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Hallux Valgus (Subscribe)
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Interventions for treating hallux valgus and bunions Cochrane
Cochrane Review Ferrari J, Higgins JPT, Prior TD
Summary: There is no strong evidence of benefit from orthoses and splints for deviated big toes, but surgery may be helpful
Summary: There is no strong evidence of benefit from orthoses and splints for deviated big toes, but surgery may be helpful
Lapidus Procedure Wheeless
Wheeless' Textbook of Orthopaedics
Lapidus procedure is indicated for w/ severe hallux valgus deformity + a hypermobile 1st ray;
- procedure involves: arthrodesis of metatarsalcuneiform joint
- note that shortening of metatarsal will occur if large biplanar wedge is resected from the joint;
- therefore, minimal cartilage resection is optimal technique;
- incidence of pseudoarthrosis is approximately 15%;
Lapidus procedure is indicated for w/ severe hallux valgus deformity + a hypermobile 1st ray;
- procedure involves: arthrodesis of metatarsalcuneiform joint
- note that shortening of metatarsal will occur if large biplanar wedge is resected from the joint;
- therefore, minimal cartilage resection is optimal technique;
- incidence of pseudoarthrosis is approximately 15%;
McBride Procedure Wheeless
Wheeless' Textbook of Orthopaedics
Modified McBride Procedure for Hallux Valgus
modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially;
- this procedure was modified to retain the lateral sesamoid, which helps to prevent hallux varus (which as common w/ original Mcbride bunionectomy);
Modified McBride Procedure for Hallux Valgus
modified procedure includes release of adductor hallucis, transverse metatarsal ligament, and lateral capsule combined w/ excision of medial eminence and plication of the capsule medially;
- this procedure was modified to retain the lateral sesamoid, which helps to prevent hallux varus (which as common w/ original Mcbride bunionectomy);
Mitchell Bunion Procedure Wheeless
Wheeless' Textbook of Orthopaedics
this a distal "Step Cut" metatarsal osteotomy that displaces metatarsal head laterally in order to correct hallux valgus deformity and metatasus adductus;
- Mitchell procedure (Mitchell Osteotomy) is carried out more proximally than Chevron Osteotomy, & can correct more severe deformities than Chevron;
- this procedure is applicable to moderate to severe deformities of intermetatarsal angle and hallux valgus;
this a distal "Step Cut" metatarsal osteotomy that displaces metatarsal head laterally in order to correct hallux valgus deformity and metatasus adductus;
- Mitchell procedure (Mitchell Osteotomy) is carried out more proximally than Chevron Osteotomy, & can correct more severe deformities than Chevron;
- this procedure is applicable to moderate to severe deformities of intermetatarsal angle and hallux valgus;
Normal versus pathologic anatomy of Hallux Abducto Valgus Curtin
Author: Ben Trewben
CONTENTS
INTRODUCTION
THE NORMAL FOOT
1ST MPJ BALL-AND-SOCKET JOINT AND THE NORMAL FOOT
THE SESAMOIDS AND THE NORMAL FOOT
SUPPORT STRUCTURES OF THE FIRST MPJ OF THE NORMAL FOOT
ANATOMY OF HAV
1ST MPJ BALL-AND-SOCKET JOINT IN HAV
THE SESAMOIDS IN HAV
SUPPORT STRUCTURES OF THE 1st MPJ IN HAV
DISCUSSION
REFERENCES
CONTENTS
INTRODUCTION
THE NORMAL FOOT
1ST MPJ BALL-AND-SOCKET JOINT AND THE NORMAL FOOT
THE SESAMOIDS AND THE NORMAL FOOT
SUPPORT STRUCTURES OF THE FIRST MPJ OF THE NORMAL FOOT
ANATOMY OF HAV
1ST MPJ BALL-AND-SOCKET JOINT IN HAV
THE SESAMOIDS IN HAV
SUPPORT STRUCTURES OF THE 1st MPJ IN HAV
DISCUSSION
REFERENCES
Proximal Osteotomy for Bunion Surgery Medscape
Report of papers presented at AOFAS Specialty day meeting 2001
Radiographic Evaluation of Hallux Valgus
Radiographic Evaluation of Hallux Valgus
Hallux valgus is a common foot disorder of several etiologies, which can lead to significant foot pain and deformity. Little has been published in the radiographic literature about the pre- and postoperative radiographic findings of this very common and very treatable cause of foot pain.
Hallux valgus is a common foot disorder of several etiologies, which can lead to significant foot pain and deformity. Little has been published in the radiographic literature about the pre- and postoperative radiographic findings of this very common and very treatable cause of foot pain.
Surgery vs Orthosis vs Watchful Waiting for Hallux Valgus JAMA
A Randomized Controlled Trial
Markus Torkki, MD; Antti Malmivaara, MD,PhD; Seppo Seitsalo, MD,PhD; Veijo Hoikka, MD,PhD; Pekka Laippala, PhD; Pekka Paavolainen, MD,PhD JAMA. 2001;285:2474-2480.
Conclusions Surgical osteotomy is an effective treatment for painful hallux valgus. Orthoses provide short-term symptomatic relief.
Markus Torkki, MD; Antti Malmivaara, MD,PhD; Seppo Seitsalo, MD,PhD; Veijo Hoikka, MD,PhD; Pekka Laippala, PhD; Pekka Paavolainen, MD,PhD JAMA. 2001;285:2474-2480.
Conclusions Surgical osteotomy is an effective treatment for painful hallux valgus. Orthoses provide short-term symptomatic relief.
Textbook of Hallux Valgus andForefoot Surgery OCPM
Editor Vincent J. Hetherington, D.P.M., M.S., Dip.A.B.P.S., F.A.C.F.A.S.
Vice President and Dean for Academic Affairs
Professor and Former Chairman
Department of Surgery
Ohio College of Podiatric Medicine
Cleveland, Ohio
