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J Foot Ankle Surg
January 2025
Department of Trauma and Orthopaedic Surgery, Tallaght University Hospital, Dublin, Ireland.
First metatarsophalangeal joint (MTPJ) fusion an effective surgical intervention for conditions such as hallux valgus and hallux rigidus. This systematic review and meta-analysis aims to compare safety and efficacy of crossed screws versus plating supplemented with an interfragmentary screw. A literature search of the Scopus, Embase, Web of Science, and MEDLINE databases was performed to identify all studies directly comparing the two techniques.
View Article and Find Full Text PDFJ Foot Ankle Surg
January 2025
Orthopedic Surgery and Traumatology Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
This study describes the results of first metatarsal (M1) distal osteotomy with an intramedullary locking plate in persistent/recurrent painful hallux valgus (HV) deformity (without advanced degenerative changes) after primary surgery. Outcomes included postoperative incidences of HV angle (HVA)<16°, intermetatarsal angle (IMA)<9°, proximal articular set angle (PASA)<10°, and the American Orthopedic Foot and Ankle Society (AOFAS) score. Data normality was assessed with the Shapiro-Wilk test, and preoperative vs.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Hwaseong 18450, Republic of Korea.
: Hallux valgus is a prevalent foot deformity conventionally treated with open surgical techniques, which carry risk of complications due to extensive soft tissue dissection. Minimally invasive surgeries (MISs) as alternatives offer comparable outcomes, reduced pain, and faster recovery; however, their challenges include the risk of shortening of the first metatarsal. This study aimed to assess the efficacy of our modified MIS hallux valgus correction technique and investigate the factors that affect first metatarsal shortening.
View Article and Find Full Text PDFJ Foot Ankle Surg
December 2024
Orthopedic Foot and Ankle Center, 350 W. Wilson Bridge Rd, Ste. 200, Worthington, OH 43085, USA. Electronic address:
Many fixation options exist for correction of a hallux valgus deformity with a first tarsometatarsal joint arthrodesis with pros and cons to each. Few have looked at utilizing a shape memory alloy staple made from nitinol for fixation. This study evaluates the effectiveness of a modified Lapidus technique using a nitinol (shape memory alloy) staple combined with a two-screw construct for first tarsometatarsal joint arthrodesis in correcting hallux valgus deformity.
View Article and Find Full Text PDFComput Biol Med
February 2025
Linyi People's Hospital Health and Medical Big Data Center, Linyi City, Shandong Province, Linyi, 276034, Linyi, China; Linyi City People's Hospital, Linyi People's Hospital of Shandong Province, Linyi, 276034, Linyi, China. Electronic address:
Background: This work developed an interpretable deep learning model to automatically annotate landmarks and calculate the hallux valgus angle (HVA) and the intermetatarsal angle (IMA), reducing the time and error of manual calculations by medical experts and improving the efficiency and accuracy of hallux valgus (HV) diagnosis.
Methods: A total of 2,000 foot X-ray images were manually labeled with 12 landmarks by two surgical specialists as training data for the deep learning model. The important parts of the foot X-ray images centered on the proximal phalanx of the bunion (PH1), the first metatarsal (MT1), and the second metatarsal (MT2) were segmented using the proposed AG-UNet in the study.
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