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First metatarsal osteotomy with an intramedullary locking plate is a good alternative for the reintervention of recurrent hallux valgus.
J 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 PDFResults of Modified Minimally Invasive Hallux Valgus Surgery, Factors for the First Metatarsal Shortening, and Patients' Satisfaction.
J 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 PDFModified Lapidus procedure with a nitinol staple and two screw construct technique.
J 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 PDFPercutaneous Surgery for Tailor's Bunion: A Comparative Study.
Rev Bras Ortop (Sao Paulo)
October 2024
Serviço de Ortopedia e Traumatologia, Hospital Municipal Universitário de Taubaté, Taubaté, SP, Brasil.
To analyze and compare the clinical and radiographic outcomes of bunionette correction using two percutaneous surgical techniques: the Sponsel technique and the medial wedge osteotomy of the distal metaphysis. The results were evaluated individually and comparatively using the American Orthopaedic Foot and Ankle Society's Lesser Metatarsophalangeal-Interphalangeal Scale (AOFAS), Visual Analog Scale (VAS) for pain assessment, and radiographic measurements of the intermetatarsal angle IV-V (AIM4-5) and metatarsophalangeal angle of the fifth ray (AMF-5). This was a retrospective study conducted from May 2011 to February 2022.
View Article and Find Full Text PDFRadiographic and Clinical Outcomes of First Tarsometatarsal Joint Arthrodesis With a Biplanar Locking Plate System Versus the Modified Lapidus Technique With Crossed-Screw Fixation: A Retrospective Multicenter Comparison.
HSS J
October 2024
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
: Hallux valgus (HV) is recognized as a triplanar deformity. A biplanar locking plate (BLP) system corrects this deformity through first tarsometatarsal joint (TMTJ) arthrodesis, with specialized reduction tools and cutting guides. Yet the optimal surgical technique and fixation construct for first TMTJ arthrodesis remains controversial.
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