Publications by authors named "Paolo Ronconi"
Introduction: The plantar plate, also called the plantar ligament, is a fibrocartilaginous structure found in the metatarsophalangeal (MTP) and interphalangeal (IP) joints. Our study aimed to evaluate the role of magnetic resonance imaging (MRI) performed with the patient in the standard position or with joint hyperextension (the "stress test", ST) in the study of plantar plate (PP) disease that involves metatarsophalangeal joints.
Materials And Methods: All patients underwent forefoot MRI (Atroscan C, Esaote, Genoa, Italy), operating at 0.
Background: In a retrospective study, we evaluated the effect of the addition of a decompressive osteotomy to hemiarthroplasty of the great toe in terms of clinical and radiographic outcomes.
Material And Methods: Twenty-one consecutive patients affected by Grade III hallux rigidus underwent distal oblique osteotomy of the first metatarsal and hemiarthroplasty of the hallux metatarsophalageal joint. Clinical evaluation included the American Orthopaedic Foot and Ankle Society scoring system (AOFAS) and the Short Form 36 questionnaire (SF-36), preoperatively and at followup visits.
Osteonecrosis of the first metatarsal head after distal metatarsal osteotomy is a rare condition. Latter stages with complete destruction of the metatarsophalangeal joint often required arthrodesis in order to relieve pain and improve function. We present a case of a 50-years old woman who developed osteonecrosis of the first metatarsal head after distal chevron osteotomy which was successfully treated with hemiarthroplasty of the proximal phalanx.
View Article and Find Full Text PDFA new device for performing triplanar distal osteotomy for hallux valgus.
J Am Podiatr Med Assoc
February 2010
Triplanar distal osteotomy is a safe procedure for mild-to-moderate hallux valgus deformity. It allows shortening and plantar displacement of the first metatarsal while correcting the intermetatarsal angle. However, complications such as dorsiflexion and excessive shortening of the first metatarsal have been associated with distal osteotomy.
View Article and Find Full Text PDFComparison of plantar pressure, clinical, and radiographic changes of the forefoot after biplanar Austin osteotomy and triplanar Boc osteotomy in patients with mild hallux valgus.
Foot Ankle Int
August 2008
Article Synopsis
- Boc's modification of the Austin procedure is a surgical technique designed to address issues with the first metatarsal by shortening and lifting it, along with shifting its position.
- In a study comparing clinical outcomes of 30 patients each from Austin and Boc procedures after around 37 months, the Boc group reported a better average recovery score and improved weight distribution across the metatarsal heads.
- The results suggest that the Boc osteotomy may lead to more natural loading of the forefoot, ultimately reducing the likelihood of painful calluses compared to the Austin procedure.