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Metatarsal osteotomy

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https://www.readbyqxmd.com/read/28841865/comparison-of-outcomes-according-to-fixation-technique-following-the-modified-ludloff-osteotomy-for-hallux-valgus-in-patients-with-rheumatoid-arthritis
#1
Young-Hoon Jo, Ki-Chul Park, Young-Sik Song, Il-Hoon Sung
BACKGROUND: Clinical and radiological outcomes including fixation stability of osteotomy site were compared in rheumatoid arthritis (RA) patients who underwent modified Ludloff osteotomy to correct hallux valgus with osteotomy site fixation using two screws versus those who underwent additional fixation using a plate. METHODS: The fixation technique performed with two screws was used to fix the osteotomy sites following modified Ludloff osteotomy in 15 patients (15 feet, Group S), while the augmented plate fixation technique was used in 14 patients (16 feet, Group P)...
August 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28840674/-case-report-comprehensive-treatment-of-forefoot-with-double-brachymetatarsia-in-one-surgical-stage
#2
I Caldiño-Lozada, O Gallegos-de la Torre, R Esperón-Hernández
Brachymetatarsia (shortening of the metatarsal) directly affects the transversal arch of the foot causing severe deformities, such as hallux valgus, divergent toes, overlapping toes, metatarsalgia, all of these alter the biomechanics of the foot and gait. Treatment consists of two main techniques, one-stage lengthening with bone graft or elongation through callotaxis with external fixator; there are variants of both techniques used to minimize the disadvantages of each. The objective of treatment must be to return the structural harmony to the forefoot, improving the biomechanics, resulting in a satisfactory outcome for the patients...
March 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28800708/multiplanar-correction-of-the-lesser-digital-deviation-and-indirect-plantar-plate-rupture-repair-using-a-braided-polyethylene-nylon-suture-a-technique-guide
#3
Cody D Blazek, Roberto A Brandão, Jeffrey M Manway, Patrick R Burns
Forefoot and lesser digital pathology continues to be a challenging area of surgical correction for foot and ankle surgeons. Many techniques for the correction of digital deformities secondary to plantar plate rupture, regardless of planal dominance, have been described including direct repair and metatarsal shortening osteotomies for repair. The authors present a new technique for multiplanar correction of deformed lesser digits without direct repair of the plantar plate rupture utilizing a specialty suture...
August 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28779810/overcorrected-flatfoot-reconstruction
#4
REVIEW
Todd A Irwin
The overcorrected flatfoot reconstruction is a less common but often difficult sequelae of surgical treatment of the adult acquired flatfoot deformity. Understanding the patient's symptoms and how they correlate to the procedures performed during the index surgery are paramount to determining the appropriate course of treatment. Patients' symptoms may resemble those seen in the cavovarus foot condition, often secondary to overlengthening of the lateral column or excessive displacement of the calcaneal tuberosity...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28741328/-short-term-results-of-weils-osteotomy-in-patients-with-propulsive-metatarsalgia
#5
J C Hernández-Martínez, J Vázquez-Escamilla, M Coronado-Puente
INTRODUCTION: Metatarsalgia is the most common reason for consultation in orthopedic pathology of the foot. The key to its treatment lies in the correct determination of the symptoms, which are biological, morphological and mechanical alterations responsible for pain. Weil´s osteotomy is commonly used for multiple forefoot pathologies, including metatarsalgias. MATERIAL AND METHODS: We included patients with first-line failure syndrome and associated mechanical metatarsalgia-producing deformities...
January 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28728103/freiberg-s-infraction-a-modified-closing-wedge-osteotomy-for-an-undiagnosed-case
#6
Carlo Biz, Alessandro Zornetta, Ilaria Fantoni, Alberto Crimì, Enrico Bordignon, P Ruggieri
INTRODUCTION: Freiberg's infraction is an osteonecrosis affecting the metatarsal head whose pathogenesis is not fully understood, although stress overloading by multiple microtraumas remains the most widely accepted cause. Operative treatment, by different techniques, is necessary when conservative treatment fails. PRESENTATION OF CASE: A 31-year old woman presented with left foot severe pain, especially at the level of the metatarsophalangeal joint (MTPJ) of the second ray, underestimated upon initial evaluation...
2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28698915/surgical-treatment-of-stage-ii-posterior-tibialis-tendon-dysfunction-ten-year-clinical-and-radiographic-results
#7
Alberto Ruffilli, Francesco Traina, Sandro Giannini, Roberto Buda, Fabrizio Perna, Cesare Faldini
INTRODUCTION: Grade II chronic tibialis posterior tendon dysfunction (PTTD) poses a reconstructive challenge to the orthopaedic surgeon. Aim of this retrospective study is to report the clinical and radiographical results of a case series of 63 patients (102 ft) affected by grade II PTTD who underwent tailored surgical treatment at 10-year mean follow-up. MATERIALS AND METHODS: Sixty-three patients (102 ft) were available for clinical and radiological evaluation and were retrospectively reviewed at a mean follow-up of 125...
July 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28698539/croatian-rotatory-oblique-three-dimensional-osteotomy-croto-a-modified-wilson-s-osteotomy-for-adult-hallux-valgus-intended-to-prevent-dorsal-displacement-of-the-distal-fragment-and-to-reduce-shortening-of-the-first-metatarsal-bone
#8
Robert Kolundžić, Mladen Mađarević, Vladimir Trkulja, Tomislav Crnković, Igor Šmigovec, Daniel Matek
Aim To evaluate biomechanical and clinical outcomes of a newly developed modification of the Wilson's osteotomy for hallux valgus: a three-dimensional subcaptial correction of the metatarsal head position with a simultaneous lateral and plantar shift with derotation intended to reduce displacement of the distal fragment and shortening of the first metatarsal bone. Methods Thirty four feet (28 female patients) underwent the new procedure and were evaluated before and 12 to 84 months (median=25.5) after the surgery...
August 1, 2017: Medicinski Glasnik
https://www.readbyqxmd.com/read/28686846/effect-of-first-tarsometatarsal-joint-derotational-arthrodesis-on-first-ray-dynamic-stability-compared-to-distal-chevron-osteotomy
#9
Tero Klemola, Juhana Leppilahti, Vesa Laine, Ilkka Pentikäinen, Risto Ojala, Pasi Ohtonen, Olli Savola
BACKGROUND: Hallux valgus alters gait, compromising first ray stability and function of the windlass mechanism at the late stance. Hallux valgus correction should restore the stability of the first metatarsal. Comparative studies reporting the impact of different hallux valgus correction methods on gait are rare. We report the results of a case-control study between distal chevron osteotomy and first tarsometatarsal joint derotational arthrodesis (FTJDA). METHODS: Two previously studied hallux valgus cohorts were matched: distal chevron osteotomy and FTJDA...
August 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28676916/-correction-of-flexible-lesser-toe-deformity-transfer-of-the-flexor-digitorum-longus-tendon
#10
D Arbab, D Frank, B Bouillon, C Lüring
OBJECTIVE: Realignment and pain relief of toes 2-5 by flexor-to-extensor tendon transfer of the flexor digitorum longus (FDL) muscle. INDICATIONS: As an isolated procedure in flexible proximal interphalangeal (PIP) joint flexion and/or flexible metatarsophalangeal (MTP) joint extension (hammer toe). In combination with a metatarsal osteotomy or PIP joint arthrodesis in case of flexible MTP joint extension. CONTRAINDICATIONS: General medical contraindications to surgical interventions...
July 4, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28660074/treatment-of-hallux-valgus-deformity
#11
Lukas Fraissler, Christian Konrads, Maik Hoberg, Maximilian Rudert, Matthias Walcher
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. Anteroposterior and lateral weight-bearing radiographs of the entire foot are crucial for adequate assessment in the treatment of hallux valgus...
August 2016: EFORT open reviews
https://www.readbyqxmd.com/read/28628523/effectiveness-of-surgery-for-adults-with-hallux-valgus-deformity-a-systematic-review
#12
Jitka Klugarova, Victoria Hood, Fiona Bath-Hextall, Miloslav Klugar, Jana Mareckova, Zuzana Kelnarova
BACKGROUND: Hallux valgus (HV) is a common foot deformity. In severe stages of this condition, surgery is often necessary. Currently, there is no systematic review comparing the effectiveness of surgery over conservative treatment. OBJECTIVES: The objective of this review was to establish the effectiveness of surgery compared to conservatory management for adults with HV. INCLUSION CRITERIA TYPES OF PARTICIPANTS: The current review included adults (18 years or over) with HV deformity, excluding adults with neurological problems causing foot deformities, for example, cerebral palsy, neuropathy, stroke and multiple sclerosis...
June 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28618308/supplementary-medial-locking-plate-fixation-of-ludloff-osteotomy-versus-sole-lag-screw-fixation-a-biomechanical-evaluation
#13
Panagiotis E Chatzistergos, George C Karaoglanis, Stavros K Kourkoulis, Minos Tyllianakis, Emmanouil D Stamatis
BACKGROUND: The Ludloff oblique osteotomy is inherently unstable, which might lead to delayed union and loss of correction. Supplementary fixation to two lag screw fixation has been proposed. The hypothesis is that the osteotomy fixation constructs supplemented by a mini locking plate provide greater resistance to osteotomy gaping and loss of angular correction in response to cyclic loading. METHODS: Twenty fourth generation composite 1st metatarsals were used and underwent a Ludloff osteotomy...
June 7, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28608725/driving-after-hallux-valgus-surgery
#14
Elizabeth McDonald, Rachel Shakked, Joseph Daniel, David I Pedowitz, Brian S Winters, Christopher Reb, Mary-Katherine Lynch, Steven M Raikin
BACKGROUND: The purpose of the study was to determine when patients can safely return to driving after first metatarsal osteotomy for hallux valgus correction. METHODS: After institutional review board approval, 60 patients undergoing right first metatarsal osteotomy for hallux valgus correction surgery were recruited prospectively. Patients' brake reaction time (BRT) was tested at 6 weeks and repeated until patients achieved a passing BRT. A control group of twenty healthy patients was used to establish as passing BRT...
June 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28607766/hallux-rigidus
#15
REVIEW
Bryant Ho, Judith Baumhauer
An estimated 40% of the US population have foot problems.Of all patients aged over 50 years, 2.5% report degenerative arthritis of the first metatarsophalangeal (MTP) joint, termed 'hallux rigidus'. First MTP osteoarthritis is the most common arthritic condition in the foot.Progression of great toe arthritis is associated with pain and loss of motion. Non-surgical intervention begins with shoe modifications and orthotics designed to limit MTP motion.In patients with mild arthritis, operative procedures focus on removing excess osteophytes (cheilectomy) to prevent dorsal impingement with or without a concomitant osteotomy (Moberg) to improve or shift range of motion into a less painful arc...
January 2017: EFORT open reviews
https://www.readbyqxmd.com/read/28580056/a-pictorial-review-of-reconstructive-foot-and-ankle-surgery-elective-lesser-forefoot-procedures
#16
REVIEW
Andrew J Meyr, Laura Sansosti, Sayed Ali
This pictorial review focuses on basic procedures performed within the field of podiatric surgery, specifically for elective procedures of the lesser forefoot including the correction of hammertoes and lesser metatarsal deformities. Our goal is to demonstrate objective radiographic parameters that surgeons utilize to initially define the deformity, lead to procedure selection and judge post-operative outcomes. We hope that radiologists will employ this information to improve their assessment of post-operative radiographs following reconstructive foot surgeries...
November 2016: Journal of Radiology Case Reports
https://www.readbyqxmd.com/read/28576190/first-metatarsal-phalangeal-joint-arthrodesis-primary-revision-and-salvage-of-complications
#17
REVIEW
Thomas S Roukis
Arthrodesis of the first metatarsal-phalangeal joint has been proposed for treatment of severe hallux valgus, end-stage hallux rigidus, rheumatoid arthritis, and revision of failed surgery due to the perceived safety and efficacy. This article discusses the principles of first metatarsal-phalangeal joint arthrodesis in primary and revision situations, joint preparation, configurations of osteosynthesis, and common complications, including salvage of nonunion and revision of malunion with realignment osteotomy...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28527835/biomechanical-study-on-surgical-fixation-methods-for-minimally-invasive-treatment-of-hallux-valgus
#18
Rui Mao, Junchao Guo, Chenyu Luo, Yubo Fan, Jianmin Wen, Lizhen Wang
Hallux valgus (HV) was one of the most frequent female foot deformities. The aim of this study was to evaluate mechanical responses and stabilities of the Kirschner, bandage and fiberglass fixations after the distal metatarsal osteotomy in HV treatment. Surface traction of different forefoot regions in bandage fixation and the biomechanical behavior of fiberglass bandage material were measured by a pressure sensor device and a mechanical testing, respectively. A three-dimensional foot finite element (FE) model was developed to simulate the three fixation methods (Kirschner, bandage and fiberglass fixations) in weight bearing...
August 2017: Medical Engineering & Physics
https://www.readbyqxmd.com/read/28497049/biomechanical-analysis-of-cuboid-osteotomy-lateral-column-lengthening-for-stage-ii-b-adult-acquired-flatfoot-deformity-a-cadaveric-study
#19
Haichao Zhou, Haoyang Ren, Chunguang Li, Jiang Xia, Guangrong Yu, Yunfeng Yang
Purpose. To investigate the effect of cuboid osteotomy lateral column lengthening (LCL) for the correction of stage II B adult-acquired flatfoot deformity in cadaver. Methods. Six cadaver specimens were loaded to 350 N. Flatfoot models were established and each was evaluated radiographically and pedobarographically in the following conditions: (1) intact foot, (2) flatfoot, and (3) cuboid osteotomy LCL (2, 3, 4, and 5 mm). Results. Compared with the flatfoot model, the LCLs showed significant correction of talonavicular coverage on anteroposterior radiographs and talus-first metatarsal angle on both anteroposterior and lateral radiographs (p < ...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28482680/optimal-starting-point-for-fifth-metatarsal-zone-ii-fractures-a-cadaveric-study
#20
Geoffrey I Watson, Sydney C Karnovsky, Gabrielle Konin, Mark C Drakos
BACKGROUND: Identifying the optimal starting point for intramedullary fixation of tibia and femur fractures is well described in the literature using a retrograde or anterograde technique. This technique has not been applied to the fifth metatarsal, where screw trajectory can cause iatrogenic malreduction. The generally accepted starting point for the fifth metatarsal is "high and inside" to accommodate the fifth metatarsal's dorsal apex and medial curvature. We used a retrograde technique to identify the optimal starting position for intramedullary fixation of fifth metatarsal fractures...
April 1, 2017: Foot & Ankle International
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