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Hallux valgus

Martin Kaipel, Lukas Reissig, Lukas Albrecht, Stefan Quadlbauer, Joachim Klikovics, Wolfgang J Weninger
BACKGROUND: Percutaneous, transverse distal metatarsal osteotomy with K-wire fixation (the Bösch technique) is an established technique for hallux valgus correction. Nevertheless, the risk of damaging the anatomical structures during the operation is unknown. METHODS: Forty fresh-frozen anatomical foot specimens with hallux valgus deformity underwent a percutaneous corrective procedure. Specimens of group A (n = 20) were operated by an experienced surgeon while specimens of group B (n = 20) were done by untrained residents...
July 1, 2018: Foot & Ankle International
Liangliang Xiang, Qichang Mei, Justin Fernandez, Yaodong Gu
BACKGROUND: Hallux valgus (HV) is one common deformity of the human foot. Metatarsal pain, gait deviation and foot function disorder may occur when HV is severe. RESEARCH QUESTION: It was hypothesized that a 12-week minimalist shoes running intervention among mild and moderate hallux valgus males may alter foot morphology and plantar pressure distribution during walking and running. METHODS: The foot morphology and plantar pressure data, in this study, were collected from eleven participants using the Easy-Foot-Scan (EFS) and Novel EMED force plate...
July 5, 2018: Gait & Posture
Henryk Liszka, Artur Gądek
BACKGROUND: The main goal of the study was to evaluate the costs, clinical and radiologic results, and complications of hallux valgus surgery using scarf osteotomy, depending on the type of fixation (with or without screws). METHODS: We evaluated 169 patients who underwent scarf osteotomy between January 2013 and August 2016. The patients were separated into 3 groups depending on the type of stabilization: A, 2 screws (50 patients); B, modified with 1 screw (55 patients); C, modified without implant (64 patients)...
July 1, 2018: Foot & Ankle International
Nathan Heineman, Avneesh Chhabra, Lihua Zhang, Riham Dessouky, Dane Wukich
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. Interreader reliability of these measurements on X-ray and MRI as well as intermethod and intermodality differences have not been assessed...
July 12, 2018: Skeletal Radiology
Khalis Boksh, Sultan Qasim, Kinza Khan, Clare Tomlinson, Jitendra Mangwani
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. We reviewed the cases of 37 consecutive patients during a 2-year period...
July 9, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Rene Burchard, Robin Massa, Christian Soost, Wolfgang Richter, Gerhard Dietrich, Arne Ohrndorf, Hans-Jürgen Christ, Claus-Peter Fritzen, Jan Adriaan Graw, Jan Schmitt
BACKGROUND: Hallux valgus disease is a common deformity of the forefoot. There are currently more than 100 surgical approaches for operative treatment. Because hypermobility of the first tarsometatarsal joint is considered to be causal for hallux valgus disease, fusion of the tarsometatarsal joint is an upcoming surgical procedure. Despite the development of new and increasingly stable fixation devices like different locking plates, malunion rates have been reported in 5 to 15% of cases...
July 11, 2018: Journal of Orthopaedic Surgery and Research
Hazibullah Waizy, Babak Panahi, Jörn Dohle, Christina Stukenborg-Colsman
The hallux valgus deformity is untreated usually regarded as progressive deformity that does not necessarily lead to pain and suffering for the patient. Prevention primary: foot conforming footwear to avoid bruising and to avoid a forced progression of pathology. Functional stabilization of the foot by means of gymnastics or physiotherapy instructions. Secondary: orthotic and/or insoles to improve the functional stabilization. Tertiary: consistent adapted postoperative treatment, which is based on the operation procedure...
July 3, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
Shay A Tenenbaum, Amir Herman, Nathan Bruck, Jason T Bariteau, Ran Thein, Oded Coifman
BACKGROUND: Hallux valgus (HV) adversely affects quality of life. Patients frequently express concerns regarding postoperative foot appearance, foot width and footwear anticipations. However, only scarce data are available regarding postoperative foot width. MATERIALS AND METHODS: Seventy-one cases with moderate to severe HV treated with scarf osteotomy were included. The average age was 55.7 years (range, 20-76), with average follow-up of 20.7 months (range, 6-96)...
June 1, 2018: Foot & Ankle International
L R Perotti, O Abousamra, M Del Pilar Duque Orozco, K J Rogers, J P Sees, F Miller
Purpose: Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome. Methods: Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship of radiographic measurements with age, body mass index and pain is discussed...
June 1, 2018: Journal of Children's Orthopaedics
Matthieu Malatray, Michel Henri Fessy, Jean-Luc Besse
INTRODUCTION: The Scarf osteotomy is a commonly used surgical procedure for treating hallux valgus in Europe. Screw fixation is standard practice, although some surgeons now go without internal fixation. Plate fixation is still being studied. The aim of this study was to compare the radiological outcomes of these fixation methods, which has not been performed up to now. HYPOTHESIS: Relative to screw fixation, plate fixation of a Scarf osteotomy of the first metatarsal (M1) prevents secondary impaction, without increasing the complication rate or recurrence rate...
June 19, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Aneta Bac, Gabriela Bogacz, Katarzyna Ogrodzka-Ciechanowicz, Aleksandra Kulis, Tomasz Szaporów, Renata Woźniacka, Natalia Radlińska
BACKGROUND: The aim of this study was to determine the type of medial longitudinal arch (MLA) in students of Krakow universities, investigate the relationship between physical activity and the shaping of the feet, and examine the relationship between hallux valgus angle and the type of footwear chosen most often. METHODS: The study group consisted of 120 students, of which 56 respondents were students of the University School of Physical Education in Krakow, whereas the remaining 64 respondents were students of the Pedagogical University of Krakow...
May 2018: Journal of the American Podiatric Medical Association
Bahar Anaforoğlu Külünkoğlu, Neslihan Fırat, Nazım Tolgahan Yıldız, Afra Alkan
Background/aim: The Foot Function Index (FFI) is a valid, reliable, and widely used self-reported questionnaire for the foot. The purpose of this study was to provide evidence for the validity and reliability of the Turkish version of the FFI (FFI-TR) among patients with foot disorders such as plantar fasciitis, hallux valgus, pes planus, and hammertoe deformities. Materials and methods: One hundred and fifty-nine patients with foot disorders were enrolled. The psychometric properties of the previously translated and adapted FFI-TR were assessed...
June 14, 2018: Turkish Journal of Medical Sciences
Shelain Patel, Parag Garg, M Ali Fazal, Muhammad S Shahid, Derek H Park, Pinak S Ray
BACKGROUND: The reverse camber shoe is commonly used after hallux valgus corrective surgery to offload the forefoot but is associated with back pain and poor compliance. Recent designs of postoperative shoes may obviate the need for a reverse camber. The purpose of this study was to compare the effects of a reverse camber shoe and a noncambered shoe with transitional rigidity after hallux valgus correction. METHODS: A cohort of 80 feet was prospectively studied undergoing surgery at a single NHS trust...
June 1, 2018: Foot & Ankle Specialist
Brian M Ilfeld, Rodney A Gabriel, Engy T Said, Amanda M Monahan, Jacklynn F Sztain, Wendy B Abramson, Bahareh Khatibi, John J Finneran, Pia T Jaeger, Alexandra K Schwartz, Sonya S Ahmed
BACKGROUND AND OBJECTIVES: Percutaneous peripheral nerve stimulation (PNS) is an analgesic modality involving the insertion of a lead through an introducing needle followed by the delivery of electric current. This modality has been reported to treat chronic pain as well as postoperative pain the day following knee surgery. However, it remains unknown if this analgesic technique may be used in ambulatory subjects following foot procedures beginning within the recovery room immediately following surgery, and with only short series of patients reported to date, the only available data are derived from strictly observational studies...
June 13, 2018: Regional Anesthesia and Pain Medicine
Geir Hiller Holom, Nina Alexandersen, Jeremy D Goldhaber-Fiebert, Terje P Hagen
OBJECTIVES: To compare the socioeconomic status (SES) and case-mix among day surgical patients treated at private for-profit hospitals (PFPs) and non-profit hospitals (NPs) in Norway, and to explore whether the use of PFPs in a universal health system has compromised the principle of equal access regardless of SES. DESIGN: A retrospective, exploratory study comparing hospital types using the Norwegian Patient Register linked with socioeconomic data from Statistics Norway by using Norwegian citizens' personal identification numbers...
June 9, 2018: BMJ Open
Mohamed ElAttar, Ahmed El Naggar, Fahmy Fahmy Samir, Hossam Fathi
Background: Currently, correction of the first intermetatarsal angle associated with hallux valgus is done using two main categories of surgeries either a distal or a proximal first metatarsal osteotomy. The osteotomy-sparing technique using TigthRope ®device was developed to manage hallux valgus avoiding osteotomy complications. Our hypothesis was that osteotomy sparing technique using TightRope® implant would be suitable for moderate hallux valgus in young adult patients with strong larger bones giving good results with minimal complications...
June 2018: Journal of Orthopaedics
Andrea Scholz, John Bothmer, Maurits Kok, Kornelia Hoschen, Stephen Daniels
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...
May 2018: Pain Physician
Gerhard Kaufmann, Dietmar Dammerer, Felix Heyenbrock, Matthias Braito, Lorenz Moertlbauer, Michael Liebensteiner
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...
June 4, 2018: International Orthopaedics
Akinobu Nishimura, Naoya Ito, Shigeto Nakazora, Ko Kato, Toru Ogura, Akihiro Sudo
BACKGROUND: The relationships between radiographic hallux valgus (HV) and various physical functions independent of knee osteoarthritis (KOA) were examined among residents of a mountain village in Japan. METHODS: Study participants were recruited from mountain village residents aged ≥50 years. Participants' height, weight, and body mass index (BMI) were measured, and baseline data, including age, sex, and foot pain, were obtained using interviews and questionnaires...
May 29, 2018: BMC Musculoskeletal Disorders
Daniel J Hatch, Robert D Santrock, Bret Smith, Paul Dayton, Lowell Weil
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. In the past 10 years, high recurrence and complication rates for popular procedures have been reported...
May 18, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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