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 ◽  
...  
2008 ◽  
Vol 29 (3) ◽  
pp. 298-304 ◽  
Author(s):  
Carlos Saro ◽  
Ann-Sophie Bengtsson ◽  
Urban Lindgren ◽  
Johanna Adami ◽  
Paul Blomqvist ◽  
...  

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.


Author(s):  
Timur B. Minasov ◽  
Ekaterina R. Yakupova ◽  
Ruslan F. Khairutdinov ◽  
Dilmurod Ruziboev ◽  
Ruslan M. Vakhitov-Kovalevich ◽  
...  

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.


2010 ◽  
Vol 100 (3) ◽  
pp. 204-208 ◽  
Author(s):  
Nicolò Martinelli ◽  
Andrea Marinozzi ◽  
Francesco Cancilleri ◽  
Vincenzo Denaro

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)


2018 ◽  
Vol 100 (18) ◽  
pp. 1563-1573 ◽  
Author(s):  
Alexej Barg ◽  
Joshua R. Harmer ◽  
Angela P. Presson ◽  
Chong Zhang ◽  
Mellanye Lackey ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Stephan H. Wirth ◽  
Niklas Renner ◽  
Richard Niehaus ◽  
Jan Farei-Campagna ◽  
Marcel Deggeller ◽  
...  

Abstract Background Hallux valgus deformity (HV) affects around every fourth individual, and surgical treatment is performed in every thousandth person. There is an ongoing quest for the best surgical management and reduction of undesirable outcomes. The aim was to explore associations of obesity and gender with radiological and clinical outcome after reversed L-shaped osteotomy (ReveL) for HV. Materials and methods This study was carried out in a retrospective cohort design at a single University Hospital in Switzerland between January 2004 and December 2013. It included adult patients treated with ReveL for HV. The primary exposure was body mass index (BMI) at the time of ReveL. The secondary exposure was gender. The primary outcome was radiological relapse of HV (HV angle [HVA] > 15 degrees [°]) at the last follow-up. Secondary outcomes were improvable patient satisfaction, complication, redo surgery, and optional hardware removal. Logistic regression analysis adjusted for confounders. Results The median weight, height, and BMI were 66.0 (interquartile range [IQR] 57.0–76.0) kilograms (kg), 1.65 (IQR 1.60–1.71) metres (m), and 24.0 (IQR 21.3–27.8) kg/m2. Logistic regression analysis did not show associations of relapse with BMI, independent of age, gender, additional technique, and preoperative HVA (adjusted odds ratio [ORadjusted] = 1.10 [95% (%) confidence interval (CI) = 0.70–1.45], p = 0.675). Relapse was 91% more likely in males (ORadjusted = 1.91 [95% CI = 1.19–3.06], p = 0.007). Improvable satisfaction was 79% more likely in males (ORadjusted = 1.79 [CI = 1.04–3.06], p = 0.035). Hardware removal was 47% less likely in males (ORadjusted = 0.53 [95% CI 0.30–0.94], p = 0.029). Conclusions In this study, obesity was not associated with unsatisfactory outcomes after ReveL for HV. This challenges the previous recommendation that preoperative weight loss may be necessary for a successful surgical treatment outcome. Males may be informed about potentially higher associations with unfavourable outcomes. Due to the risk of selection bias and lack of causality, findings may need to be confirmed with clinical trials.


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