983 results match your criteria: "Bunion"
Proximal Supination Osteotomy for Hallux Valgus: Comparison of Clinical and Radiologic Outcomes for the Most Severe Deformities.
Foot Ankle Int
February 2024
Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan.
Background: There is little available information regarding the difference in outcomes between severe hallux valgus (S-HV), defined as 40 degrees ≤ hallux valgus angle (HVA) < 50 degrees, and what we consider to be "super-severe HV" (SS-HV), defined as >50 degrees, following a proximal metatarsal osteotomy. We aimed to retrospectively compare the outcomes of a proximal metatarsal osteotomy in S- and SS-HV.
Methods: The series consisted of 57 female patients (57 feet) treated with a proximal supination osteotomy for symptomatic S- and SS-HV (33 and 24 feet, respectively).
Radiological Analysis of the Syndesmosis Concept in Metatarsus Primus Varus and Hallux Valgus Deformities Recurrence Prevention.
J Foot Ankle Surg
February 2024
Department of Statistics & Actuarial Science, University of Hong Kong, Hong Kong, China.
Article Synopsis
- Hallux valgus (HV) is a common foot deformity that often recurs post-surgery, largely due to the underlying metatarsus primus varus (MPV) deformity, which this study aimed to address.
- The study evaluated a syndesmosis procedure using cerclage sutures to realign the first metatarsal and establish a biological bond between metatarsals, assessing its long-term effectiveness over an average follow-up of 100.5 months.
- Results showed significant correction in the intermetatarsal angle (IMA) and hallux valgus angle (HVA), confirming that the MPV deformity can be corrected without osteotomies, though HV corrections were less
Arthrodesis of the first metatarsophalangeal joint for severe hallux valgus in adolescents with cerebral palsy: A retrospective comparison study of three surgical techniques.
J Child Orthop
December 2023
The Royal Children's Hospital Melbourne, Parkville, VIC, Australia.
Purpose: We compared the outcomes of arthrodesis of the first metatarsophalangeal joint for severe hallux valgus in 31 adolescents with cerebral palsy, using three different methods of fixation: K-wires, non-locking plates, and locking plates.
Methods: Clinical outcomes included time to weight-bearing, fusion rates and surgical complications. Radiographic assessment included comparing pre- and post-operative hallux valgus angles, intermetatarsal angles, interphalangeal angles, and lateral metatarsophalangeal angles.
Correlation Between Traditional Anteroposterior Radiographic Measurements With Lateral Radiographic Measurements Following Triplanar Correction of Hallux Valgus and With Patient-Reported Outcomes From a Prospective Multicenter Trial.
J Foot Ankle Surg
February 2024
University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:
Hallux valgus (HV) is a common condition in which the first ray is deformed, leading to pain and altered joint mechanics. A variety of radiographic measurements are used to evaluate HV. Little is known about measurements used in the assessment of HV on lateral radiographs compared to anteroposterior (AP) radiographs.
View Article and Find Full Text PDFThe Lapidus Bunionectomy Revolution: Current Concepts and Considerations.
Clin Podiatr Med Surg
January 2024
Kaiser San Francisco Bay Area Foot & Ankle Residency Program, Kaiser Oakland Foundation Hospital, Oakland, CA, USA; Foot & Ankle Surgery, Orthopedics and Podiatry Department, Kaiser Antioch, 4501 Sand Creek Road, Antioch, CA 94531, USA.
Article Synopsis
- Hallux valgus is a common foot deformity that has led to the development of various surgical techniques, including the modified Lapidus bunionectomy, which builds on Paul Lapidus's original midfoot arthrodesis method.
- Understanding the complex nature of hallux valgus is ongoing, assisting in finding better surgical solutions that aim for consistent results and fewer complications.
- Many fixation methods have been tested for the Lapidus bunionectomy, but no single technique has proven to be the best, and research supports early weight-bearing post-surgery with all methods.
What Do Patients Report Regarding Their Real-World Function Following Concurrent Arthrodesis of the First Tarsometatarsal and First Metatarsophalangeal Joints.
J Foot Ankle Surg
February 2024
Department of Podiatry, Jefferson City Medical Group, Jefferson City, MO.
Article Synopsis
- * Results showed that 96.6% of patients could walk normally and reported successful outcomes with no pain, with most returning to unrestricted activities by about 105 days post-surgery.
- * The procedure had a low complication rate, with only one nonunion case, indicating that double first-ray arthrodesis is effective for pain relief and restoring daily activities.
Changes in Radiographic Alignment Following Metatarsophalangeal Fusion, Distal Metatarsal Osteotomy, and Lapidus.
Foot Ankle Spec
October 2023
Department of Orthopaedics & Physical Medicine, Medical University of South Carolina, Charleston, South Carolina.
Article Synopsis
- The study aimed to assess how different surgical treatments for hallux valgus (bunion) affect x-ray measurements of bunion correction, involving 110 patients over an average follow-up of 1.2 years.* -
- Three types of procedures were analyzed: first metatarsophalangeal (MTP) arthrodesis, Chevron/Scarf osteotomies, and Lapidus bunionectomy, with significant preoperative differences in hallux valgus angles between groups.* -
- The results indicated that while Lapidus had the lowest correction of a specific angle (DMAA) at follow-ups, there were no significant differences in infection rates or need for reoperations across the different surgical methods.*
Hallux Valgus: The Influence of Intersesamoid Crista's Osteoarthritis on Frontal Plane Pronation.
J Foot Ankle Surg
February 2024
Foot and Ankle Unit, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain; Department of Orthopaedics, Clinica del Remei, Barcelona, Spain.
A frontal plane metatarsal rotational (pronation) has been documented in a high percentage of hallux valgus patients. Pathoanatomical concepts leading to pronation are still debated. Nevertheless, there is no consensus on how to measure this component of the deformity.
View Article and Find Full Text PDFRadiographic and Patient-Reported Outcomes of a Low-Cost Modified Lapidus Bunion Correction Technique.
Foot Ankle Orthop
July 2023
University of North Carolina System, Chapel Hill, NC, USA.
Article Synopsis
- The modified Lapidus (ML) procedure is an effective surgical method for treating hallux valgus (HV), but there is limited data on patient outcomes, complications, and costs related to this technique.
- A study involving 73 patients analyzed postoperative outcomes, complications, and radiographic improvements after ML surgery, revealing issues like wound problems and painful hardware in a small percentage of cases.
- Radiographic measurements showed significant improvement after surgery, and patient-reported function scores (PROMIS-PF) initially decreased post-operation but increased over time, highlighting the procedure's potential benefits despite some early complications.
Insights Into Patients Questions Over Bunion Treatments: A Google Study.
Foot Ankle Orthop
July 2023
Office of Medical Student Research, Oklahoma State University Center for Health Sciences, Tulsa, OK, USA.
Background: Approximately 1 in 4 adults will develop hallux valgus (HV). Up to 80% of adult Internet users reference online sources for health-related information. Overall, with the high prevalence of HV combined with the numerous treatment options, we believe patients are likely turning to Internet search engines for questions relevant to HV.
View Article and Find Full Text PDFEffect of Scarf and Chevron combined with Akin on postoperative balance in patients with moderate to severe foot bunion.
Eur Rev Med Pharmacol Sci
September 2023
Hand and Foot Surgery, Beijing University of Chinese Medicine Third Affiliated Hospital Beijing, China.
Objective: The aim of this study was to analyze the effect of Scarf and Chevron combined with Akin on a postoperative balance of patients with moderate to severe foot bunion.
Patients And Methods: One hundred (100 feet) patients with moderate to severe bunion cysts treated at our hospital from January 2019 to January 2022 were retrospectively selected as subjects and divided into 2 groups according to their surgical procedure. The control group received Scarf combined with Akin, and the study group received Chevron combined with Akin.
The Ageing Foot.
Int J Low Extrem Wounds
September 2023
Diabetes Centre-Diabetic Foot Clinic, Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece.
Article Synopsis
- Feet experience significant stress over a lifetime, leading to issues like dry skin, calluses, and infections, as well as degenerative conditions affecting ligaments and tendons.* -
- Age-related foot problems can lead to deformities such as bunions, hammer toes, and stress fractures, which may decrease overall quality of life.* -
- The review emphasizes the importance of prevention, foot care, and prompt treatment in maintaining foot health, which is crucial for overall well-being and mobility in older adults.*
Lived experience of people with painful hallux valgus: A descriptive qualitative study.
Musculoskeletal Care
December 2023
Staying Well and Hospital Without Walls Program, Northern Health, Epping, Victoria, Australia.
Article Synopsis
- * Ten participants aged 26-72 were interviewed, revealing themes around the impact of hallux valgus, coping mechanisms, causes, health professional support, and the quality of education received.
- * Findings indicate a lack of reliable educational resources and inconsistent health professional support, underscoring the need for better patient-centered care and the development of quality educational materials.
In response to Letter to the Editor on "First metatarsophalangeal arthrodesis outcomes for hallux rigidus versus hallux valgus".
Foot Ankle Surg
December 2023
Department of Orthopaedic Surgery and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas St. Suite 708, MSC 622, Charleston, SC 29425, United States.
Correction of First Metatarsal Pronation in Metaphyseal Extra-articular Transverse Osteotomy for Hallux Valgus Correction.
Foot Ankle Orthop
July 2023
Instituto Vita, São Paulo, Brazil.
Global prevalence and incidence of hallux valgus: a systematic review and meta-analysis.
J Foot Ankle Res
September 2023
The Third Affiliated Hospital of Guangzhou University of Chinese Medicine, NO.261, Longxi Road, Liwan District, Guangzhou, 510378, P. R. China.
Background: Though hallux valgus is a common foot deformity, the integrated information on its global prevalence and incidence is relatively lacking. The aim of this research was to assess the global prevalence and incidence of hallux valgus, thus providing reliable data reference for clinical practice.
Methods: A systematic review of global hallux valgus research publications concerning its prevalence and incidence was performed based on six electronic databases ((PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI), China Online Journals and CQVIP)) from their inception to November 16, 2022.
Evaluate the Influencing Factors of Congruency of the First Metatarsophalangeal Joint in Hallux Valgus Based on Weightbearing CT.
J Foot Ankle Surg
December 2023
Center of Foot and Ankle Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China. Electronic address:
The purpose of this study was to explore the difference between congruency and incongruency of the first metatarsophalangeal (MTP) joint in hallux valgus using weightbearing CT (WBCT) and to identify the risk factors for incongruency. From January 2019 to January 2021, WBCT scans were retrospectively analyzed for 110 (191 feet) consecutive patients. According to whether the metatarsal articular surface and phalanx articular surface were parallel, they were divided into congruency (73 feet) and incongruency groups (118 feet).
View Article and Find Full Text PDFRelationship between medial partite hallux sesamoid and hallux valgus in the general population.
Foot Ankle Surg
December 2023
Department of Preventive Medicine for Locomotive Organ Disorders, 22nd Century Medical & Research Center, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Article Synopsis
- The study examined the potential causal relationship between the medial partite hallux sesamoid (MPHS) and hallux valgus (HV) using data from a diverse group of participants aged 21-95 years.
- Out of 3,994 feet analyzed, 12.7% had MPHS, with notable differences in prevalence between men and women, and a significant decrease in MPHS occurrence with age.
- The findings suggest that while MPHS is associated with an increased HV angle, the relationship is stronger in younger populations, indicating that MPHS may contribute to the development of HV rather than being caused by it, particularly in younger adults.
Finite Element Parametric Design of Hallux Valgus Orthosis Based on Orthogonal Analysis.
Orthop Surg
November 2023
Trauma Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Article Synopsis
- The study focused on designing effective orthoses for hallux valgus by establishing key biomechanical features through a finite element model of the affected foot.
- Data from a patient with moderate hallux valgus was utilized, using 3D foot modeling and an orthogonal test design to evaluate how different force combinations impact bunion angles.
- Results indicated that targeted force application to the first metatarsal significantly improved the angles associated with hallux valgus, offering insights for treatment and orthopedic device design.
Republication of "Treatment of Hallux Valgus Deformity Using a Suture Button Device: A Preliminary Report".
Foot Ankle Orthop
July 2023
Harvard Medical School, Boston, MA, USA.
Background: Hallux valgus (HV) is commonly treated with proximal or distal first metatarsal osteotomy. Despite good correction, these procedures have inherent risks such as malunion, nonunion, metatarsal shortening, loss of fixation, and avascular necrosis. Suture button fixation has been used for HV treatment.
View Article and Find Full Text PDFA Systematic Review and Meta-Analysis of the Prevalence of Hallux Valgus in the General Population.
Cureus
July 2023
Department of Surgery, Unaizah College of Medicine and Medical Sciences, Qassim University, Buraydah, SAU.
The objective of this systematic review was to determine the prevalence of hallux valgus (HV) in the general population by conducting a review and meta-analysis of existing studies. Published articles on the incidence of HV were systematically searched and evaluated on reputable medical databases such as PubMed. The keywords "the prevalence of hallux valgus and/or bunions"were used to create the search syntax on the various databases.
View Article and Find Full Text PDFExploring the Relationship Between Clinical Presentation in Hallux Valgus and Response to AbobotulinumtoxinA Treatment-A Closer Look.
J Foot Ankle Surg
November 2023
Private Practice/California Foot & Ankle Associates, San Clemente, CA. Electronic address:
Letter to the Editor on "What Do Patients Report Regarding Their Real-World Function Following Triplane Metatarsophalangeal Joint Arthrodesis for Hallux Valgus?".
J Foot Ankle Surg
November 2023
Department of Musculoskeletal Disorder, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy; Centre for Sports and Exercise Medicine, Queen Mary University of London, London, UK; School of Pharmacy and Bioengineering, Keele University School of Medicine, Staffordshire, UK.
"I Want My Bunion Back" 10 Years Later in the Era of Patient-Reported Outcomes.
J Foot Ankle Surg
November 2023
Clinical Professor, School of Podiatric Medicine, University of Texas Rio Grande Valley, Harlingen, TX. Electronic address:
Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery.
J Foot Ankle Surg
December 2023
International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD; Division of Podiatry, Northwest Hospital, Randallstown, MD; Division of Podiatry, Sinai Hospital, Baltimore, MD. Electronic address:
Minimally invasive surgery (MIS) has gained popularity for hallux valgus correction in the adult population. The advantage of reproducibility of this procedure can aid in lower operating room costs, quicker recovery, and fewer complications. The purpose of this retrospective study was to compare preoperative versus postoperative foot widths in patients that underwent MIS hallux valgus correction.
View Article and Find Full Text PDF