI Listing
November 2018
11 Reads

Modified Lindgren-Turan Osteotomy for Hallux Valgus Deformity - a Review of 60 Cases.

Acta Chir Orthop Traumatol Cech 2018 ;85(5):325-330

Golhisar State Hospital, Burdur, Turkey.

PURPOSE OF THE STUDY To evaluate the clinical and radiological results of a new modification of relatively less-known Lindgren-Turan osteotomy technique in HV deformity that is performed by combining bunionectomy and capsuloplasty. MATERIAL AND METHODS 60 feet of 52 patients with moderate and heavy deformity who were operated between 2009 and 2014 were included in the study. The patients had clinically severe pain, did not respond to at least 6-month conservative treatment and had moderate and severe deformity before Hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal joint angle (DMAA), proximal phalangeal joint angles (PPAA) and shortening amount in the first metatarsus were measured through preoperative and follow-up radiography. Read More

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February 2019
1 Read

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

Foot Ankle Int 2019 Mar 21;40(3):259-267. 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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http://dx.doi.org/10.1177/1071100718805964DOI Listing
March 2019
12 Reads

Challenges in the treatment of fibrodysplasia ossificans progressiva.

Rheumatol Int 2019 Mar 20;39(3):569-576. 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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http://link.springer.com/10.1007/s00296-018-4179-x
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http://dx.doi.org/10.1007/s00296-018-4179-xDOI Listing
March 2019
22 Reads

Anatomical considerations for minimally invasive osteotomy of the fifth metatarsal for bunionette correction - A pilot study.

Foot (Edinb) 2018 Sep 1;36:39-42. Epub 2018 Mar 1.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy and Embryology Unit), University of Barcelona, Barcelona, Spain; Foot and Ankle Unit, Hospital Quiron Barcelona, Barcelona, Spain.

Introduction: Operative correction of symptomatic bunionette by means of minimally invasive (MI) osteotomies of the 5th metatarsal (M5) has gained popularity. This study aims to investigate the safe zones of commonly used techniques and the risk of injury to neurological structures.

Materials And Methods: Ten human fresh frozen cadaveric feet were dissected and branches of the sural nerve were identified. Read More

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http://dx.doi.org/10.1016/j.foot.2018.02.004DOI Listing
September 2018
5 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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http://dx.doi.org/10.1016/j.cpm.2018.05.002DOI Listing
October 2018
6 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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http://dx.doi.org/10.1016/j.cpm.2018.05.001DOI Listing
October 2018
4 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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http://dx.doi.org/10.1053/j.jfas.2018.05.009DOI Listing
February 2019
2 Reads

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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http://dx.doi.org/10.1177/1071100718790255DOI Listing
December 2018
22 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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http://dx.doi.org/10.5435/JAAOS-D-17-00345DOI Listing
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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http://dx.doi.org/10.7507/1002-1892.201803014DOI Listing
September 2018
1 Read

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

Foot Ankle Int 2018 10 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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http://dx.doi.org/10.1177/1071100718789696DOI Listing
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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http://dx.doi.org/10.1177/0748730418789236DOI Listing
October 2018
4 Reads

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

Skeletal Radiol 2019 Feb 12;48(2):251-257. 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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http://dx.doi.org/10.1007/s00256-018-3022-5DOI Listing
February 2019
15 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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http://dx.doi.org/10.1053/j.jfas.2018.03.039DOI Listing
January 2019
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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http://dx.doi.org/10.7547/16-164DOI Listing
May 2018
5 Reads

Cebranopadol: A Novel, First-in-Class, Strong Analgesic: Results from a Randomized Phase IIa Clinical Trial in Postoperative Acute Pain.

Pain Physician 2018 05;21(3):E193-E206

Premier Research, Austin, TX.

Background: Cebranopadol is a potent, first-in-class analgesic with a novel mechanistic approach combining nociceptin/orphanin FQ peptide (NOP) and opioid peptide receptor agonism.

Objective: We aim to evaluate, for the first time, the analgesic efficacy, safety, and tolerability of cebranopadol in patients suffering from moderate to severe acute pain following bunionectomy.

Study Design: We conducted a phase IIa, randomized, multi-center, double-blind, double-dummy, placebo- and active-controlled, parallel group clinical trial. Read More

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May 2018
40 Reads

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

Int Orthop 2019 Feb 4;43(2):343-350. 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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http://dx.doi.org/10.1007/s00264-018-4006-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399198PMC
February 2019
1 Read

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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http://dx.doi.org/10.1007/s00590-018-2235-6DOI Listing
December 2018
1 Read

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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https://linkinghub.elsevier.com/retrieve/pii/S07498063183019
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http://dx.doi.org/10.1016/j.arthro.2018.02.040DOI Listing
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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http://dx.doi.org/10.1053/j.jfas.2018.02.008DOI Listing
January 2019
1 Read

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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http://dx.doi.org/10.1053/j.jfas.2017.11.009DOI Listing
December 2018
27 Reads

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

Foot Ankle Int 2018 09 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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http://dx.doi.org/10.1177/1071100718772037DOI Listing
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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http://dx.doi.org/10.1016/j.fcl.2018.02.001DOI Listing
June 2018
3 Reads

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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http://dx.doi.org/10.1016/j.fcl.2018.01.001DOI Listing
June 2018
3 Reads

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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http://dx.doi.org/10.1007/s00064-018-0542-zDOI Listing
June 2018
2 Reads

[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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http://dx.doi.org/10.1007/s00064-018-0541-0DOI Listing
June 2018
10 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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http://dx.doi.org/10.3969/j.issn.1003-0034.2018.03.003DOI Listing
March 2018
45 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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http://dx.doi.org/10.1111/dmcn.13724DOI Listing
June 2018
9 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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http://dx.doi.org/10.1016/j.aott.2018.01.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136310PMC
May 2018
7 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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http://dx.doi.org/10.1053/j.jfas.2017.10.025DOI Listing
October 2018
13 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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https://linkinghub.elsevier.com/retrieve/pii/S1017995X163012
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http://dx.doi.org/10.1016/j.aott.2018.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136324PMC
May 2018
12 Reads

Clinical and radiographic outcomes of the Kramer osteotomy in the treatment of bunionette deformity.

Foot Ankle Surg 2018 Dec 18;24(6):530-534. Epub 2017 Jul 18.

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, United States.

Background: Bunionette deformity is a painful bony prominence of the 5th metatarsal. We evaluated outcomes of using a Kramer osteotomy to treat this condition.

Methods: Retrospective study of patients treated with a Kramer osteotomy from 2003 and 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731173013
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http://dx.doi.org/10.1016/j.fas.2017.07.004DOI Listing
December 2018
4 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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http://dx.doi.org/10.1016/j.fas.2017.05.001DOI Listing
October 2018
4 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 2019 Apr 13;25(2):158-164. 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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http://dx.doi.org/10.1016/j.fas.2017.10.020DOI Listing

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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http://dx.doi.org/10.1016/j.fas.2017.12.010DOI Listing
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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http://dx.doi.org/10.1053/j.jfas.2017.10.012DOI Listing
September 2018
3 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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http://dx.doi.org/10.1053/j.jfas.2017.10.009DOI Listing
September 2018
2 Reads

Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) of the Fifth Metatarsal for Bunionette Correction.

Foot Ankle Int 2018 04 10;39(4):450-457. Epub 2018 Jan 10.

1 Foot and Ankle Unit, Ysbyty Ystrad Fawr, Hengoed, UK.

Background: Different osteotomies have been proposed for the treatment of bunionette deformity. Minimally invasive surgery is now increasingly popular for a variety of forefoot conditions. The aim of this study was to evaluate the outcome following fifth minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) for bunionette deformity. Read More

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http://dx.doi.org/10.1177/1071100717745536DOI Listing
April 2018
12 Reads

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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http://dx.doi.org/10.7759/cureus.1819DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752227PMC
November 2017
3 Reads