scholarly journals ANALYSIS OF THE RESULTS OF TREATMENT OF VARUS DEFORMITY OF THE FIRST TOE (HALLUX VARUS)

2021 ◽  
pp. 22-22
Author(s):  
D.A. Rasputin ◽  
Yu.V. Lartsev ◽  
S.D. Zuev-Ratnikov ◽  
D.S. Kudashev ◽  
G.P. Gerasimov
Keyword(s):  
Varus Deformity ◽  
Hallux Varus ◽  
Results Of Treatment

Extensor hallucis longus transfer for hallux varus deformity.

1984 ◽  
Vol 66 (5) ◽  
pp. 681-686 ◽  
Author(s):  
K A Johnson ◽  
P V Spiegl
Keyword(s):  
Varus Deformity ◽  
Hallux Varus ◽  
Extensor Hallucis Longus

scholarly journals Is Fibular Sesamoidectomy a Viable Option for Sesamoiditis? A Retrospective Study

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0031
Author(s):  
Leonardo V. M. Moraes ◽  
Jeffrey Pearson ◽  
Kyle Paul ◽  
Jianguang Peng ◽  
Karthikeyan Chinnakkannu ◽  
...  
Keyword(s):  
Weight Bearing ◽  
Metatarsophalangeal Joint ◽  
Retrospective Chart Review ◽  
Extended Period ◽  
Varus Deformity ◽  
Operative Management ◽  
Superficial Infection ◽  
First Metatarsophalangeal Joint ◽  
First Metatarsal ◽  
Hallux Varus

Category: Midfoot/Forefoot Introduction/Purpose: Although the first metatarsophalangeal joint sesamoids have biomechanical value in the foot, pathologic conditions of these sesamoids are a source of disabling pain for patients, particularly during toe-off. Underlying causes include acute fracture, acute separation of bipartite sesamoids, sesamoiditis caused by repetitive trauma, infection, chondromalacia, osteochondritis dissecans, and osteoarthritis. Nonoperative treatment is the initial standard of care and has satisfactory outcomes overall, but operative management may be indicated in cases of pain refractory to conservative management. Surgical management includes tendo-Achilles or gastrocnemius lengthening, dorsiflexion osteotomy at the base of first metatarsal, corrective osteotomies, fusions for fixed pes cavus foot. Sesamoidectomy is a relatively uncommon procedure but should be considered if 6- 12 months of conservative managements fail or if the patient experiences ongoing debilitating symptoms. Methods: A retrospective chart review was conducted at our institution from 2009-2018. Twelve patients diagnosed with fibular sesamoiditis were treated with sesamoidectomy. Baseline patient demographics as well as postoperative outcomes were recorded. All patients were initially treated for an extended period conservatively with orthotics, anti-inflammatory medications, physical therapy, limitation of activity and a trial of non-weight bearing. Despite these measures, symptoms persisted for these twelve patients - all of who then underwent fibular sesamoidectomy for their symptoms. The fibular sesamoidectomy was performed by one of the three fellowship trained foot and ankle surgeons. All surgeons used plantar approach with a longitudinal incision on the lateral edge of the first metatarsal fat pad. Postoperatively, patients were kept non–weight bearing for 2 weeks and in a post-op walking shoe for 6 weeks. Results: Average age of the patients was 38 years. Ten of twelve patients (83%) were female. Majority of the patients (10) had no history of trauma, only two referred forefoot injury in the past. Average follow-up was 35 months. Two patients had both hallux valgus and hallux rigidus. One had preexisting rheumatoid arthritis with involvement of the first MTP. MRI showed 5 of 12 (42%) of patients had avascular necrosis of the sesamoid based on magnetic resonance imaging. None of the patients developed cock-up deformity of the lesser toes or hallux varus deformity, clinically or radiologically. Two patients experienced transient neuritis, one developed a superficial infection, and one had painful postoperative scarring. Hallux varus deformity was not observed in any patients. None underwent reoperation. Conclusion: Our study contradicts earlier studies which associate sesamoidectomy with high incidence of complications, particularly hallux varus. But, most of these earlier reports focus on combinations of medial, lateral, and paired excision, rather than lateral excision alone, unlike our study. Hence, fibular sesamoidectomy can be a safe, viable procedure for patients who fail conservative measures for sesamoiditis. The plantar lateral approach allows for adequate exposure of the fibular sesamoid, repair of the plantar plate, and preservation of flexor hallucis brevis, and is beneficial in preventing the occurrence of hallux varus deformity.

Acquired Hallux Varus and Clinical Tolerability

1997 ◽  
Vol 18 (9) ◽  
pp. 593-597 ◽  
Author(s):  
H.-J. Trnka ◽  
R. Zettl ◽  
M. Hungerford ◽  
M. Mühlbauer ◽  
P. Ritschl
Keyword(s):  
Retrospective Study ◽  
Hallux Valgus ◽  
Varus Deformity ◽  
Foot Surgery ◽  
Hallux Varus ◽  
Clinical Problems

This retrospective study was undertaken to determine the long-term clinical problems, residual disability, and need for further surgery in patients with iatrogenic hallux varus. Between 1975 and 1985, in 16 (19 feet) of 83 patients who underwent foot surgery for hallux valgus or metatarsus primus varus, hallux varus deformity was noted at 1-year follow-up on dorsoplantar roentgenograms obtained with the patients bearing weight. Thirteen of those patients (16 feet) were reexamined at an average of 18.3 years (220 months) after surgery. The average hallux varus deformity in this group was 10.1°. Eleven patients (12 feet) rated their results as excellent. The average hallux metatarsophalangeal interphalangeal score for all patients was 91.5 points. Only those with extreme hallux varus deformity were dissatisfied or required further surgery.

Arthroscopic First Metatarsophalangeal Arthrodesis for Repair of Fixed Hallux Varus Deformity

2015 ◽  
Vol 54 (6) ◽  
pp. 1127-1131 ◽  
Author(s):  
Tun Hing Lui
Keyword(s):  
Varus Deformity ◽  
Hallux Varus

scholarly journals Roentgenological study of the hallux varus deformity in rheumatoid arthritis.

1986 ◽  
Vol 34 (3) ◽  
pp. 1047-1050
Author(s):  
Shunichi Hirakawa ◽  
Chihiro Kimura ◽  
Koichi Tashiro ◽  
Koyu Nagayoshi
Keyword(s):  
Rheumatoid Arthritis ◽  
Varus Deformity ◽  
Hallux Varus

Idiopathic Adult Hallux Varus

1994 ◽  
Vol 15 (4) ◽  
pp. 197-205 ◽  
Author(s):  
William Malcolm Granberry ◽  
C. Hugh Hickey
Keyword(s):  
Metatarsophalangeal Joint ◽  
Varus Deformity ◽  
Trauma Symptoms ◽  
Abductor Hallucis ◽  
First Metatarsophalangeal Joint ◽  
Hallux Varus ◽  
Inflammatory Arthropathy ◽  
History Of ◽  
Shoe Wear ◽  
Or History

Adult hallux varus is an uncommon clinical entity usually caused by an inflammatory arthropathy or overcorrection during bunion reconstruction. We present five cases of unexplained spontaneous hallux varus. Clinically, all patients initially were found to have flexible deformities, and no evidence of underlying inflammatory disease or history of trauma. Symptoms were easily relieved with shoe wear modifications. Two of the patients developed more rigid deformities and subsequent medial callusing of the first toe and varus deformities of the lesser toes. These two patients eventually required surgical intervention. A Keller arthroplasty was performed on the first metatarsophalangeal joint and valgus proximal phalangeal osteotomies were done on the lateral toes when indicated. The outcome for these patients was good. Possible etiologic mechanisms are discussed. It is postulated that in these cases, the abductor hallucis tendon inserts more medially on the phalanx and overpowers the adductor. This produces a medially directed moment and, with time, a varus deformity.

scholarly journals THE CORRECTION OF HALLUX VARUS DEFORMITY IN CONSEQUENCE OF SURGICAL TREATMENT FOR HALLUX VALGUS

2010 ◽  
Vol 16 (1) ◽  
pp. 21-27
Author(s):  
V. M. Mashkov ◽  
E. L. Nesenyuk ◽  
N. V. Bezrodnaya ◽  
I. E. Shakhmatenko
Keyword(s):  
Surgical Treatment ◽  
Hallux Valgus ◽  
Varus Deformity ◽  
Longus Tendon ◽  
Hallux Varus ◽  
Extensor Hallucis Longus ◽  
Adductor Hallucis

The analysis of treatment of 21 patients (24 feet) with postoperative hallux varus deformity which have arisen after operations apropos hallux valgus is carried out. For correction of vicious position of the first finger we successfully carried out the Brandes procedure, sometimes in a combination to operations on sinews of muscles of the first finger - an adductor hallucis tendotomy and/or lengthening of the extensor hallucis longus tendon.

Simple Technique for Correction of Neglected Congenital Hallux Varus Deformity

2014 ◽  
Vol 13 (3) ◽  
pp. 158-166
Author(s):  
Sampat S. Dumbre Patil ◽  
Hemant P. Parekh ◽  
Ashraf I. Khan ◽  
Vaishali S. Dumbre Patil ◽  
Shankar D. Wavre ◽  
...  
Keyword(s):  
Simple Technique ◽  
Varus Deformity ◽  
Hallux Varus
Sign in / Sign up

Export Citation Format

Share Document