Intermetatarsal compression neuritis can be a disabling condition. Individuals who don't respond well to initial treatments are left with persistent pain and frustration. The conservative approach to the treatment of neuromas includes shoe modifications, padding, orthotics, cortisone injections, and serial alcohol sclerosing injections. When a person has failed conservative treatment for a forefoot neuroma, surgery can be considered to alleviate pain and treat the condition. This article describes several different surgical approaches such as neurectomy, carbon dioxide laser, and neurolysis. Results to date show that decompression is similar to neurectomy surgery, if not more successful.
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Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation.
Foot Ankle Orthop
July 2024
la Clinique du Pied, Lausanne, Switzerland.
Background: Arthrodesis of the first metatarsophalangeal joint is an effective treatment of advanced hallux rigidus. Numerous options have been described for performing this intervention. The aim of this study was to evaluate the outcomes following a consistent surgical technique of joint preparation with hand tools and fixation with 2 crossed screws and a dorsal compression plate.
View Article and Find Full Text PDFFirst cuneo-metatarsal arthrodesis (Modified Lapidus) with plantar plate for the treatment of hallux valgus: clinical and radiological outcomes at one year follow-up.
Orthop Traumatol Surg Res
December 2024
Service de Chirurgie Orthopédique et Traumatologique, Hôpital Trousseau, CHRU de Tours, Avenue de la République, 37170 Chambray-lès-Tours, France; Centre de la Cheville et du Pied, Clinique Saint Léonard, 49800 Trélazé, France.
Article Synopsis
- - The modified Lapidus arthrodesis is an effective surgical technique for treating moderate to severe hallux valgus deformities, focusing on first tarsometatarsal joint hypermobility and enabling immediate weight-bearing post-surgery.
- - A study involving 66 patients found a 98.75% success rate for bone union after the procedure, with some minor complications such as one non-union case and two wound issues.
- - Significant improvements in foot alignment were noted, with reductions in hallux valgus angle and intermetatarsal angle, indicating that this surgical method, when performed with a plantar plate and compression screw, is both reliable and beneficial for patients.
Comparison of the outcomes of first metatarsophalangeal joint arthrodesis by locking plate and compression screw in patients with severe hallux valgus or hallux valgus revision.
Orthop Traumatol Surg Res
December 2024
Université de Reims Champagne-Ardenne, France; Service de Chirurgie Orthopédique et Traumatologique, Hôpital Maison Blanche, Centre Hospitalo-Universitaire de Reims, France. Electronic address:
Introduction: Arthrodesis of the first metatarsophalangeal joint (MTP1) is indicated for hallux rigidus, septic arthritis, severe hallux valgus (HV) or HV revision. Few studies have compared the functional and radiographic outcomes between indications. The goal of this study was to compare the results of MTP1 arthrodesis in patients with severe HV or HV revision at 6 months postoperative.
View Article and Find Full Text PDFMidterm outcomes of the modified Lapidus arthrodesis using the Phantom® Intramedullary Nail System for the treatment of hallux valgus.
Foot Ankle Surg
October 2024
Cologne Foot and Ankle Surgery Center / Fußzentrum Köln. Vorgebirgstraße 118, 50969 Cologne, Germany.
Background: Lapidus arthrodesis is one of the most commonly used techniques in the correction of moderate and severe hallux valgus. We analyzed the clinical and radiological outcomes after using the Phantom® Lapidus intramedullary nail to find an effective technique with low complications.
Methods: We retrospectively analyzed data of 52 patients who underwent a modified Lapidus arthrodesis with an intramedullary nail at our center from November 2019 to September 2022.
Background: First metatarsophalangeal joint arthrodesis with isolated dorsal plating without a lag screw and without a compressive mechanism incorporated into the plate is not well studied. Although surface area for bony fusion is increased, there is concern for lower fusion rates and progressive loss of sagittal plane positioning. We present fusion rates and progressive sagittal plane deviation with isolated dorsal plate fixation.
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