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Metatarsal osteotomy

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https://www.readbyqxmd.com/read/28405710/-distal-osteotomy-for-the-treatment-of-hallux-valgus-chevron-osteotomy
#1
C Stukenborg-Colsman, L Claaßen, S Ettinger, D Yao, M Lerch, C Plaaß
Distal osteotomies, like the Chevron osteotomy, is indicated for mild to moderate hallux valgus deformities. Splayfoot, painful pseudoexostosis, and transfer metatasalgia are observed in the clinical examination. Radiographic examination should be done with weight bearing in two planes. Preoperatively the intermetatarsal (IM), hallux valgus, and distal metatarsal articular (DMAA) angles should be measured. The operative technique is based on soft tissue and bony correction. Modifications of the osteotomy allow a shortening, lengthening, or neutral correction of the first metatarsal...
April 12, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28405709/-scarf-osteotomy
#2
H-J Trnka, P Bock
Hallux valgus is one of the most common deformities of the lower extremity. Multiple etiologies have been discussed, and various techniques have been described. The SCARF osteotomy is indicated for moderate to severe hallux valgus deformities. The technique historically used by carpenters allows immediate postoperative weight bearing and also entails the possibility to correct the distal metatarsal articular angle by rotation of the osteotomy. The SCARF osteotomy has also been successfully used in revision surgeries...
April 12, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28399657/cadaveric-evaluation-of-dorsal-intermetatarsal-approach-for-plantar-plate-and-lateral-collateral-ligament-repair-of-the-lesser-metatarsophalangeal-joints
#3
Phinit Phisitkul, Vinay Hosuru Siddappa, Tinnart Sittapairoj, Jessica E Goetz, Bryan D Den Hartog, John E Femino
BACKGROUND: Access to the plantar plate has been described using either a plantar approach or an extensive dorsal approach that required complete joint destabilization and often a metatarsal osteotomy. Clinical scenarios related to plantar plate tear vary and the pathologies in early stages are frequently limited to unilateral soft tissue structures; a less invasive operative approach may be possible. A novel approach requiring a release of only the lateral collateral ligament and the lateral half of the plantar plate is presented in this cadaver model; the extent of joint exposure possible is described...
April 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28391704/effect-of-bipartite-hallucal-sesamoid-on-hallux-valgus-surgery
#4
Young Hwan Park, Chan Dong Jeong, Gi Won Choi, Hak Jun Kim
BACKGROUND: Bipartite hallucal sesamoids are often found in patients with hallux valgus. However, it is unknown whether bipartite hallucal sesamoids affect the results of hallux valgus surgery or not. The purpose of the present study was to evaluate the outcomes of chevron osteotomy for hallux valgus with and without bipartite hallucal sesamoid. METHODS: A total of 152 patients (168 feet) treated with distal or proximal chevron osteotomy for hallux valgus constituted the study cohort...
April 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28382375/-proximal-corrective-osteotomy-correction-of-hallux-valgus-deformity
#5
M Thomas, M Jordan
Severe symptomatic hallux valgus deformities are usually not treatable with conservative methods in the long-term. Surgical treatment currently aims for mechanical restitution of the first ray with preserved mobility of the first metatarsophalangeal (MTP 1) joint and with low risk of recurrence after surgery. Keeping these aims in mind the surgical methods consist of osteotomy at the proximal part of the first metatarsal bone with a high potential for correction of the deformity. Surgical interventions at the midshaft level of the first metatarsal are only useful if the anatomical shape of the metatarsal shows a wide shaft, which allows a large shift in the osteotomy...
April 5, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28367688/first-metatarsophalangeal-contact-properties-following-proximal-opening-wedge-and-scarf-osteotomies-for-hallux-valgus-correction-a-biomechanical-study
#6
Cameron Kia, Ryu Yoshida, Mark Cote, Jessica DiVenere, Lauren E Geaney
BACKGROUND: Proximal opening wedge osteotomy (POWO) is an established procedure for moderate to severe hallux valgus. A common concern of this procedure is that it results in lengthening of the first metatarsal, which could cause increased intra-articular pressure of the first metatarsophalangeal joint (MTP) and may ultimately lead to arthritis because of these altered mechanics. The purpose of this study was to use a cadaveric model to compare intra-articular pressures and articulating contact properties of the MTP joint following either scarf osteotomy or POWO...
April 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28337049/use-of-3d-printed-bone-plate-in-novel-technique-to-surgically-correct-hallux-valgus-deformities
#7
Kathryn E Smith, Kenneth M Dupont, David L Safranski, Jeremy Blair, Dawn Buratti, Vladimir Zeetser, Ryan Callahan, Jason Lin, Ken Gall
Three-dimensional (3-D) printing offers many potential advantages in designing and manufacturing plating systems for foot and ankle procedures that involve small, geometrically complex bony anatomy. Here, we describe the design and clinical use of a Ti-6Al-4V ELI bone plate (FastForward™ Bone Tether Plate, MedShape, Inc., Atlanta, GA) manufactured through 3-D printing processes. The plate protects the second metatarsal when tethering suture tape between the first and second metatarsals and is a part of a new procedure that corrects hallux valgus (bunion) deformities without relying on doing an osteotomy or fusion procedure...
September 2016: Techniques in Orthopaedics: TIO
https://www.readbyqxmd.com/read/28286430/rotational-osteotomy-for-hallux-valgus-a-new-technique-for-primary-and-revision-cases
#8
Pablo Wagner, Cristian Ortiz, Emilio Wagner
More than 200 different surgical techniques exist for hallux valgus (HV). Some of them are designed for mild, moderate, or severe deformities depending on their correction power. Nevertheless, they all correct only the coronal and/or sagittal plane deformity. Just a handful of them correct the known axial malrotation that exists in most HV cases. This malrotation is one possible factor that could be the source of recurrence of an operated HV as it has been described. We describe a new technique which simultaneously corrects the metatarsal internal rotation and varus deformity by rotating the metatarsal through an oblique plane osteotomy...
March 2017: Techniques in Foot & Ankle Surgery
https://www.readbyqxmd.com/read/28258948/distal-oblique-metatarsal-osteotomy-for-hallux-valgus-deformity-a-clinical-analysis
#9
Olcay Guler, Barıs Yilmaz, Serhat Mutlu, Mehmet Halis Cerci, Nurettin Heybeli
We compared the outcomes of the distal oblique metatarsal (DOM) osteotomy, which is parallel to the articulation surface of the proximal phalanx, with those of the Chevron osteotomy and evaluated whether displacement and shortening of the first metatarsal have any effect on the incidence of metatarsalgia and patient satisfaction. Patients treated with the DOM osteotomy (n = 30) or distal Chevron osteotomy (n = 31) were evaluated retrospectively. The Chevron and DOM osteotomies both provided significant improvement in the first intermetatarsal angle (p < ...
February 28, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28210803/being-overweight-has-limited-effect-on-scarf-osteotomy-outcome-for-hallux-valgus-correction
#10
Marcin A Milczarek, Julia J Milczarek, Bartłomiej Tomasik, Przemysław Łaganowski, Krzysztof Nowak, Marcin Domżalski
PURPOSE: The purpose of this study was to investigate the association between body mass index (BMI) and the results of SCARF osteotomy of the first metatarsal for hallux valgus (HV) correction, as the literature on this is scant. METHODS: This prospective study was carried out between 2011 and 2015. One hundred and thirty-three patients diagnosed with moderate to severe HV underwent a SCARF corrective osteotomy. We divided the patients into two groups according to their BMI: normal and overweight...
April 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28159053/technique-tip-simultaneous-first-metatarsal-lengthening-and-metatarsophalangeal-joint-fusion-for-failed-hallux-valgus-surgery-with-transfer-metatarsalgia
#11
Ashwin Chowdhary, Lisca Drittenbass, Richard Stern, Mathieu Assal
BACKGROUND: Failed hallux valgus surgery may result in residual or recurrent hallux valgus, and as well transfer metatarsalgia. The present technical tip concerns the combination of fusion of the first metatarsophalangeal (MTP) joint and lengthening of the first metatarsal (MT) through a scarf osteotomy. MATERIALS AND METHODS: Six patients underwent the presented technique, all for the indication of failed hallux valgus surgery with shortening of the first MT and degenerative changes in the 1st MTP joint...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28159041/suture-fixation-of-an-akin-osteotomy-a-cost-effective-and-clinically-reliable-technique
#12
T Sinnett, Y Fang, E Nattfogel, A O'Gorman, C Charalambides
BACKGROUND: The Akin osteotomy is commonly performed as an adjunct to osteotomies of the first metatarsal for the correction of hallux valgus such as the scarf or chevron osteotomies. The Akin osteotomy is indicated for the correction of a hallux valgus interphalangeus and can be used supplementary in any first metatarsal osteotomy for a hallux valgus. Various techniques have been described for fixation of the osteotomy. Most commonly the osteotomy is held and fixed with metalwork consisting of either a staple [2,3], a screw [4,5] or wiring [6,7]...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28159039/a-radiographic-analysis-of-the-contribution-of-hallux-valgus-interphalangeus-to-the-total-valgus-deformity-of-the-hallux
#13
Andrew Strydom, Nikiforos Pandelis Saragas, Paulo Norberto Faria Ferrao
BACKGROUND: The hallux valgus interphalangeus (HVI) deformity is described as rare, but improved outcomes in hallux valgus (HV) surgery is associated with its surgical correction via an Akin osteotomy. The hypothesis of this study is that HVI is common and makes a significant contribution to the total valgus deformity of the hallux (TVDH). METHODS: 285 pre-operative foot radiographs (193 with HV, 92 non-HV), utilising standardised radiographic and measurement techniques, were analysed retrospectively...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28159038/clinical-and-radiological-outcomes-after-distal-oblique-osteotomy-for-the-treatment-of-stage-ii-hallux-rigidus-mid-term-results
#14
Antonio Viladot Voegeli, Lorenzo Marcellini, Luca Sodano, Ramon Viladot Perice
BACKGROUND: The aim of this retrospective study was to evaluate the mid-term outcomes of the distal oblique osteotomy in the correction of stage II hallux rigidus. METHODS: We evaluated 31 patients (32ft.) treated from March 2009 to April 2013 for hallux rigidus. The subjective evaluation was based on AOFAS score and self-evaluation of patient satisfaction. Radiographic analysis included: HVA, IMA, first metatarsophalangeal joint space, declination and shortening of first metatarsal...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28149733/arthroscopic-interpositional-arthroplasty-of-the-second-metatarsophalangeal-joint
#15
Tun Hing Lui
Painful degenerative diseases of the second metatarsophalangeal joint are frequently progressive and difficult to treat. Surgical options for the degenerated second metatarsophalangeal joint include joint debridement and synovectomy, drilling and microfracture, core decompression, dorsal closing-wedge metatarsal osteotomies, joint arthroplasty (implant or interpositional), elevation of the depressed articular fragment and bone graft, distraction arthroplasty, osteochondral plug transplantation, osteochondral distal metatarsal allograft reconstruction, and resection arthroplasty (phalangeal base or metatarsal head)...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28142302/outcomes-of-modified-metatarsal-shortening-offset-osteotomy-for-forefoot-deformity-in-patients-with-rheumatoid-arthritis-short-to-mid-term-follow-up
#16
Makoto Hirao, Kosuke Ebina, Hideki Tsuboi, Akihide Nampei, Junichi Kushioka, Takaaki Noguchi, Shigeyoshi Tsuji, Hajime Owaki, Jun Hashimoto, Hideki Yoshikawa
OBJECTIVES: Advances in drug therapy for rheumatoid arthritis (RA) have been encouraging us to preserve the metatarsopharangeal (MTP) joint in correction of forefoot deformities, and original metatarsal shortening offset osteotomy was recommended as one of the conventional surgical options for forefoot deformities in RA cases. The objective of this study was to evaluate short- to mid-term outcomes of modified metatarsal shortening offset osteotomy. METHODS: A retrospective observational study was completed for 80 RA cases (mean follow-up period: 3...
February 1, 2017: Modern Rheumatology
https://www.readbyqxmd.com/read/28109624/metatarsalgia
#17
REVIEW
J-L Besse
The causes of metatarsalgia are classified as primary, secondary, and iatrogenic. Anatomical and biomechanical considerations separate "static" from "propulsive" forms of metatarsalgia. The physical examination should be combined with an assessment of weight-bearing radiographs and, if needed, of ultrasound or magnetic resonance imaging scans. The first-line treatment is conservative (stretching exercises, footwear modification, insoles, and lesion debridement). Soft-tissue surgical procedures (gastrocnemius muscle recession, tendon transfer, and plantar plate repair) should also be considered...
February 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28103730/surgical-treatment-of-moderate-hallux-valgus
#18
Maki Grle, Goran Vrgoc, Ivan Bohacek, Vladimir Hohnjec, Marko Martinac, Iva Brkic, Lovro Stefan, Zdravko Jotanovic
PURPOSE: The purpose of the study was to determine whether lateral soft-tissue release (LSTR) has a beneficial or detrimental effect on the outcome of distal Chevron first metatarsal osteotomy (DCMO) in the treatment of moderate hallux valgus (HV). METHODS: We compared the effect of different surgical treatments in 2 groups of patients: group I (23 patients, 25 feet, average age of 55 [from 43 to 77] years) was subjected to DCMO only, whereas group II (18 patients, 23 feet, average age of 59 [from 52 to 70] years]) was subjected to DCMO with LSTR...
January 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28095703/outcomes-of-the-distal-metatarsal-dorsiflexion-osteotomy-for-advanced-hallux-rigidus
#19
Byung-Ki Cho, Kyoung-Jin Park, Ji-Kang Park, Nelson F SooHoo
BACKGROUND: Hallux rigidus can be treated using several different methods and the best treatment option depends on the severity of degenerative changes of the metatarsophalangeal (MTP) joint. However, the ideal operative option for advanced hallux rigidus remains debatable. This prospective study was performed to evaluate the intermediate-term clinical outcomes of distal metatarsal osteotomy used as a joint-preserving method for the treatment of advanced hallux rigidus. METHODS: Forty-two cases (39 patients) were followed for more than 3 years after distal metatarsal dorsiflexion osteotomy for advanced hallux rigidus of grade III-IV...
January 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28089127/mini-invasive-treatment-for-brachymetatarsia-of-the-fourth-ray-in-females-percutaneous-osteotomy-with-mini-burr-and-external-fixation-a-case-series
#20
Federico Fusini, Francesco Langella, Ottorino Catani, Fabrizio Sergio, Fabio Zanchini
Brachymetatarsia is a rare disease defined by metatarsal shortening and characterized by aesthetic dissatisfaction with or without pain. The aim of our study was to evaluate the outcomes of fourth ray brachymetatarsia treated with percutaneous osteotomy using a mini-burr and gradual lengthening with external fixation. A total of 7 females were recruited for the study; 6 (85.71%) of whom had a bilateral deformity, for a total of 13 feet affected by fourth ray brachymetatarsia. Percutaneous diaphysis osteotomy with a mini-burr followed by metatarsal elongation was performed...
March 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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