An alternative method of fixating the Akin osteotomy which accomplishes compression osteosynthesis, maintenance of alignment, early ambulation in a rigid sole postoperative shoe, and the added advantage of early, complete removal of the fixation device without anesthesia is presented.
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Relationship between proximal to distal phalangeal articular angle and Hallux Pronation in Hallux Valgus deformity.
Sci Rep
January 2025
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.
This study aimed to determine whether hallux pronation influences the proximal to distal phalangeal articular angle (PDPAA) and evaluate its relationship with postoperative recurrence. We included 94 hallux valgus (HV) patients who underwent distal chevron metatarsal osteotomy (DCMO) alone (DCMO-only group, n = 15) and DCMO with Akin osteotomy (DCMO + Akin group, n = 79). Preoperative additional toe radiographs were taken under supination stress to position the pronated toe as a true anteroposterior orientation.
View Article and Find Full Text PDFCurrent concepts of fourth-generation minimally invasive and open hallux valgus surgery.
Bone Joint J
January 2025
King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.
Hallux valgus (HV) presents as a common forefoot deformity that causes problems with pain, mobility, footwear, and quality of life. The most common open correction used in the UK is the Scarf and Akin osteotomy, which has good clinical and radiological outcomes and high levels of patient satisfaction when used to treat a varying degrees of deformity. However, there are concerns regarding recurrence rates and long-term outcomes.
View Article and Find Full Text PDFMinimally-invasive Distal Metatarsal Diaphyseal Osteotomy in the Treatment of Plantar Ulcer in the Diabetic Foot: A Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Grupo de Cirurgia do Pé e Tornozelo, Hospital Santa Izabel, Santa Casa de Misericórdia da Bahia, Salvador, BA, Brasil.
The diabetic foot consumes a large number of resources and has a profound negative impact on quality of life, representing the major non-traumatic cause of lower limb amputation in adults. The present report describes a diabetic patient with a recurrent plantar ulcer in the topography of the heads of the second, third, and fourth metatarsals. The patient was treated using the distal metatarsal diaphyseal osteotomy (DMDO) technique in these bones, an Akin-type percutaneous osteotomy in the proximal phalanx of the hallux, and debridement.
View Article and Find Full Text PDFComplication Rates of Minimally Invasive Chevron Osteotomy for Correction of Hallux Abductovalgus: A Systematic Review.
J Am Podiatr Med Assoc
November 2024
†Department of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System, La Crosse, WI.
Background: Recent advancements in minimally invasive surgery for correction of hallux abductovalgus has increased the popularity of this technique. To date, the incidence of complications with this updated technique has not been evaluated.
Methods: The purpose of this systematic review was to determine the incidence of complications of third-generation minimally invasive chevron osteotomy, with or without an Akin osteotomy, for the correction of hallux abductovalgus.
Diagnosis and Treatment Strategies of Meniscus Root Tears: A Scoping Review.
Orthop J Sports Med
November 2024
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Background: Meniscus root tears comprise 10% to 21% of all meniscal tears. These tears alter knee biomechanics, elevating contact pressure, akin to a meniscectomy. Consequently, they are linked to advanced joint degeneration and cartilage damage in the affected compartment.
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