Traumatic HalluxVarus Treated by Minimally Invasive Extensor Hallucis Brevis Tenodesis A case of traumatic halluxvarus due to avulsion fracture of the lateral side of the base of proximal phalanx was reported. The lateral instability of the first metatarsophalangeal joint was believed to be due to the disruption of adductor hallucis function. It was successfully managed by minimally invasive
Radiographic Results After Hallux Metatarsophalangeal Joint Arthrodesis for HalluxVarus. Hallux metatarsophalangeal (MP) joint arthrodesis for halluxvarus is generally reserved for severe deformity, failed surgery or the development of osteoarthritis. The purpose of this study was to determine the radiologic results of arthrodesis of the hallux MP joint following treatment for halluxvarus . Our hypothesis was that in the process of correcting the hallux valgus angle, the 1-2 intermetatarsal angle (1-2 IMA) and hallux valgus angle (HVA) will be improved due to correction of the deforming forces. A retrospective review was performed on 26 patients with 29 feet that had symptomatic halluxvarus deformities treated with arthrodesis of the hallux MP joint between September 1, 2002
Post-traumatic dynamic halluxvarus instability Acquired halluxvarus secondary to traumatic disruption of the lateral joint structures of the 1st MTPJ is uncommon and has only been reported in the literature once previously.(4) We present a case of traumatic halluxvarus that is unique since the deformity is dynamic in nature. In our patient the hallux remained reduced on standing weight bearing
with the TSO group (92.3 ± 3.3 and 87.7 ± 8.7 points) ( < .05). Additionally, halluxvarus occurred in 1 case in the DNSO group, whereas 4 cases were observed in the TSO group. Two osteotomy methods can effectively correct moderate to severe hallux valgus deformity. Compared with the TSO, the DNSO has stronger correction ability. The most crucial aspect lies in its controllability when correcting first
Long Hallucal Tendon Force Vectors and First Metatarsophalangeal Deformity After Hallux Valgus Surgery. Recurrence is one of the most common complications following hallux valgus surgery. Moreover, halluxvarus occurs in cases of overcorrection. We aimed to quantitatively measure, using radiographic examination, the dynamics of the soft tissues that act on deformities (recurrence of valgus association with recurrence. We observed a significant difference in the DFA between patients with and without hallux valgus recurrence ( < .001) and between those with and without halluxvarus ( < .001) based on standing radiographs taken at a minimum of 6 months postoperation. For predicting the deformities, the areas under the curve were 0.863 (hallux valgus recurrence) and 0.831 (halluxvarus occurrence
& Ankle Society ankle-hindfoot scale scores improved from 47.3 (SD 16.5) to 87 (SD 11.6) ( < .001) and visual analog scale scores from 5 (2.7) to 0.9 (1.3) ( < .001). The satisfaction rate was 97% in the total sample. Recurrence rate (HVA ≥20 degrees) was 7.7%. Halluxvarus (HVA <0 degrees) occurred in 5.8%, acute osteomyelitis in 1.3%, partial avascular necrosis in 0.6%, screw removal in 0.6 %, and reoperation in 1.9%. No nonunion was observed. Clinical and radiographic parameters improved significantly, with a minimum of 12 months of follow-up in moderate and severe hallux valgus. Long experience in percutaneous surgery and specific instruments are needed for this technique. Recurrence was linked to preoperative HVA ≥40 degrees and postoperative tibial sesamoid position; Halluxvarus was linked
measured during those time-points. A total of 51 participants completed the study, 29 in the control group and 22 in the early weight-bearing group. 1 patient form the early weight-bearing group was complicated with halluxvarus requiring revision surgery. All the patients had significantly improved radiological angles and foot function in both the control and early weight-bearing group. At the 12-week
in terms of other data. Postoperative halluxvarus was observed 1 one patient in Group 2; however, this case was not statistically significant.In the distal chevron osteotomy and distal soft-tissue procedure combination, applied as a HV correction surgery technique, comparing inverted L-type capsulorrhaphy with longitudinal capsulorrhaphy techniques, it was observed that inverted L-type capsulorrhaphy was more effective in correcting the HVA. However, it should be kept in mind that L-type capsulorrhaphy is also the technique wherein halluxvarus complication occurred. As a result, the conclusion was reached that both techniques are applicable and effective in HV correction surgery and the choice should be made by considering the command of the surgeon on the technique.
in the DMO group (p < 0.001). One of the 30 ft (3.3%) in the DMO group exhibited transfer metatarsalgia at 12 months postoperatively, while another foot (3.3%) in same group had avascular necrosis of the metatarsal head. One of the 30 ft (3.1%) in the RSO group had halluxvarus. No differences in the clinical and radiographic results were observed between the two groups with severe HV and an increased DMAA
AOFAS MTP-IP hallux score averaged 88.1 points. Overall, 10 complications were observed: halluxvarus (3 feet), hallux valgus recurrence (3 feet), nonunion (1 foot), loss of fixation (1 foot), and wound infection (2 feet). Proximal opening wedge first metatarsal osteotomy with distal chevron osteotomy provided powerful correction of each component of moderate to severe hallux valgus but had
Achilles tendon, a halluxvarus, a narrow heel, heel expansion along the posterior direction, and a lower arch compared to smaller shoe size. Sex was found to be associated with differences in ankle width, Achilles tendon width, and heel width. Frequency of sport activity was associated with Achilles tendon width and toe height. A detailed analysis of the 3D foot shape, allowed by geometric morphometrics