Foot and Ankle Clinics

Management of Primary and Revision Hallux Valgus

June 1, 2014

Hallux valgus is one of the most common conditions we treat as foot and ankle orthopedic surgeons. It can have significant impact on patients’ lives through effects on stance, walking, sporting activity, and ability to fit into footwear

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Treatment of Shortening Following Hallux Valgus Surgery

June 1, 2014

Transfer metatarsalgia is a recognized complication following hallux valgus surgery, usually as a result of shortening of the first metatarsal.

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Minimally Invasive Osteotomies

June 1, 2014

As orthopedic surgery continues to head in the direction of less invasive surgical techniques, this article explores the application and evolution of minimally invasive/percutaneous techniques in the surgical correction of hallux valgus deformities. Modern techniques are described and available literature is reviewed.

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Rotational and Opening Wedge Basal Osteotomies

June 1, 2014

There are more than 150 different procedures described for correction of the hallux valgus deformity, the treatment of which is usually guided by severity. Moderate to severe hallux valgus has traditionally been managed with a shaft or proximal osteotomy together with distal soft-tissue release. Proximal osteotomies can be classified as translation or rotational

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Pediatric Hallux Valgus

June 1, 2014

Hallux valgus in children is a relatively uncommon deformity, also known by several other names such as juvenile or adolescent bunion, metatarsus primus varus, and metatarsus primus adductus. The presence of an open growth plate is considered by most to be part of the definition of this condition.

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Transfer Metatarsalgia Post Hallux Valgus Surgery

June 1, 2014

Metatarsalgia, pain around the metatarsophalangeal joints, may arise from mechanical causes spontaneously or iatrogenically. Nonunion or malunion of the first metatarsal can transfer weight-bearing forces and overload the lesser metatarsals.

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Recurrence of Hallux Valgus: A Review

March 31, 2014

Recurrence of hallux valgus deformity can be a common complication after corrective surgery. The cause of recurrent hallux valgus is usually multifactorial, and includes patient-related factors such as preoperative anatomic predisposition, medical comorbidities, compliance with postcorrection instructions, and surgical factors such as choice of the appropriate procedure and technical competency. For a successful outcome, this cause must be ascertained preoperatively

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Scarf Osteotomy

March 24, 2014

The term scarf osteotomy was first used by Weil when presenting his results from more than 1000 cases. Scarf is a carpentry term describing beveling the ends of 2 pieces of wood and securely fastening them so that they overlap to create one continuous piece

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Correction of Moderate and Severe Hallux Valgus Deformity with a Distal Metatarsal Osteotomy Using an Intramedullary Plate

March 24, 2014

More than 200 surgeries have been described for hallux valgus correction.

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The Modified Lapidus Fusion

March 24, 2014

Due to its proximal correction site and long lever arm, the Lapidus fusion, modified or not, is a powerful technique to correct hallux valgus deformities. The disadvantages are a high complication rate and a long postoperative rehabilitation period. It is only performed in 5% to 10% of all hallux valgus deformity corrections but remains, however, an important procedure, especially in moderate to severe deformities with intermetatarsal angles more than 14°, hypermobility of the first ray, arthritis of the first tarsometatarsal joint, and recurrent deformities.

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