| Titre : | Foot and Ankle Clinics, Vol. 25, n° 1 - Mars 2020 - Current Controversies in the Approach to Complex Hallux Valgus Deformity Correction |
| Type de document : | Bulletin : Périodique |
| Paru le : | 01/03/2020 |
| Année de publication : | 2020 |
| Langues: | Français |
| Disponible en ligne : | Non |
Dépouillements
Article
- Decision over the best surgical procedure to treat severe and “abnormal” bunions has always been a matter of huge debate. The presence of a hypermobility as a contributive factor to the equation is still undetermined.
- There is still not e[...]
Article
- Health care costs are on the increase; however, funding is not increasing at a commensurate rate. Therefore demonstrable cost-effectiveness is critical when selecting operation and implant type.
- Cost-effectiveness analysis (CEA) in hallux[...]
Article
- Weightbearing conventional radiographs provide limited, sectorized, and biased information regarding the complex and 3-dimensional nature of hallux valgus (HV) deformity, leading to potential misinterpretation and poor understanding.
- Cone[...]
Article
- Hallux valgus correction, including bilateral cases, is trending toward outpatient surgery. Multimodal anesthesia/analgesia facilitates this goal, maximizing pain control and minimizing unwanted side effects.
- This approach includes locore[...]
Article
- Metatarsus adductus is a common clinical entity that can increase the risk of developing hallux valgus and risk of recurrence following treatment.
- Multiple radiographic methods exist to evaluate for metatarsus adductus, with the Sgarlato [...]
Article
- Hallux valgus is a multiplanar deformity. It is not just a metatarsus varus–hallux valgus deformity. In most patients (90%) there is also a coronal malalignment, namely metatarsal internal rotation/pronation.
- Known hallux valgus relapse f[...]
Article
- Available data suggest that 3G represents the evolution of MIS or percutaneous surgery.
- Stable fixation of 3G osteotomy allows early full weight bearing and mobilization of the first metatarsophalangeal joint.
- Currently higher qualit[...]
Article
- The correction of all components of a hallux valgus deformity is of paramount importance for treatment success.
- Reliable fixation is very important for maintaining surgical corrections.
- Advances in internal fixation are a major facto[...]
Article
- The Lapidus procedures have been widely used in treating many forefoot and midfoot deformities associated with first tarsometatarsal joint dysfunction, including primary hallux valgus, recurrent hallux valgus, metatarsal adductus, lesser metat[...]
Article
- Hallux valgus is a triplane deformity and all planes should be understood and corrected for a good result.
- Preoperative evaluation is essential to determine the parameters to be corrected.
- Intraoperative fluoroscopy and perioperative[...]
Article
- It is important to set patient expectations prior to hallux valgus correction surgery.
- Postoperative pain management is achieved with a multimodal approach using regional blocks, minimal narcotics, nonsteroidal anti-inflammatory drugs, an[...]
Article
- Complications following hallux valgus (HV) reconstruction will have an expected incidence of between 10% and 55% of cases.
- The more commonly reported complications include undercorrection/recurrence, overcorrection (hallux varus), transfe[...]
Article
- Metatarsal head avascular necrosis (AVN) can be effectively prevented avoiding extensive plantar bone stripping of the metatarsal neck. Also when a distal chevron osteotomy is performed, the plantar cut should finish well proximal to the capsu[...]
