scholarly journals Treatment of juvenile hallux valgus interphalangeus with a double compression headless bone screw

2015 ◽  
pp. bcr2015210204 ◽  
Author(s):  
Ferdi Göksel ◽  
Cenk Ermutlu ◽  
Umut Hatay Gölge ◽  
Burak Kaymaz
Keyword(s):  
Hallux Valgus ◽  
Bone Screw ◽  
Double Compression ◽  
Hallux Valgus Interphalangeus

scholarly journals Distal Linear Metatarsal Osteotomy Combined with Akin Osteotomy for Hallux Valgus with Hallux Valgus Interphalangeus

2019 ◽  
Vol 13 (1) ◽  
pp. 34-41
Author(s):  
Kazuki Kanazawa ◽  
Ichiro Yoshimura ◽  
Tomonobu Hagio ◽  
Takuaki Yamamoto
Keyword(s):  
Hallux Valgus ◽  
Metatarsal Head ◽  
Clinical Results ◽  
Osteotomy Site ◽  
Metatarsal Osteotomy ◽  
Intermetatarsal Angle ◽  
Hallux Valgus Interphalangeus ◽  
Valgus Angle ◽  
Akin Osteotomy

Background: Minimally invasive distal linear metatarsal osteotomy is commonly performed to correct mild-to-moderate hallux valgus. The technique is easy to perform, fast, and has a low complication rate with satisfactory clinical results. However, it has so far not been applied to hallux valgus with concomitant hallux valgus interphalangeus deformity. Objective: We aimed to investigate the short-term clinical results of distal linear metatarsal osteotomy combined with Akin osteotomy in hallux valgus with concomitant hallux valgus interphalangeus deformity. Methods: We retrospectively reviewed 10 patients (10 feet) who underwent surgery for hallux valgus with hallux valgus interphalangeus between 2012 and 2016. Akin osteotomy was performed and fixated with a screw/K-wire, followed by distal linear metatarsal osteotomy and K-wire fixation. Clinical evaluations pre- and postoperatively used the Japan Society for Surgery of the Foot (JSSF) scale and the Visual Analog Scale (VAS). Radiography pre-and postoperatively assessed the hallux valgus, hallux valgus interphalangeus, and the intermetatarsal angle. Results: The mean follow-up period was 20.2 months. Both the JSSF and VAS score improved significantly, from 64.5 to 90.0 and from 5.5 to 1.1, respectively. In all patients, bone healing was complete within four months with no osteonecrosis of the metatarsal head or malunion at the osteotomy site. The hallux valgus angle improved from 31.5° to 7.7°, the hallux valgus interphalangeus angle from 17.2° to 5.8°, and the intermetatarsal angle from 11.7° to 5.5°. Conclusion: Distal linear metatarsal osteotomy combined with Akin osteotomy safely and effectively corrects mild-to-moderate hallux valgus with hallux valgus interphalangeus deformity.

Distal akin osteotomy for hallux valgus interphalangeus

2017 ◽  
Vol 23 ◽  
pp. 88
Author(s):  
E. Sartorelli ◽  
T. Giacalone ◽  
C. Bonifacino ◽  
M. Hosseinzadeh ◽  
A. Bianchi ◽  
...  
Keyword(s):  
Hallux Valgus ◽  
Hallux Valgus Interphalangeus ◽  
Akin Osteotomy

Hallux Varus Interphalangeus Following Osteochondral Fracture of the Proximal Phalanx: A Case Report

2020 ◽  
Vol 110 (5) ◽  
Author(s):  
Calvin J. Rushing ◽  
Tarak Amin ◽  
Alberto Herrada ◽  
Steven M. Spinner
Keyword(s):  
Case Report ◽  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Metatarsophalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Osteochondral Fracture ◽  
Medial Head ◽  
Hallux Varus ◽  
Hallux Valgus Interphalangeus ◽  
Joint Fusion

Hallux valgus interphalangeus deformity has been previously reported in the literature following trauma and first metatarsophalangeal joint fusion. However, to the best of our knowledge, hallux varus interphalangeus deformity has not been previously reported. We present the case of a 26-year-old skeletally mature woman who sustained an acute, open hallux varus interphalangeus injury following an osteochondral fracture of the medial head of the proximal phalanx.

scholarly journals Intra-articular fracture of proximal phalanx of great toe accompanied by valgus deformity associated with sports activities

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901769032
Author(s):  
Sungsoo Kim ◽  
Myoungjin Lee ◽  
Sangyun Seok
Keyword(s):  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Valgus Deformity ◽  
Lateral Side ◽  
Great Toe ◽  
Fracture Group ◽  
Articular Fracture ◽  
Medial Side ◽  
Hallux Valgus Interphalangeus ◽  
Sports Activities

Background: We analyzed clinical and radiologic examination of intra-articular fracture of the proximal phalanx of great toe accompanied by valgus deformity associated with sports activities. Therefore, we assessed valgus deformity of great toe at fracture side and contralateral side by simple radiograph in order to confirm the causal relation of fracture and deformity. Methods: A retrospective study was conducted on 23 cases, between January 2000 and August 2014, which showed an intra-articular fracture of proximal phalanx which was diagnosed after visiting our hospital for valgus deformity of great toe as a chief complaint. All patients were involved in sports activities for over 2 years. The site of fracture was the lateral side of the proximal phalanx head in 16 cases and the medial side of the proximal phalanx base in 7 cases. In order to assess the valgus deformity of great toe, hallux valgus angle (HVA) and hallux valgus interphalangeal angle (HVIPA) were measured on the weight-bearing foot radiograph. Results: The average HVA of the fracture group on the lateral side of the proximal phalanx head was 10.5° and HVIPA was 17.8°, while the average HVA of the fracture group on the medial side of the proximal phalanx base was 18.1° and HVIPA was 10.7°. Among the 16 cases with a fracture on the lateral side of the head, 13 cases showed hallux valgus interphalangeus (81.3%), while all 7 cases of fracture on the medial side of the base showed hallux valgus (100%). Conclusion: Hallux valgus was mostly found on the fracture of the medial side of the proximal phalanx base, while hallux valgus interphalangeus was mostly found on the fracture of the lateral side of the proximal phalanx head.

Morphology of the first metatarsal head as a risk factor for hallux valgus interphalangeus

2020 ◽  
Vol 26 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Stephanus Johannes van Deventer ◽  
Andrew Strydom ◽  
Nikiforos Pandelis Saragas ◽  
Paulo Norberto Faria Ferrao
Keyword(s):  
Risk Factor ◽  
Hallux Valgus ◽  
Metatarsal Head ◽  
First Metatarsal ◽  
Hallux Valgus Interphalangeus

Correction of Hallux Valgus Interphalangeus With an Osteotomy of the Distal End of the Proximal Phalanx (Distal Akin Osteotomy)

2016 ◽  
Vol 38 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Robert Vander Griend
Keyword(s):  
Hallux Valgus ◽  
Proximal Phalanx ◽  
Case Series ◽  
Wedge Osteotomy ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Intraoperative Complication ◽  
Hallux Valgus Interphalangeus ◽  
Akin Osteotomy

Background: Operative correction of a symptomatic hallux valgus interphalangeus (HVI) deformity is often achieved with an osteotomy at the proximal end of the proximal phalanx (Akin osteotomy). However, the apex of the typical HVI deformity (center of rotation angle) is at the interphalangeal joint of the hallux. This study was done to evaluate the results of performing a medial closing wedge osteotomy at the distal end of the proximal phalanx. Methods: Thirty-three patients (33 feet) underwent an osteotomy at the distal end of the proximal phalanx for correction of HVI. All of the patients had other forefoot deformities which were corrected at the same time. Eight of these were revision procedures of prior forefoot operations. The length of follow-up was determined by the associated procedures with a minimum follow-up of 4 months. Results: The preoperative hallux valgus interphalangeus angle averaged 16 degrees of valgus (range 7-32 degrees) and was corrected to an average of 2 degrees of valgus (range 5 degrees valgus to 5 degrees varus). All of the patients were satisfied with the postoperative appearance and function of the first toe. Because of simultaneous correction of numerous other forefoot problems, it was not possible to specifically isolate or evaluate the effects and benefits of this osteotomy using outcomes measures. There was one intraoperative complication resulting in a fracture extending into the adjacent IP joint. Conclusions: Correction of an HVI deformity can be achieved with an osteotomy at the distal end of the proximal phalanx. This was a safe technique with few complications and with good results in terms of both correction and patient satisfaction. Level of Evidence: Level IV, retrospective case series.

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