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Bunion surgery

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
(no author information available yet)
Foot pain discourages physical activity, and less activity harms overall health. Bunion, extra bone and tissue at the base of the big toe, is a frequent cause of foot pain. More than 64 million Americans have bunions that can lead to painful walking. Bunions affect some 35% of women over the age of 65. Bunions can be removed by surgery, which can reduce pain and improve your ability to walk and exercise, but up to 15% of bunions return. Weak muscles may play a role in bunion-related pain and movement problems...
July 2016: Journal of Orthopaedic and Sports Physical Therapy
William D Harrison, Christopher R Walker
Current practice and controversies in UK bunion surgery are discussed. Patients tend to be offered a distally based metatarsal osteotomy, such as a chevron or scarf osteotomy, for mild to moderate symptomatic bunions. Greater deformities are managed with a more extreme scarf, supplemented with a proximal phalangeal osteotomy. A proximal fusion in the form of the Lapidus-type procedure is still reserved for the most severe, hypermobile, or arthritic cases. Minimally invasive techniques for bunions have failed to disseminate into common UK practice...
June 2016: Foot and Ankle Clinics
Nicolas Arcuri, Tzvi Bar-David, Simcha Pollack
We reviewed 33 consecutive Mau-Reverdin osteotomies in 23 patients performed for correction of hallux abducto valgus from November 2010 to May 2013. All patients were followed up and evaluated for a mean of 401 days and median of 360 days after surgery. In each foot, the preoperative first intermetatarsal angle, hallux abductus angle, and proximal articular set angle were obtained. The mean correction of these angles was as follows: intermetatarsal angle 10.5° ± 3.31°, hallux abductus angle 24.4° ± 8...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Andrew J Meyr, Salil Singh, Oliver Chen, Sayed Ali
This pictorial review focuses on basic procedures performed within the field of podiatric surgery, specifically for the hallux abductovalgus or "bunion" deformity. Our goal is to define objective radiographic parameters that surgeons utilize to initially define 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. First, relevant radiographic measurements are defined and their role in procedure selection explained...
June 2015: Journal of Radiology Case Reports
Catherine Feuerstein, Lowell Weil, Lowell Scott Weil, Erin E Klein, Nicholas Argerakis, Adam E Fleischer
Arthrofibrosis is a known complication of hallux valgus surgery. Joint manipulation under anesthesia has been studied for adhesive capsulitis of the shoulder; however, a paucity of published data exists on the use of this modality in the foot and ankle. The purpose of the present study was to investigate the outcomes of first metatarsophalangeal joint manipulation for arthrofibrosis that occurred as a complication of bunion surgery. The study population consisted of patients attending a single foot and ankle specialty clinic who were evaluated for arthrofibrosis after bunion surgery...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Alper Deveci, Serdar Yilmaz, Ahmet Firat, Ahmet Ozgur Yildirim, Ozdamar Fuat Oken, Murat Gulcek, Ahmet Ucaner
BACKGROUND: Tailor's bunion is a deformity of the fifth toe, and its concomitance with hallux valgus (HV) is defined as splayfoot deformity. Treatment is focused on the HV deformity in splayfoot, and the tailor's bunion deformity can be overlooked. The frequency of HV concomitant with tailor's bunion in splayfoot has not been reported in the literature. METHODS: A retrospective evaluation was performed to detect the existence of tailor's bunion deformity in 203 patients (376 feet) treated for HV...
May 2015: Journal of the American Podiatric Medical Association
Ziad Harb, Michail Kokkinakis, Hiba Ismail, Gavin Spence
PURPOSE: The management of adolescent hallux valgus (AHV) remains controversial, with reservations about both conservative and surgical treatments. Non-operative management has a limited role in preventing progression. Surgical correction of AHV has, amongst other concerns, been associated with a high prevalence of recurrence of deformity after surgery. We conducted a systematic review to assess clinical and radiological outcomes following surgery for AHV. METHODS: A comprehensive literature search was performed in the Cochrane Library, CINAHL, EMBASE, Google Scholar and PubMed...
April 2015: Journal of Children's Orthopaedics
Alexis E Dixon, Lydia C Lee, Timothy P Charlton, David B Thordarson
BACKGROUND: A previous study has shown an increased radiographic prevalence and severity of hallux valgus interphalangeus (HVIP) after surgical correction of hallux valgus (HV) due to correction of pronation deformity. The purpose of this study was to evaluate the change in pre- and postoperative HVIP deformity with correction of HV with multiple radiographic parameters. METHODS: A retrospective chart review identified all bunion surgeries performed at a single center from July 1, 2009, to September 30, 2012...
August 2015: Foot & Ankle International
C Bollmann, A Franz, J Raabe
BACKGROUND: The Grice-Green subtalar arthrodesis is considered to be a valid treatment option of severe pes planovalgus deformity especially in children with cerebral palsy. The purpose of this study was to evaluate long term results using Grice-Green procedure with a fibular bone graft. MATERIAL AND METHODS: Between 3/07 and 11/12 92 patients (36 girls, 56 boys) with 127 feet underwent surgery. The average age of patients was 12.3 years (5-21 years). 68 patients had infantile cerebral palsy, 17 patients suffered from other neuromuscular diseases and 7 had idiopathic pes planovalgus deformities...
February 2015: Zeitschrift Für Orthopädie und Unfallchirurgie
Mark M Melendez, Anup Patel, A Lee Dellon
Joplin's neuroma is a rare perineurial fibrosis of the medial plantar digital proper nerve arising from various etiologies but most commonly after bunion surgery. Treatment for this painful great toe problem remains controversial. It is our purpose to describe our experience with this chronic pain problem, considering it to be a neuroma requiring resection. A retrospective medical record review of 8 patients with medial hallux pain related to the digital nerve was performed. Each patient had failed to respond to >6 months of nonoperative therapy...
March 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
James C Willey, Lainee S Reuter, Daniel A Belatti, Phinit Phisitkul, Ned Amendola
BACKGROUND: Today, insurance insulates most patients from the true costs of the health care services they consume. Economists believe that the absence of price signals incentivizes patients to pursue more extensive care than they would otherwise. Reformers propose restoring price consciousness to patients as a way to tame the soaring costs of American health care. To test this idea, we decided to gauge the availability and variability of price quotes for a common elective surgery-bunion repair...
December 2014: Foot & Ankle International
Jose Gallart, David González, Jose Valero, Javier Deus, Pedro Serrano, Manuel Lahoz
BACKGROUND: Having reviewed the studies on the biphalangeal fifth toe, we have observed a great disparity of data depending on the research center. We have investigated the frequency of biphalangeal toes and also its handedness. We have also analyzed the relationship of pathological deviations of fifth toe with this feature and with the fifth metatarsal. METHODS: We performed a descriptive prospective study, which analyzed 2494 feet (1247 people) with bilateral dorsoplantar radiographs...
2014: BMC Musculoskeletal Disorders
Tun Hing Lui
The bunionette is a lateral prominence of the fifth metatarsal head. Operative correction of a symptomatic bunionette is indicated if conservative treatment has failed to relieve the symptoms. Although numerous bony or soft tissue surgical procedures have been described, the ideal treatment has not yet been identified. The aim of the present study was to retrospectively evaluate the results of a series of 15 feet affected by symptomatic bunionette deformity treated by percutaneous osteotomy of the fifth metatarsal...
November 2014: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Julian Chell, Sunil Dhar
Hallux valgus in children is a relatively uncommon deformity, also known by several other names such as juvenile or adolescent bunion, metatarsus primus varus, and metatarsus primus adductus. The presence of an open growth plate is considered by most to be part of the definition of this condition. However, others include patients up to age 20 years, owing to the plastic nature of the various components of the condition. The presenting complaint is invariably of the bunion and its cosmetic appearance. Treatment should be conservative and surgery avoided till skeletal maturity is achieved due to the high incidence of recurrence in children...
June 2014: Foot and Ankle Clinics
R E Bellamy
In many communities the orthopedic surgeon who also functions as the rheumatologist may have the best opportunity to make an early diagnosis of hemochromatosis by recognizing the characteristic features of this form of arthritis, which is associated with skin pigmentation, liver disease, or diabetes. Elevated serum iron levels and saturation of serum iron-binding capacity suggest the diagnosis, and a highly elevated serum ferritin level confirms it. Physicians who treat patients with arthritis, performing hand, bunion, or joint replacement surgery, need to be alert for this disorder...
May 1, 1980: Orthopedics
Eldridge D Batuyong, Andrew J L Jowett, Nilmini Wickramasinghe, Andrew D Beischer
BACKGROUND: Obtaining informed consent from patients considering bunion surgery can be challenging. This study assessed the efficacy of a multimedia technology as an adjunct to the informed consent process. METHODS: A prospective, cohort study was conducted involving 55 patients (7 males, 48 females) who underwent a standardized verbal discussion regarding bunion correction surgery followed by completion of a knowledge questionnaire. A multimedia educational program was then administered and the knowledge questionnaire repeated...
April 2014: ANZ Journal of Surgery
Adam E Fleischer, Martin C Yorath, Robert M Joseph, Adam Baron, Thomas Nordquist, Braden J Moore, Richmond C O Robinson, Charles H Reilly
BACKGROUND: Despite modern advancements in transosseous fixation and operative technique, hallux valgus (i.e., bunion) surgery is still associated with a higher than usual amount of patient dissatisfaction and is generally recognized as a complex and nuanced procedure requiring precise osseous and capsulotendon balancing. It stands to reason then that familiarity and skill level of trainee surgeons might impact surgical outcomes in this surgery. The aim of this study was to determine whether podiatry resident experience level influences midterm outcomes in hallux valgus surgery (HVS)...
June 15, 2014: Journal of Surgical Research
Bob Baravarian
No abstract text is available yet for this article.
April 2014: Clinics in Podiatric Medicine and Surgery
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