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Metatarsal osteotomy

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https://www.readbyqxmd.com/read/27885384/use-of-the-arthroereisis-screw-with-tendoscopic-delivered-platelet-rich-plasma-for-early-stage-adult-acquired-flatfoot-deformity
#1
Youichi Yasui, Ichiro Tonogai, Andrew J Rosenbaum, David M Moore, Masato Takao, Hirotaka Kawano, John G Kennedy
PURPOSE: Early stage adult acquired flatfoot deformity (AAFD) is traditionally treated with osteotomy and tendon transfer. Despite a high success rate, the long recovery time and associated morbidity are not sufficient. This study aims to evaluate the functional and radiological outcomes following the use of the arthroereisis screw with tendoscopic delivered PRP for early stage AAFD. METHODS: Patients with stage IIa AAFD who underwent the use of the arthroereisis screw with tendoscopic delivered PRP with a minimum follow-up time of 24 months were retrospectively evaluated...
November 24, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27881742/association-of-abnormal-metatarsal-parabola-with-second-metatarsophalangeal-joint-plantar-plate-pathology
#2
Adam E Fleischer, Erin E Klein, Maheen Ahmad, Shivang Shah, Fernanda Catena, Lowell Scott Weil, Lowell Weil
BACKGROUND: Plantar plate pathology is common, yet it is unclear whether, and to what extent, the length of the second metatarsal contributes to this problem. METHODS: We conducted a retrospective case-control (1:2) study to examine radiographic risk factors for plantar plate tears. One hundred patients (age 55.7 ± 12.3 years) with plantar plate injuries and 200 healthy controls (age 56.3 ± 11.3 years) were included. Cases were defined as patients with nonacute, isolated, plantar plate pathology of the second metatarsophalangeal joint confirmed by intraoperative inspection at a single foot and ankle specialty practice from June 1, 2007, to January 31, 2014...
November 22, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27871423/the-science-behind-surgical-innovations-of-the-forefoot
#3
REVIEW
Judith F Baumhauer, Michele Marcolongo
One of the areas of foot and ankle surgery that has had particular attention over the last 5 years has been forefoot surgery. Common procedures include correction of the lessor metatarsophalangeal joints and hammertoe deformities, specifically metatarsal shortening osteotomies and proximal interphalangeal joint fusions. The goals of these surgeries are to improve patient function and allow patients to fit into shoes more comfortably in metatarsal shortening and hammertoe.
December 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27852647/plantar-plate-repair-for-lesser-metatarsophalangeal-joint-instability
#4
Wesley W Flint, David M Macias, James R Jastifer, Jesse F Doty, Christopher B Hirose, Michael J Coughlin
BACKGROUND: Lesser metatarsophalangeal (MTP) joint instability is a common cause of forefoot pain. Advances in operative technique and instrumentation have made it possible to anatomically treat plantar plate tears through a dorsal approach. Our goal was to evaluate the subjective, functional, and radiographic outcomes of plantar plate repair (PPR) from a dorsal approach. METHODS: A prospective case series was performed evaluating the results of PPR in 97 feet with 138 plantar plate tears...
November 15, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27792950/hallux-valgus-surgery-affects-kinematic-parameters-during-gait
#5
Jitka Klugarova, Miroslav Janura, Zdenek Svoboda, Zdenek Sos, Nicholas Stergiou, Miloslav Klugar
BACKGROUND: The aim of our study was to compare spatiotemporal parameters and lower limb and pelvis kinematics during the walking in patients with hallux valgus before and after surgery and in relation to a control group. METHODS: Seventeen females with hallux valgus, who underwent first metatarsal osteotomy, constituted our experimental group. The control group consisted of thirteen females. Kinematic data during walking were obtained using the Vicon MX system...
October 6, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27721160/triple-osteotomy-for-the-correction-of-severe-hallux-valgus-deformity-patient-reported-outcomes-and-radiological-evaluation
#6
Sean Booth, Abhijit Bhosale, Abubakar Mustafa, Ravi Shenoy, Anand Pillai
BACKGROUND: Symptomatic Hallux valgus can be treated with metatarsal osteotomy combined with proximal phalangeal osteotomy, however this might not be sufficient to treat severe HV deformities. METHODS: Fifteen feet in eleven female patients treated with double first metatarsal and proximal phalanx osteotomies without lateral release were prospectively studied and outcome measures including radiological angles and validated patient reported outcome scores collected...
August 2016: Foot
https://www.readbyqxmd.com/read/27694269/distal-metatarsal-osteotomy-for-moderate-to-severe-hallux-valgus
#7
Spenser J Cassinelli, Renee Herman, Thomas G Harris
: Hallux valgus is the most common disorder of the hallux and often results in pain, functional disability, and impaired gait patterns. The goals of surgical management are to correct the deformity while improving patients' pain and function. Traditional treatment of moderate to severe hallux valgus deformities consist of proximal osteotomy and/or arthrodesis given their powerful corrective ability. Despite their corrective power, proximal osteotomies are more technically demanding, have a higher rate of complications, and require a more restricted post-operative recovery...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27672017/effectiveness-of-headless-bioabsorbable-screws-for-fixation-of-the-scarf-osteotomy
#8
Jin Su Kim, Hun Ki Cho, Ki Won Young, Sang Young Lee, Ji Soo Kim, Kyoungtae Lee
BACKGROUND: Scarf osteotomy has been used in hallux valgus surgery due to its large fixation surface for screws and low postoperative complications. However, screws may cause skin irritation from their head, which may require an additional surgical procedure to remove. METHODS: This study included 115 patients (106 females and 9 males, 115 feet) who underwent hallux valgus correction with a scarf osteotomy using bioabsorbable screws between September 2010 and September 2012...
November 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27664166/percutaneous-triple-and-double-osteotomies-for-the-treatment-of-hallux-valgus
#9
Rodrigo Díaz Fernández
BACKGROUND: Percutaneous surgery to correct deformities of the forefoot presents the advantages of using a minimal incision, which involves less soft tissue damage and less risk of wound complications. For severe deformities, percutaneous techniques have not been proven as effective. We propose a technique for the treatment of severe hallux valgus. METHODS: In a sample of 52 feet operated on 48 patients, we performed a double percutaneous osteotomy (closure proximal osteotomy and a distal Akin) or triple when a Reverdin-Isham osteotomy was added...
September 23, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27660292/comparison-of-postoperative-height-changes-of-the-second-metatarsal-among-3-osteotomy-methods-for-hallux-valgus-deformity-correction
#10
Jun Young Choi, Yu Min Suh, Ji Woong Yeom, Jin Soo Suh
BACKGROUND: We aimed to compare the postoperative height of the second metatarsal head relative to the first metatarsal head using axial radiographs among 3 different commonly used osteotomy techniques: proximal chevron metatarsal osteotomy (PCMO), scarf osteotomy, and distal chevron metatarsal osteotomy (DCMO). METHODS: We retrospectively reviewed the radiographs and clinical findings of the patients with painful callosities under the second metatarsal head, complicated by hallux valgus, who underwent isolated PCMO, scarf osteotomy, or DCMO from February 2005 to January 2015...
September 22, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27650109/freiberg-s-infarction-treated-with-metatarsal-shortening-osteotomy-marrow-stimulation-and-micronized-allograft-cartilage-matrix-a-case-report
#11
Sarang Desai
: Freiberg's infarction is a well-known condition that most commonly effects the second metatarsophalangeal joint. The etiology of Freiberg's infarction is not entirely clear and there is no consensus on treatment. The case report presents a patient successfully treated with a metatarsal shortening osteotomy, marrow stimulation, and micronized allograft cartilage matrix. This is to my knowledge the first reported case using the described technique for Freiberg's infarction. LEVELS OF EVIDENCE: Therapeutic, Level V: Expert opinion...
September 19, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27649405/type-iv-cell-mediated-hypersensitivity-reaction-caused-by-titanium-implant-following-medial-displacement-calcaneal-osteotomy-and-first-metatarsal-cuneiform-arthrodesis
#12
Stephen J Kriger, Shontal A Behan, Parth J Bhakta, Nicholas G Bruning, Brennan A Menninger, Mark C Razzante
INTRODUCTION AND OBJECTIVES: Due to its inert character and desired biocompatibility, titanium (Ti) implants have been universally accepted as safer alternatives to the previous conventional orthopedic hardware implants. However, a recent emergence of Type IV hypersensitivity reactions to Ti have displayed symptoms that include eczema, contact dermatitis, prolonged fever, sterile osteomyelitis, and impaired fracture and wound healing. The following case presents a patient with postoperative incision dehiscence and devascularization of cortical surfaces in contact with Ti hardware after undergoing a medial displacement calcaneal osteotomy and a first metatarsal-cuneiform arthrodesis...
September 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27613812/effectiveness-of-percutaneous-proximal-closing-wedge-osteotomy-with-akin-osteotomy-to-correct-severe-hallux-valgus-determined-by-radiographic-parameters-a-22-month-follow-up
#13
Toshinori Kurashige, Seiichi Suzuki
: Some authors reported the results from percutaneous distal metatarsal osteotomy for hallux valgus recently. On the other hand, there are few reports of percutaneous proximal metatarsal osteotomy. The purpose of the present study was to evaluate the radiographic results of percutaneous proximal closing wedge osteotomy with Akin osteotomy for correction of severe hallux valgus and increasing longitudinal arch height. Consecutive 17 feet (mean age = 70.8 years) were investigated. The mean follow-up was 22 months...
September 9, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27600486/modified-percutaneous-hallux-abductovalgus-correction
#14
Alireza Khosroabadi, Bradley M Lamm
Percutaneous surgical techniques and minimally invasive procedures in foot and ankle surgery are gaining interest for both patients and surgeons. Percutaneous surgery is defined by a soft tissue or osseous procedure performed through the smallest possible incision without direct visualization of the underlying target structures. Percutaneous surgery has many potential advantages, including quicker operative times, multiplanar osteotomy correction, smaller incisions, decreased scarring, lower complication rates, and faster recovery times...
September 2, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27587521/correction-of-moderate-to-severe-hallux-valgus-with-combined-proximal-opening-wedge-and-distal-chevron-osteotomies-a-reliable-technique
#15
L Jeyaseelan, S Chandrashekar, A Mulligan, H A Bosman, A J S Watson
AIMS: The mainstay of surgical correction of hallux valgus is first metatarsal osteotomy, either proximally or distally. We present a technique of combining a distal chevron osteotomy with a proximal opening wedge osteotomy, for the correction of moderate to severe hallux valgus. PATIENTS AND METHODS: We reviewed 45 patients (49 feet) who had undergone double osteotomy. Outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) and the Short Form (SF) -36 Health Survey scores...
September 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27524703/managing-complications-of-percutaneous-surgery-of-the-first-metatarsal
#16
REVIEW
Shu-Yuan Li, Jian-Zhong Zhang, Yong-Tao Zhang
The percutaneous osteotomy based on a Hohmanntype first metatarsal subcapital linear osteotomy was introduced into Mainland China in the late 1980s. No internal fixation is used for stabilization of the osteotomy, leading unfortunately to unpredictable results. Despite its high acceptance by patients and enthusiasm by surgeons at present, the clinical outcomes of percutaneous surgery have not been promising. The authors have no experience of performing this osteotomy and report only on their management of the complications of this technique and their recommended treatment algorithm...
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27524701/percutaneous-surgery-for-mild-to-moderate-hallux-valgus
#17
REVIEW
Peter Lam, Moses Lee, Jerry Xing, Martin Di Nallo
Patients who undergo percutaneous chevron-Akin osteotomies have less pain at follow-up, greater correction of hallux valgus angle, and a shorter operation time compared with open osteotomies. Stable fixation of the chevron osteotomy allows early full weight bearing and mobilization of the first metatarsophalangeal joint. This article describes the surgery technique, including reduction of the first metatarsal head after translation, accurate positioning of the proximal first metatarsal fixation screw, and removal of the dorsomedial prominence of the first metatarsal head...
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27489969/surgical-reconstruction-of-the-forefoot-with-hallux-valgus-associated-with-metatarsus-adductus
#18
Luis M Gordillo-Fernández, Mercedes Ortiz-Romero, Jose Luis S M Salcini Macías, José Valero-Salas, Julia Álvarez-Pérez, Álvaro Fernández-Garzón
Metatarsus adductus is a structural deformity that may be associated with hallux valgus and that may lead to metatarsal pain and functional abnormality of the foot. Correcting hallux valgus is complicated in these cases because of the deviation in adduction of the lesser metatarsals, especially the second metatarsal that occupies the first intermetatarsal space. We report the case of a 49-year-old man who underwent a scarf osteotomy in the first metatarsal, shortening and abductor oblique distal osteotomies of the lesser metatarsals, and arthrodesis of the central toes with Z-lengthening of the capsule and long extensor tendons of the toes...
July 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27475712/joint-preserving-procedure-for-moderate-hallux-rigidus-does-the-metatarsal-index-really-matter
#19
Gaston Slullitel, Valeria López, Maximiliano Seletti, Juan P Calvi, Carla Bartolucci, Gustavo Pinton
Surgical treatment of moderate hallux rigidus remains controversial and the optimal surgical technique has yet to be defined. Decompressive metatarsal osteotomy is one of the procedures available; however, one of the potential drawbacks is the effect of the metatarsal shortening. We evaluated the global effect of the decompressive metatarsal osteotomy, accounting for the metatarsal index. We retrospectively evaluated 78 patients with stage II and III hallux rigidus who had undergone Youngswick osteotomy and analyzed their outcomes according to the metatarsal index...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27475641/short-and-long-term-outcomes-following-hallux-valgus-correction-a-modified-kramer-osteotomy
#20
Christoph Knoth, Leonie Carow, Ralph Zettl, JoEllen Welter, Florian Hess
BACKGROUND: Short- and long-term assessments were performed of a modification to the Kramer osteotomy that developed to stabilize the metatarsal head using an angular implant, the LINK(®) internal hallux fixator (Waldemar LINK GmbH & Co. KG, Hamburg, Germany). METHODS: For this retrospective study, radiological assessments were used to measure outcomes in 72 feet with hallux valgus treated from 2006 to 2011. The hallux-valgus angle, the intermetatarsal angle between the first and second intermetarsal shaft axes, and the distal metatarsal articular angle were measured at short- and long-term intervals...
October 2016: Archives of Orthopaedic and Trauma Surgery
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