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Hallux valgus

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https://www.readbyqxmd.com/read/29126340/-treatment-of-hallux-valgus-current-diagnostic-testing-and-surgical-treatment-performed-by-german-foot-and-ankle-surgeons
#1
Dariusch Arbab, Lisa-Maria Schneider, Christoph Schnurr, Bertil Bouillon, Peer Eysel, Dietmar Pierre König
Background Hallux valgus is one of the most prevalent foot deformities, and surgical treatment of Hallux valgus is one of the most common procedures in foot and ankle surgery. Diagnostic and treatment standards show large variation despite medical guidelines and national foot and ankle societies. The aim of this nationwide survey is a description of the current status of diagnostics and therapy of Hallux valgus in Germany. Material and Methods A nationwide online questionnaire survey was sent to two German foot and ankle societies...
November 10, 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29126046/study-on-the-foot-shape-characteristics-of-the-elderly-in-china
#2
Xiang Dong Luo, Chao-Hua Xue, Yan Li
BACKGROUND: With aging, the feet of the elderly above 60 years old in China present degenerative changes, deformities, and diseases, which significantly affect their daily activities. OBJECTIVES: The authors aimed to study the morphological characteristics of the feet and identify the foot type according to size (length and width) and defect characteristics of elderly feet in China. METHODS: A convenient sample of 1000 subjects above 60 years old was recruited mainly in the regions of Shanghai, Shaanxi, Henan, Hebei, and Sichuan in China...
April 24, 2017: Foot
https://www.readbyqxmd.com/read/29126037/radiographic-evaluation-of-first-mtp-joint-arthrodesis-for-severe-hallux-valgus-does-the-introduction-of-a-lag-screw-improve-union-rates-and-correction-of-the-intermetatarsal-angle
#3
Zachariah Pinter, Parke Hudson, Brent Cone, Girish Motwani, Krishna Prasad, Ashish Shah
BACKGROUND: First metatarsophalangeal (MTP-1) joint fusion is a reliable method for the correction of various deformities including hallux valgus and hallux rigidus. Ideal constructs provide high rates of fusion in desired alignment. The present study examines the union rates, as well as the change in dorsiflexion angle during the follow up period in patients who underwent MTP-1 fusion with a dorsal locking plate and a lag screw, versus patients fused with a dorsal locking plate alone...
July 8, 2017: Foot
https://www.readbyqxmd.com/read/29081030/percutaneous-treatment-of-hallux-valgus-what-s-the-evidence-a-systematic-review
#4
REVIEW
S Caravelli, M Mosca, S Massimi, G G Costa, M Lo Presti, M Fuiano, A Grassi, S Zaffagnini
Hallux and first MTP joint have a fundamental role in the transfer of the weight-bearing load during the normal ambulation. The aim of this paper is to review and analyze the available literature about the percutaneous surgical management of the hallux valgus to highlight its strengths and weakness, also comparing with other minimal invasive techniques. A systematic search of PubMed and Google Scholar databases has been performed, covering the period between 1981 and 2016. Various combinations of the keyword terms "PDO," "hallux valgus," "bunion," "percutaneous," "surgery," "non-invasive," "minimal invasive," "burr," "osteotomy," "distal," "linear," "saw" have been used...
October 28, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29079230/first-metatarsophalangeal-joint-fusion-with-use-of-crossed-kirschner-wires-and-intramedullary-steinmann-pin
#5
Lawrence G Karlock, Levi Berry, Seth T Craft, Rocco Petrozzi, Adam G Grahn, Michael L Casteel
Primary arthrodesis is a thoroughly studied treatment option for end-stage pathologic entities of the first metatarsophalangeal joint. It is a commonly accepted treatment of many pathologic conditions, including hallux rigidus, severe hallux valgus, hallux varus, and other conditions pertaining to the first ray. Numerous fixation techniques are available for this procedure. Fixation constructs range from simple crossing Kirschner wires to plate and screw fixation or, even, external fixation. We propose a simple and cost-effective fixation technique using an intramedullary Steinmann pin with crossing Kirschner wires...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29073780/continuous-wound-infiltration-after-hallux-valgus-surgery
#6
Matthias Braito, Dietmar Dammerer, Andreas Schlager, Jürgen Wansch, Caroline Linhart, Rainer Biedermann
BACKGROUND: Hallux valgus surgery is associated with significant early postoperative pain. The aim of this study was to investigate the use of continuous wound infiltration (CWI) with ropivacaine for pain management after hallux valgus surgery. METHODS: In this prospective, randomized, double-blind, and placebo-controlled single-center trial, 50 patients undergoing distal metatarsal osteotomy for idiopathic hallux valgus were allocated to CWI with ropivacaine 2 mg/mL at a rate of 2 mL/h or placebo for 24 hours postoperatively...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29058450/range-of-motion-of-the-first-metatarsophalangeal-joint-after-different-capsulorrhaphies-a-comparative-cadaver-study
#7
Can Xu, Mingqing Li, Chenggong Wang, Hua Liu
BACKGROUND: Capsulorrhaphy restricts the motion of the first metatarsophalangeal joint (1st MTPJ) in hallux valgus surgery. However, changes in motion of the first MTPJ immediately after surgery that resulted from different capsulorrhaphy methods have not been compared. The primary aim of this study was to compare the immediate effect of Y-shaped and inverted L capsulorrhaphy methods on the range of motion (ROM) of the 1st MTPJ. METHODS: Y-shaped and inverted L capsulorrhaphies were performed on sixteen human cadaveric feet...
October 23, 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/29046723/etiological-factors-in-hallux-valgus-a-three-dimensional-analysis-of-the-first-metatarsal
#8
Tomohiko Ota, Takeo Nagura, Tetsuro Kokubo, Masateru Kitashiro, Naomichi Ogihara, Kenichiro Takeshima, Hiroyuki Seki, Yasunori Suda, Morio Matsumoto, Masaya Nakamura
BACKGROUND: It has been reported that hallux valgus (HV) is associated with axial rotation of the first metatarsal (1MT). However, the association between HV and torsion of the 1MT head with respect to the base has not been previously investigated. The present study examined whether there was a significant difference in 1MT torsion between HV and control groups. METHODS: Three-dimensional (3D) computed tomography (CT) scans of 39 ft were obtained, and 3D surface models of the 1MT were generated to quantify the torsion of the head with respect to the base...
2017: Journal of Foot and Ankle Research
https://www.readbyqxmd.com/read/28971698/weightbearing-ct-scan-assessment-of-foot-alignment-in-patients-with-hallux-rigidus
#9
Zoe B Cheung, Mark S Myerson, Joseph Tracey, Ettore Vulcano
BACKGROUND: An association between hallux rigidus and metatarsus primus elevatus (MPE) has been suggested, although there remains no general consensus about the nature of this relationship. Past studies were limited due to inaccuracies of assessing MPE on 2-dimensional radiographs. The aims of this study were to (1) assess and compare foot alignment in patients with and without hallux rigidus using 3-dimensional (3D) reconstructions from weightbearing computed tomography (CT) and (2) assess intraobserver and interobserver reliability of these measurements...
September 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28964922/concurrent-validity-of-an-automated-algorithm-for-computing-the-center-of-pressure-excursion-index-cpei
#10
Michelle A Diaz, Mandi W Gibbons, Jinsup Song, Howard J Hillstrom, Kersti H Choe, Maria R Pasquale
Center of Pressure Excursion Index (CPEI), a parameter computed from the distribution of plantar pressures during stance phase of barefoot walking, has been used to assess dynamic foot function. The original custom program developed to calculate CPEI required the oversight of a user who could manually correct for certain exceptions to the computational rules. A new fully automatic program has been developed to calculate CPEI with an algorithm that accounts for these exceptions. The purpose of this paper is to compare resulting CPEI values computed by these two programs on plantar pressure data from both asymptomatic and pathologic subjects...
September 22, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28956114/percutaneous-minimally-invasive-akin-osteotomy-in-hallux-valgus-interphalangeus-a-case-series
#11
Gerhard Kaufmann, Martin Handle, Michael Liebensteiner, Matthias Braito, Dietmar Dammerer
PURPOSE: Phalangeal Akin osteotomy of the greater toe is a frequently used surgical procedure for correcting hallux valgus interphalangeus deformity. However, previous research did not investigate percutaneous techniques of the Akin osteotomy. It was the aim of this study to investigate feasibility, corrective potential, and safety of a percutaneous minimally invasive Akin osteotomy. METHODS: We present a series of 81 feet, in which a percutaneous Akin technique was performed using a high-speed burr but no fixation device...
September 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28956109/hallux-valgus-in-a-random-population-in-spain-and-its-impact-on-quality-of-life-and-functionality
#12
Cristina González-Martín, Francisco Alonso-Tajes, Sergio Pérez-García, María Teresa Seoane-Pillado, Sonia Pértega-Díaz, Estefanía Couceiro-Sánchez, Rocío Seijo-Bestilleiro, Salvador Pita-Fernández
The aim of this study was to determine the prevalence of Hallux valgus (HV) and the association between the presence thereof and quality of life, dependence for basic and instrumental activities of daily living and foot function. Prevalence study was carried out in a random population sample (n = 1837) (α = 0.05; Precision = ±2.2%). Informed consent and ethical review board were obtained (code 2008/264). We studied anthropometric variables, Charlson Comorbidity Index, function and state of foot [Foot Function index (FFI), Foot Health Status Questionnaire (FHSQ)], quality of life (SF-36), and dependence for activities of daily living (Barthel and Lawton index)...
November 2017: Rheumatology International
https://www.readbyqxmd.com/read/28954330/-clinical-effects-of-simple-hallux-valgus-surgery-for-transfer-metatarsalgia
#13
X J Wang, B X Bao, F Y Wei, J Z Zhang
Objective: To analyze the clinical effects of simple hallux valgus surgery for transfer metatarsalgia. Methods: From September 2011 to November, a total of 21 patients(30 feets)with transfer metatarsalgia of hallux valgus and underwent the simple hallux valgus surgery without lateral metatarsal shortening osteotomy In Department of Orthopedics, Beijing Tongren Hospital, Capital Medical University, were enrolled in the study.The hallux valgus angle (HVA), intermetatarsal angle (IMA) , AOFAS scale and analogue score (VAS) were measured pre-operation and a half year, one year, two years after operation...
September 19, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28940035/corr-insights-%C3%A2-promis-pain-interference-and-physical-function-scores-correlate-with-the-foot-and-ankle-ability-measure-faam-in-patients-with-hallux-valgus
#14
Gaston A Slullitel
No abstract text is available yet for this article.
November 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28934874/radiographic-shape-of-foot-with-second-metatarsophalangeal-joint-dislocation-associated-with-hallux-valgus
#15
Tetsuro Kokubo, Takeshi Hashimoto, Yasunori Suda, Akeo Waseda, Hiroko Ikezawa
BACKGROUND: Second metatarsophalangeal (MTP) joint dislocation is associated with hallux valgus, and the treatment of complete dislocation can be difficult. The purpose of this study was to radiographically clarify the characteristic foot shape in the presence of second MTP joint dislocation. METHODS: Weight-bearing foot radiographs of the 268 patients (358 feet) with hallux valgus were examined. They were divided into 2 groups: those with second MTP joint dislocation (study group = 179 feet) and those without dislocation (control group = 179 feet)...
September 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28933975/foot-problems-in-older-women
#16
F Guidozzi
Between 20 and 45% of women aged over 65 years of age will develop one or more foot problems, which, although not specific to older women, are more common in that age group than in younger women. These include structural defects of the toes including hallux valgus, hammer, mallet or claw toes, skin disorders, fungal infection of the toes and toe nails, thickened toe nails, ulcers, fissures or cracks between the toes, corns and calluses, flat or high-arched feet. Foot pain is common and may be associated with other co-morbid diseases of the foot...
December 2017: Climacteric: the Journal of the International Menopause Society
https://www.readbyqxmd.com/read/28904967/foot-structure-in-boys-with-down-syndrome
#17
Ewa Puszczałowska-Lizis, Krzysztof Nowak, Jarosław Omorczyk, Tadeusz Ambroży, Przemysław Bujas, Leszek Nosiadek
INTRODUCTION AND AIM: Down syndrome (DS) is associated with numerous developmental abnormalities, some of which cause dysfunctions of the posture and the locomotor system. The analysis of selected features of the foot structure in boys with DS versus their peers without developmental disorders is done. MATERIALS AND METHODS: The podoscopic examination was performed on 30 boys with DS aged 14-15 years. A control group consisted of 30 age- and gender-matched peers without DS...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28880597/evaluating-quality-of-life-in-patients-with-hallux-abducto-valgus-deformity-after-a-taping-technique
#18
Malcolm Paul Formosa, Alfred Gatt, Cynthia Formosa
BACKGROUND: The aim of this study was to determine the quality of life in patients living with hallux abducto valgus deformity before and after a taping technique. METHODS: This study used a time series, quasi-experimental, same-subject design. Thirty-five patients with hallux abducto valgus were recruited in this study. Nonelastic zinc oxide tape was applied for 4 weeks. The Foot Health Status Questionnaire was used to assess the quality of life of participants before and after the intervention...
July 2017: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/28870735/percutaneous-osteotomies-in-hallux-valgus-a-systematic-review
#19
REVIEW
Ana Bia, Francisco Guerra-Pinto, Bruno S Pereira, Nuno Corte-Real, Xavier Martin Oliva
Percutaneous and minimally invasive surgery is one of the greatest advances in the operating field of orthopedic since the late 1990s. The potential advantages include a shorter operative time, quicker recovery, and reduced hospital stay compared with traditional open surgery. However, scientific validation of the safety and efficacy of hallux valgus (HV) percutaneous surgery remains inconclusive. The objective of the present study was to systematically review the published data and clinical evidence for percutaneous HV surgery, evaluate the scientific method of the reports, and clarify the indications, safety, efficacy, and potential risks of these surgical techniques...
September 1, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28865584/bone-block-arthrodesis-procedure-in-failures-of-first-metatarsophalangeal-joint-replacement
#20
Federico Giuseppe Usuelli, Jacopo Tamini, Camilla Maccario, Miriam Grassi, Eric W Tan
BACKGROUND: The treatment for the failure of a first metatarsophalangeal joint (MTP1) prosthesis can be complex. There is no consensus regarding the ideal treatment. One of the main issues is the available bone stock after prosthesis removal. The aim of the study was to report the clinical and radiographic results for MTP1 arthrodesis with autologous calcaneus bone graft (bone-block fusion) as a revision procedure of a previous MTP1 implant failure. METHODS: This study included 12 patients diagnosed with failure of a MTP1 prosthesis...
September 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
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