keyword
https://read.qxmd.com/read/24685187/biodynamics-of-hallux-abductovalgus-etiology-and-preoperative-evaluation
#21
REVIEW
Patrick R Burns, Brandon Mecham
Hallux abductovalgus (HAV) is a common but complex deformity. HAV is a combination of deformities and abnormalities. Because HAV is not from a single cause or pathologic process, controversies in description and potential treatments exist. Although many HAV deformities appear similar, no two are the same and thus cannot be treated the same surgically.
April 2014: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/24416481/the-early-functional-outcome-of-mau-osteotomy-for-the-correction-of-moderate-severe-hallux-valgus
#22
JOURNAL ARTICLE
Tanujan Thangarajah, Usman Ahmed, Shahbaz Malik, Abhay Tillu
Hallux valgus is one of the commonest conditions of the foot and has been reported to affect nearly half of the adult population. It is most effectively treated by a corrective osteotomy of which there a numerous subtypes. The Mau osteotomy confers the greatest structural stability but is not thought to provide adequate correction of moderate-severe deformities. Accordingly, complications such as under correction and non-union are common. The aim of this study was to determine the functional outcome in patients with moderate-severe hallux valgus following a Mau osteotomy...
2013: Orthopedic Reviews
https://read.qxmd.com/read/23910738/axial-loading-screw-fixation-for-chevron-type-osteotomies-of-the-distal-first-metatarsal-a-retrospective-outcomes-analysis
#23
JOURNAL ARTICLE
Ryan M Murphy, Lawrence M Fallat, John P Kish
The distal chevron osteotomy is a widely accepted technique for the treatment of hallux abductovalgus deformity. Although the osteotomy is considered to be stable, displacements of the capital fragment has been described. We propose a new method for fixation of the osteotomy involving the axial loading screw (ALS) used in addition to single screw fixation. We believe this method will provide a more mechanically stable construct. We reviewed the charts of 46 patients in whom 52 feet underwent a distal chevron osteotomy that was fixated with either 1 screw or 2 screws that included the ALS...
January 2014: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/23787225/descriptive-quantitative-analysis-of-hallux-abductovalgus-transverse-plane-radiographic-parameters
#24
JOURNAL ARTICLE
Andrew J Meyr, Adam Myers, Jane Pontious
Although the transverse plane radiographic parameters of the first intermetatarsal angle (IMA), hallux abductus angle (HAA), and the metatarsal-sesamoid position (MSP) form the basis of preoperative procedure selection and postoperative surgical evaluation of the hallux abductovalgus deformity, the so-called normal values of these measurements have not been well established. The objectives of the present study were to (1) evaluate the descriptive statistics of the first IMA, HAA, and MSP from a large patient population and (2) to determine an objective basis for defining "normal" versus "abnormal" measurements...
July 2014: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/23663877/short-term-clinical-and-radiologic-results-of-the-scarf-osteotomy-what-factors-contribute-to-recurrence
#25
JOURNAL ARTICLE
Alper Deveci, Ahmet Firat, Serdar Yilmaz, Ozdamar Fuad Oken, Ahmet Ozgur Yildirim, Ahmet Ucaner, Murat Bozkurt
The present retrospective investigation aimed to determine the factors associated with recurrence of hallux valgus deformity after scarf osteotomy in 50 feet in 43 consecutive patients. We hypothesized that hallux abductovalgus after scarf osteotomy recurs because of the presence of preoperative joint incongruity. The clinical and radiographic findings, including the weightbearing radiographic hallux valgus angle, first intermetatarsal angle, distal metatarsal articular angle, first metatarsophalangeal joint congruence, American Orthopaedic Foot and Ankle Society scores, and pain measured on a visual analog scale, and logistic regression analysis were used to analyze the association of the independent variables with the recurrence of deformity...
November 2013: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/22857959/reliability-of-metatarsus-adductus-angle-and-correlation-with-hallux-valgus
#26
JOURNAL ARTICLE
Aryan I S Dawoodi, Anthony Perera
BACKGROUND: Metatarsus adductus is a common congenital foot deformity. Variable prevalence values were reported using different techniques in different populations. Numerous radiological measurements have been proposed to assess this deformity with a paucity of studies reporting the reliability of these methods. The metatarsus adductus angle was shown to correlate with the severity of hallux abductovalgus in normal feet and preselected populations of juvenile hallux valgus. MATERIALS AND METHODS: Weight bearing dorsoplantar radiographs of 150 feet were examined for 5 angles commonly used in assessing metatarsus adductus: angle between the second metatarsus and the longitudinal axis of the lesser tarsus (using the 4th or 5th metatarso-cuboid joint as a reference), Engel's angle and modified Engle's angle...
September 2012: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/22162279/custom-foot-orthoses-for-rheumatoid-arthritis-a-systematic-review
#27
REVIEW
Kym Hennessy, James Woodburn, Martijn P M Steultjens
OBJECTIVE: To identify and critically appraise the evidence for the effectiveness of custom orthoses for the foot and ankle in rheumatoid arthritis. METHODS: Studies were identified in appropriate electronic databases (from 1950 to March 2011). The search term "rheumatoid arthritis" with "foot" and "ankle" and related terms were used in conjunction with "orthoses" and synonyms. Included studies were quantitative longitudinal studies and included randomized controlled trials (RCTs), case-control trials, cohort studies, and case series studies...
March 2012: Arthritis Care & Research
https://read.qxmd.com/read/21621434/axial-loading-cross-screw-fixation-for-the-austin-bunionectomy
#28
COMPARATIVE STUDY
Ryan B Rigby, Lawrence M Fallat, John P Kish
The Austin procedure has become a common method of osteotomy for the correction of hallux abductovalgus when indicated. The V-type configuration is intrinsically stable but not without complications. One complication encountered is rotation and/or displacement of the capital fragment. We present the use of an axial loading screw in conjunction with a dorsally placed compression screw. The benefit to this technique lies in the orientation of the axial loading screw, because it is directed to resist the ground reactive forces while also providing a second point of fixation in a crossing screw design...
September 2011: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/21435913/the-unreliability-of-the-intermetatarsal-angle-in-choosing-a-hallux-abducto-valgus-surgical-procedure
#29
JOURNAL ARTICLE
Rahn A Ravenell, Craig A Camasta, Donald R Powell
Conventional thinking holds that high intermetatarsal and hallux abductus angles (>15° and >25°, respectively) are associated with a hypermobile first ray and require a Lapidus procedure to achieve satisfactory correction for the treatment of hallux valgus. However, normal first ray motion may be misinterpreted as hypermobility, and it is possible to take advantage of this motion to correct some portion of a large hallux abductovalgus deformity with distal procedures, such as the Austin or first metatarsophalangeal joint fusion...
May 2011: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/21353999/quantitative-analysis-of-the-long-and-short-arm-crescentic-shelf-bunionectomy-osteotomies-in-fresh-cadaveric-matched-pair-specimens
#30
JOURNAL ARTICLE
Sean P Gocke, Francis J Rottier, Robert M Havey, Susan M Renner, Avinash G Patwardhan, Gerard Carandang
Two variations of crescentic shelf osteotomies have been described for the treatment of moderate to severe hallux abductovalgus: a short arm and a long arm. This study tested the hypothesis that the short-arm osteotomy will have a greater moment to failure and angular stiffness than the long arm. Eighteen first metatarsal specimens were dissected from 9 matched pairs of fresh frozen cadaveric specimens. One metatarsal from each pair received a short-arm osteotomy, whereas the other received a long-arm osteotomy...
March 2011: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/20637657/radiographic-outcomes-following-primary-arthrodesis-of-the-first-metatarsophalangeal-joint-in-hallux-abductovalgus-deformity
#31
JOURNAL ARTICLE
Wenjay Sung, Andrew J Kluesner, James Irrgang, Patrick Burns, Dane K Wukich
The purpose of this study was to evaluate the radiographic outcomes of primary metatarsophalangeal joint arthrodesis for hallux abductovalgus deformities. Between January 2004 and March 2009, 56 consecutive patients (58 feet) underwent primary arthrodesis of the metatarsophalangeal joint (MTPJ) for severe hallux abductovalgus deformity and or hallux rigidus. Results were assessed by primary radiographic outcome measurements (hallux valgus and first-second intermetatarsal angle). Overall, the mean hallux valgus (HA) angle improved significantly from 31...
2010: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/20307439/a-review-of-surgical-outcomes-of-the-lapidus-procedure-for-treatment-of-hallux-abductovalgus-and-degenerative-joint-disease-of-the-first-mcj
#32
JOURNAL ARTICLE
Natalie G Taylor, Stuart A Metcalfe
BACKGROUND: The modified Lapidus procedure has been used to treat hallux abducto valgus and degenerative joint disease of the first metatarsocuneiform joint for many years. Historically, the Lapidus has been associated with poor satisfaction due to complications such as non-union. The aim of this study was to review the surgical outcomes of 18 patients using the validated Foot Health Status Questionnaire (FHSQ). The four domains within the FHSQ were all investigated. Pre and post operative angular measurements were also reviewed...
December 2008: Foot
https://read.qxmd.com/read/20123290/the-multiplanar-effect-of-first-metatarsal-osteotomy-on-sesamoid-position
#33
JOURNAL ARTICLE
Roland Ramdass, Andrew J Meyr
The standard classification system used to measure the sesamoids in the evaluation of hallux abductovalgus is a uniplanar description of a multiplanar deformity. Additionally, it cannot accurately describe a true measure of sesamoid positional change in the perioperative period because the first metatarsal is laterally transposed during corrective surgery. The intended emphasis of this investigation is to evaluate the sesamoid position in multiple planes relative to a stationary anatomical landmark following first metatarsal osteotomy for the surgical correction of hallux abductovalgus deformity...
January 2010: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/19906543/application-of-an-interosseous-suture-and-button-device-for-hallux-valgus-correction-a-review-of-outcomes-in-a-small-series
#34
JOURNAL ARTICLE
Priya Ponnapula, Richard Wittock
A relatively new method to treat a bunion deformity by means of positional correction rather than structural realignment via osteotomy has been used in a series of 5 patients. This approach to first ray correction entails the use of an interosseous suture and button device that is positioned under tension between the first and second metatarsals, thereby reducing the first intermetatarsal angle. The median age of the group of patients was 51 years (range, 16-71 years), and the median follow-up duration was 20 months (range, 8-64 months)...
March 2010: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/19700117/the-laterality-of-the-surgical-correction-of-forefoot-pathology
#35
JOURNAL ARTICLE
Andrew J Meyr, Queen J Mbanuzue, Michael J Sheridan, Atoosa Kashani
UNLABELLED: Lateral prevalence has not been traditionally attributed to the development and presentation of pathologic forefoot complaints. The objective of this study was to determine if a laterality prevalence exists for surgically corrected forefoot deformities. All cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period were reviewed and classified into the following categories: hallux abductovalgus deformity correction, hallux limitus deformity correction, specific digital deformity correction, neuroma surgery, and combinations of these categories (n = 1821)...
September 2009: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/19700116/epidemiological-aspects-of-the-surgical-correction-of-structural-forefoot-pathology
#36
JOURNAL ARTICLE
Andrew J Meyr, Melissa L Adams, Michael J Sheridan, Ryan G Ahalt
UNLABELLED: The aim of this study was to associate structural forefoot surgical correction with theories related to the etiology of structural forefoot pathology. All forefoot surgical cases performed at the Inova Fairfax Hospital Ambulatory Surgery Center over a 76-month period (January 2001 through April 2007) were reviewed and classified according to the following surgical categories: hallux abductovalgus, hallux limitus, lesser digital deformity, and combinations of these categories (N = 1684 procedures in 1592 patients)...
September 2009: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/19370560/withdrawn-interventions-for-treating-hallux-valgus-abductovalgus-and-bunions
#37
REVIEW
Jill Ferrari, Julian Pt Higgins, Trevor D Prior
BACKGROUND: Hallux valgus is classified as an abnormal deviation of the great toe (hallux) towards the midline of the foot. OBJECTIVES: To identify and evaluate the evidence from randomised trials of interventions used to correct hallux valgus. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauama Group trials register (2003/1), the Cochrane Central Register of Controlled Trials (The Cochrane Library issue 1, 2003), MEDLINE (January 1966 to March 2003) and EMBASE (1980 to January 2003)...
April 15, 2009: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/19232962/a-diagnosis-of-marginal-zone-lymphoma-following-surgical-correction-of-hallux-abductovalgus-a-case-report
#38
JOURNAL ARTICLE
Nicholas B Dodson, Robert W Mendicino, Alan R Catanzariti, Karl Saltrick, Mark L Bunker
UNLABELLED: Marginal zone lymphoma is a neoplasm affecting the lymphatic system, including the bone marrow, thymus, spleen, and lymph nodes. This type of non-Hodgkin's lymphoma affects B cells and is estimated to comprise between 5% and 17% of all non-Hodgkin's diseases. The incidence of finding any neoplasm within the foot and ankle has been estimated to be only 2.0% to 3.5% of all patients. However, despite the low incidence of cancer found within the foot and ankle, the clinician must be mindful that the possibility does exist and should thus consider surgically excised soft tissue and bone for pathological evaluation...
March 2009: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/19121752/revision-surgery-of-the-first-ray
#39
JOURNAL ARTICLE
Glenn M Weinraub, Ottoniel Mejia
When dealing with the first ray, and in particular when preparing for hallux abductovalgus surgery, numerous guidelines are available to help decide what procedure is most appropriate for the pathology based on radiographic findings. However, these guidelines are not as black and white as some physicians may think. Numerous factors affect the selection of a procedure, including physician preference, physician comfort with a procedure, experience with a procedure, and surgical skills. This article takes a clinical look at a number of complications related to surgery and trauma of the first ray, and presents a critical discussion of the thought process used to address the complication...
January 2009: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/19110162/reconstruction-of-the-first-metatarsophalangeal-joint-following-post-cheilectomy-avascular-necrosis-of-the-first-metatarsal-head-a-case-report
#40
JOURNAL ARTICLE
Thomas A Brosky, Christopher R D Menke, Drew Xenos
UNLABELLED: Avascular necrosis of the first metatarsal head is a well-known, albeit rare, complication associated with hallux abductovalgus surgery. In this report, we describe the case of a 51-year-old male who developed osteonecrosis of the first metatarsal head 1 year after undergoing an isolated cheilectomy for the treatment of hallux rigidus. To our knowledge, this is the first published report of osteonecrosis following isolated cheilectomy used for the treatment of hallux rigidus...
January 2009: Journal of Foot and Ankle Surgery
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