scholarly journals Surgical correction of hallux valgus complicated with adult-type pes plano-valgus

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668432
Author(s):  
Jun Young Choi ◽  
Hyeong Hwa Yoon ◽  
Yu Min Suh ◽  
Jin Soo Suh
Keyword(s):  
Hallux Valgus ◽  
Varus Deformity ◽  
Postoperative Recurrence ◽  
Valgus Deformity ◽  
Adult Type ◽  
Pes Planus ◽  
Hindfoot Alignment ◽  
Hallux Valgus Deformity ◽  
Pes Plano Valgus ◽  
Severe Hallux Valgus

Purpose: To investigate the efficiency of simultaneous correction of moderate to severe hallux valgus deformity and adult-type pes planus. Methods: Twenty cases of moderate to severe hallux valgus complicated with adult-type pes planus in 19 consecutive patients (15 (79%) women, 4 (11%) men; mean age: 44.50 ± 17.13 years, mean follow-up duration: 31.30 ± 17.02 months) were included. Medial calcaneal sliding osteotomy was performed to correct hindfoot valgus, whereas treatments of hallux valgus were case dependent. Results: The mean postoperative hallux valgus angle, intermetatarsal angle, hindfoot alignment angle, and hindfoot alignment ratio were 8.40 ± 5.29°, 4.20 ± 2.54°, 3.09 ± 2.92º and 0.41 ± 0.17, respectively. Although a hallux varus deformity occurred as a postoperative complication in one case (5%), there were no cases of postoperative recurrence. Conclusion: Simultaneous correction of hallux valgus and pes plano-valgus using medial calcaneal sliding osteotomy is an effective technique that reduces recurrence of hallux valgus and increases satisfaction in patients with moderate to severe hallux valgus deformity complicated with adult-type pes planus accompanying hindfoot valgus.

Clinical Outcomes after Chevron Procedure are Better than Pedobarographic Results

2014 ◽  
Vol 601 ◽  
pp. 177-180
Author(s):  
Radu Prejbeanu ◽  
Dinu Vermesan ◽  
Horia Hărăgus ◽  
Simona Vermesan ◽  
Dan Ioan Stoia
Keyword(s):  
Clinical Outcomes ◽  
Hallux Valgus ◽  
Pressure Sensors ◽  
Valgus Deformity ◽  
Physical Contact ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Reaction Forces ◽  
Severe Hallux Valgus ◽  
Better Than

The distal Chevron or Austin procedure, is arguably the most prominent of the distal metatarsal osteotomies. Recent studies in the literature have shown a trend in recommending this osteotomy or one if it’s modifications for even severe hallux valgus deformities. Therefore we aimed to compare the clinical and pedobarographic results after chevron osteotomy in patients with moderate hallux valgus deformity. We investigated a homogeneous lot of 10 patients undergoing hallux valgus correction using distal chevron technique. In order to quantify the improvement of the gait in these patients, several biomechanical parameters have been measured using a matrix of pressure sensors that provide us the vertical reaction forces when the foot is in physical contact with it. Results show an improvement in patient’s velocity and cadence after the surgery, and also a smaller variability in gait. Nevertheless, optimal clinical outcomes are still found to have altered ground reaction forces on pedobarographic assessment.

Severe Hallux Valgus With Coalition of the Hallux Sesamoids Treated With Modified Lapidus Procedure: A Case Report

2017 ◽  
Vol 10 (6) ◽  
pp. 567-571
Author(s):  
Toshinori Kurashige ◽  
Seiichi Suzuki
Keyword(s):  
Case Report ◽  
Hallux Valgus ◽  
Rare Condition ◽  
Valgus Deformity ◽  
Delayed Union ◽  
Flexor Hallucis Longus ◽  
Computed Tomography Scan ◽  
Hallux Valgus Deformity ◽  
Severe Hallux Valgus ◽  
Tomography Scan

Coalition of the hallux sesamoids is an extremely rare condition. To our knowledge, only 1 case report has been published. We report a case of severe hallux valgus deformities with coalitions of the hallux sesamoids. The coalitions themselves were asymptomatic; however, this severe hallux valgus deformity needed to be surgically treated. The hallux sesamoids in both feet appeared to be fused and heart shaped on anteroposterior radiographs and dumbbell shaped on axial radiographs. It is known that postoperative incomplete reduction of the medial sesamoids can be a risk factor for the recurrence of hallux valgus. The computed tomography scan demonstrated a groove in the bottom of the center of the heart-shaped sesamoid. The flexor hallucis longus tendon was located in the groove. Therefore, a modified Lapidus procedure was performed considering the medial half of the heart-shaped sesamoid as the medial sesamoid. Although delayed union occurred, successful correction of the deformity was achieved. Levels of Evidence: Level IV

Hallux Valgus in Men Part II: First Ray Mobility after Bunionectomy and Factors Associated with Hallux Valgus Deformity

2003 ◽  
Vol 24 (1) ◽  
pp. 73-78 ◽  
Author(s):  
Michael J. Coughlin ◽  
Paul S. Shurnas
Keyword(s):  
Hallux Valgus ◽  
Positive Family History ◽  
Valgus Deformity ◽  
Ankle Dorsiflexion ◽  
Metatarsal Osteotomy ◽  
Pes Planus ◽  
Hallux Valgus Deformity ◽  
First Ray ◽  
Angular Measurements ◽  
Standard Radiographs

Methods: A retrospective study of 30 men (35 feet) was performed. First ray mobility, ankle dorsiflexion, pes planus, and metatarsus adductus were evaluated at the final follow-up. All internal fixation was routinely removed at six to eight weeks postoperatively. Standard radiographs were evaluated and angular measurements were calculated on all feet. Conclusion: Hallux valgus in this group of male patients was not associated with limited ankle dorsiflexion or pes planus. Men with toe pronation and a positive family history had a greater hallux valgus deformity than those without after a distal soft tissue repair with proximal first metatarsal osteotomy. There was no evidence of first ray hypermobility after a DSTP-PMO.

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