scholarly journals Post-Traumatic Hallux Valgus: A Modified Surgical Technique

Author(s):  
Zylyftar Gorica ◽  
Kimberly McFarland ◽  
John S. Lewis ◽  
Karl M. Schweitzer ◽  
Alexander R. Vap
1994 ◽  
Vol 15 (3) ◽  
pp. 103-106 ◽  
Author(s):  
Jerald Leonard Blum

A total of 204 modified Mitchell osteotomy-bunionectomy procedures with Steinmann pin fixation were evaluated by radiograph, history, and physical examination with longterm personal follow-up. The specific surgical technique modifications used in this series are discussed. This modified procedure produced 91% good or excellent results in this series. The complications or unsatisfactory results were due to partial avascular necrosis, lateral metatarsalgia, incomplete correction of hallux valgus, or late stress fractures. These unsatisfactory results led to the development of specific preoperative surgical criteria for the procedure in addition to the technical modifications.


1993 ◽  
Vol 60 (3) ◽  
pp. 268-270 ◽  
Author(s):  
R. Marten Perolino ◽  
V. Cocimano ◽  
S. Pastorini ◽  
E. Pugno

The Authors describe in this work a surgical technique for constructing a penile prosthesis for transsexuals and for reconstructing the penis in patients submitted to post-neoplastic or post-traumatic surgery. This technique consists of 4 stages: in the first, a double-chamber prosthesis with inextensible sheath is placed; in the second and the third, the prosthesis is removed and covered with an abdominal flap after sub-cutaneous expansion; the fourth stage is for aesthetic retouches. The originality of this technique lies in the use of the inextensible sheath (of goretex or similar) and in the preparation of the flap in accordance with the abdominal angiosomes.


2009 ◽  
Vol 123 (8) ◽  
pp. 922-924 ◽  
Author(s):  
O Edkins ◽  
A C van Lierop ◽  
J J Fagan ◽  
D E Lubbe

AbstractObjective:To discuss the technique and outcome of this simple procedure and the management of post-traumatic parotid sialocoeles, and to review the literature regarding this condition.Case report:We report the successful surgical treatment, by peroral drainage, of three patients with post-traumatic parotid sialocoele resistant to conservative management.Discussion:We discuss the method and outcome of the surgical procedure performed, along with the causes, presentation and management of parotid sialocoele.Conclusion:Correct initial management of a parotid duct injury may prevent the formation of a sialocoele. When conservative treatment of post-traumatic parotid sialocoele fails, we advocate the surgical technique described in this report as it is effective, simple and carries minimal risk to the patient.


2021 ◽  
Vol 9 (2) ◽  
pp. 183-193
Author(s):  
Michael V. Fishkin ◽  
Maxim V. Fomenko ◽  
Haggai Schermann

BACKGROUND: Hallux valgus deformity of the big toe in adolescents accounts for 22%44% of all relevant cases. Despite a relatively large number of surgical treatment methods proposed to correct this deformity, treatment results are not always satisfactory. The problem of imbalance between the external traction of the abductor hallucis muscle and the contracted adductor muscle in hallux valgus remains controversial and is not covered in the literature. AIM: This study aimed to examine the results of hallux valgus deformity treatment, following the suggested combined technique. MATERIALS AND METHODS: Eight teenage patients (10 feet), aged 15 years on average, were assessed. Patients were undergoing treatment in the department of pediatric orthopedics of the Dana Hospital, Tel Aviv, within the period from 2015 to 2019. The average postoperative observation period was 30 months. This study suggested a new combined technique, including (1) modified oblique Chevron osteotomy with a V-shaped cut in the distal aspect of the first metatarsal with the dorsal wedge excision performed at the apex of its angulation, (2) valgus osteotomy of the medial cuneiform bone with the insertion of the V-shaped bone allograft, and (3) transfer of the dorsal portion of the pre-split tendon of abductor hallucis muscle to the base of the triangular medial capsular flap of the first metatarsophalangeal joint (MPJ). The tendon received optimal tension to restore the muscular balance. RESULTS: This surgical technique provided safe and stable correction of the hallux valgus deformity, restored muscular balance, avoided movement restriction of the first MPJ, and restored the function and strength of the abductor halluces muscle that prevented the recurrence of the deformity. The number of good and excellent results was much greater than those in published reports. CONCLUSIONS: Despite a relatively small group of patients, the suggested technique has shown improvements in hallux valgus deformity in adolescents.


2021 ◽  
Vol 4 (4) ◽  
pp. 211-215
Author(s):  
Mohammad Khalife ◽  
Mojtaba Abrishami ◽  
Purva Date ◽  
Matteo Forlini

2018 ◽  
Vol 26 (3) ◽  
pp. 230949901880248 ◽  
Author(s):  
Francesco Ceccarelli ◽  
Antonio Carolla ◽  
Paolo Schiavi ◽  
Filippo Calderazzi

Introduction: Few reports encompass the treatment of first metatarsophalangeal joint (MTPJ) arthritis complicating hallux valgus. Indeed, in the literature, there is a lack of guidance concerning the management of patients affected by mild to moderate first MTPJ arthritis complicating hallux valgus. The aim of this study is to present the mid-term results of an original joint-preserving surgical technique. Materials and Methods: A group of 50 patients (60 feet) affected by mild to moderate first MTPJ arthritis complicating hallux valgus who underwent modified Giannini’s SERI (simple, effective, rapid, inexpensive) surgical procedure were prospectively reviewed. They were clinically and radiographically evaluated preoperatively and after surgery and were also assessed using the American Orthopedic Foot and Ankle Society (AOFAS) score and Coughlin and Shurnas classification. The average follow-up was 38 months. A multivariate analysis was performed to evaluate the existing relationship between postoperative AOFAS results and radiological preoperative measured angles and sesamoid grade of dislocation. Results: The average AOFAS score significantly improved at last follow-up to an average of 90.5 ± 14.5, while preoperatively it was 45.6 ± 15.3 ( p < 0.001). On multivariate analysis, a statistically significant correlation resulted among all the radiographic preoperative registered parameters and clinical postoperative results. However, it was shown that any radiological parameter alone could not predict a better clinical recovery. Conclusions: The surgical technique proposed here could extend the indications of the SERI procedure to those patients affected by mild to moderate hallux valgus combined with mild to moderate osteoarthritis.


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