Surgical Treatment of Mild Hallux Valgus Deformity: The State of Practice Among Academic Foot and Ankle Surgeons

2007 ◽  
Vol 2007 ◽  
pp. 188-189
Author(s):  
B.F. Morrey
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Valgus Deformity ◽  
The State ◽  
Foot And Ankle ◽  
Hallux Valgus Deformity ◽  
State Of Practice

Surgical Treatment of Hallux Valgus and Forefoot Deformities in Sweden: A Population-Based Study

2008 ◽  
Vol 29 (3) ◽  
pp. 298-304 ◽  
Author(s):  
Carlos Saro ◽  
Ann-Sophie Bengtsson ◽  
Urban Lindgren ◽  
Johanna Adami ◽  
Paul Blomqvist ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Adult Population ◽  
Age Distribution ◽  
Valgus Deformity ◽  
Population Based ◽  
Public Hospitals ◽  
Common Procedure ◽  
Forefoot Surgery ◽  
Hallux Valgus Deformity

Background: Although surgical correction for hallux valgus and other toe deformities is one of the most common procedures in foot surgery, its incidence in the general population is not well-known. Materials and Methods: The study population comprised patients living in Sweden of a varied age group and both sexes who underwent forefoot surgery. We identified all inpatient cases from 1997 to 2000 and all ambulatory cases in 2000 registered in the National Swedish Patient Register (NSPR). Further, clinical data for the surgical treatment of hallux valgus deformity were extracted from medical records in patients treated in a geographically defined region (Stockholm). Results: In total, 6956 patients with surgically treated forefoot deformities were identified from the adult population, equivalent to a cumulative incidence of 0.8 procedures per 1000 inhabitants for the whole analyzed group. There were regional variations and significant sex differences. The age distribution in both sexes was characterized by a peak in the fifth decade. Forefoot surgery was statistically more frequently performed in private clinics than in public hospitals ( p < 0.001). Hallux valgus surgery was by far the most common procedure regarding forefoot surgery. Conclusion: The prevalence of forefoot- and hallux valgus surgery was not evenly distributed in the six major regions in Sweden. It is more common in urban than in rural regions. Furthermore, forefoot surgery is performed more frequently in private clinics than in community hospitals despite common financial sources.

scholarly journals Is Generalized Ligamentous Laxity a Prognostic Factor for Recurred Hallux Valgus Deformity?

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0018
Author(s):  
Byung-Ki Cho ◽  
Seung-myung Choi
Keyword(s):  
Hallux Valgus ◽  
Postoperative Recurrence ◽  
Valgus Deformity ◽  
Foot And Ankle ◽  
Hallux Valgus Angle ◽  
Ligamentous Laxity ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Valgus Angle

Category: Bunion Introduction/Purpose: It is still unclear whether generalized ligamentous laxity is a risk factor for recurred hallux valgus deformity. This study was performed to evaluate the intermediate-term clinical outcomes after proximal chevron osteotomy for hallux valgus in patients with generalized ligamentous laxity, and to determine the effect on postoperative recurrence of deformity. Methods: A total of 198 feet from 169 female patients were treated with a proximal chevron osteotomy for hallux valgus with a mean follow-up of 46.3 months. When generalized ligamentous laxity was defined as Beighton score ≥ 5 points, there were 18 patients (10.7%) in laxity group and 151 patients (89.3%) in non-laxity group. Clinical evaluation consisted of the American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Ability Measure (FAAM), and radiographic measurement of hallux alignment. Risk factors associated with postoperative recurrence were evaluated using univariate analysis. Results: Recurrence rates were 21.7% in the laxity group and 17.1% in non-laxity group (p = 0.218), when defined as hallux valgus angle ≥ 20°. No significant differences of measurement at final follow-up were found between the 2 groups in terms of AOFAS score, FAAM, recurrence rate, hallux valgus angle (HVA), intermetatarsal angle (IMA) and distal metatarsal articular angle (DMAA). Preoperative HVA and IMA were found to be predictive factors of recurrence (OR = 6.3, 4.2; P = .001, .018, respectively). Conclusion: There were no statistical differences in the clinical and radiographic outcomes between hallux valgus with and without generalized ligamentous laxity. Generalized ligamentous laxity demonstrated no definitive effects on postoperative recurrence of hallux valgus deformity.

Correlation Analysis of Age, Functional and X-Ray Morphological Parameters of Osteotomies in Hallux Valgus

2021 ◽  
Vol 53 ◽  
pp. 21-29
Author(s):  
Timur B. Minasov ◽  
Ekaterina R. Yakupova ◽  
Ruslan F. Khairutdinov ◽  
Dilmurod Ruziboev ◽  
Ruslan M. Vakhitov-Kovalevich ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Rating Scale ◽  
Metatarsophalangeal Joint ◽  
Valgus Deformity ◽  
X Ray ◽  
Functional Changes ◽  
Hallux Valgus Deformity ◽  
Valgus Angle ◽  
Before And After

Hallux valgus (HV) violates the musculoskeletal function of the lower limb, and also affect the x-ray anatomical parameters of the foot. There is the study of the most important correlations between age, morphological and functional changes of the forefoot play a big role in the choice of treatment tactics for this pathology. The aim was to analyze the age, functional and radiological results of surgical treatment of Hallux valgus deformity of the first toe using the methods saving the metatarsophalangeal joint. 126 patients had Hallux valgus deformity of the first toe of I, II, III degree. They were examined before surgery, then 3, 6 and 12 months after operation. 126 patients were operated according to the method of Scarf, Austin, Bosch-Magnan osteotomy. X-ray results were assessed by the Hallux valgus angle (HVA), the intermetatarsal angle (IMA), the distal metatarsal articular angle (DMMA) before and after the operations. AOFAS rating scale (Kitaoka) and biomechanical (stabilometric) study were used for the functional assessment of the surgical treatment results. The IMA correction angle after operation increases with the patient's age. HVA becomes the most deformed angle in the pathology of Hallux valgus with increasing age before osteotomy. The best functional result according to the AOFAS scale was obtained with the greatest correction of the IMA angle after osteotomy. The functional index of the foot decreased with increasing age after osteotomies.

Hallux Valgus Correction in a Patient with Metatarsus Adductus with Multiple Distal Oblique Osteotomies

2010 ◽  
Vol 100 (3) ◽  
pp. 204-208 ◽  
Author(s):  
Nicolò Martinelli ◽  
Andrea Marinozzi ◽  
Francesco Cancilleri ◽  
Vincenzo Denaro
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Hallux Valgus ◽  
Extensor Digitorum Longus ◽  
Clinical Case ◽  
Valgus Deformity ◽  
Extensor Digitorum ◽  
Foot Deformity ◽  
Hallux Valgus Deformity ◽  
Metatarsus Adductus

Metatarsus adductus is a structural foot deformity that is rarely associated with hallux valgus deformity. Surgical treatment is challenging, and multiple osteotomies are often required to correct both deformities. However, surgical impact must be considered, especially in elderly patients. We present a clinical case of a 76-year-old woman affected by hallux valgus and metatarsus adductus deformity. Multiple distal oblique osteotomies were performed on the first, second, and third metatarsals, coupled with Z-lengthening of the extensor digitorum longus tendons. (J Am Podiatr Med Assoc 100(3): 204–208, 2010)

scholarly journals SERI-osteotomy as one of the methods for surgical treatment of hallux valgus deformity

2016 ◽  
pp. 27-31
Author(s):  
C.U. Asilova ◽  
◽  
A.V. Iugai ◽  
G.K. Nurimov ◽  
G.Sh. Umarova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Valgus Deformity ◽  
Hallux Valgus Deformity

Results of Hallux Varus Correction Using an Extensor Hallucis Brevis Tenodesis

1996 ◽  
Vol 17 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Mark S. Myerson ◽  
Gregory A. Komenda
Keyword(s):  
Hallux Valgus ◽  
Valgus Deformity ◽  
Foot And Ankle ◽  
Rating Score ◽  
Hallux Varus ◽  
Hallux Valgus Deformity ◽  
Traumatic Dislocation ◽  
The Mean ◽  
American Orthopaedic

We have used an extensor hallucis brevis tenodesis procedure to treat symptomatic hallux varus in six patients (five women and one man). Indications for this procedure include the presence of flexible metatarsophalangeal and interphalangeal joints and the absence of arthritis. In this group (mean age, 47 years; range, 18–65 years), hallux varus followed correction of hallux valgus deformity in five patients and traumatic dislocation of the hallux in one patient. Excellent correction was noted and maintained in all patients at a mean interval of 28 months (range, 24–32 months) after surgery. Despite a slight decrease in dorsiflexion following surgery (average, 10°), there were no additional complications noted, and the mean American Orthopaedic Foot and Ankle Society rating score improved from 61 to 85 after surgery.

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