Metatarsus primus varus deformity correction
is one of the main objectives in
As it remains unproven that hypermobility of
the first tarsometatarsal joint (TMTJ-1) is a significant factor
in
We reviewed 91 patients (103 feet) who underwent
a Ludloff osteotomy combined with additional procedures. According
to the combined procedures performed, patients were divided into
Group I (31 feet; first web space release), Group II (35 feet; Akin
osteotomy and trans-articular release), or Group III (37 feet; Akin
osteotomy, supplementary axial Kirschner (K-) wire fixation, and
trans-articular release). Each group was then further subdivided
into severe and moderate deformities. The mean
There are few data available regarding the association between
We reviewed the outcome of distal chevron metatarsal osteotomy without tendon transfer in 19 consecutive patients (19 feet) with a hallux varus deformity following surgery for
Moderate to severe
Severe
Injury to the dorsomedial cutaneous nerve in the foot may occur after operations for
We prospectively reviewed 24 patients (35 feet) who had been treated by a Scarf osteotomy and Akin closing-wedge osteotomy for
The purpose of this study was to compare the
results of proximal and distal chevron osteotomy in patients with moderate
hallux valgus. We retrospectively reviewed 34 proximal chevron osteotomies without
lateral release (PCO group) and 33 distal chevron osteotomies (DCO
group) performed sequentially by a single surgeon. There were no
differences between the groups with regard to age, length of follow-up,
demographic or radiological parameters. The clinical results were
assessed using the American Orthopaedic Foot and Ankle Society (AOFAS)
scoring system and the radiological results were compared between
the groups. At a mean follow-up of 14.6 months (14 to 32) there were no significant
differences in the mean AOFAS scores between the DCO and PCO groups
(93.9 (82 to 100) and 91.8 (77 to 100), respectively; p = 0.176).
The mean
This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to
We performed basal chevron metatarsal osteotomy on 32 feet (31 patients) for painful
Standardised radiographs of the weight-bearing foot were analysed in fifty young patients undergoing osteotomy of the first metatarsal for
Metatarsalgia is a recognised complication following iatrogenic shortening of the first metatarsal in the management of
Aims. The purpose of this study was to analyse the biomechanics of
walking, through the ground reaction forces (GRF) measured, after
first metatarsal osteotomy or metatarsophalangeal joint (MTP) arthrodesis. Patients and Methods. A total of 19 patients underwent a Scarf osteotomy (50.3 years,
standard deviation (. sd. ) 12.3) and 18 underwent an arthrodesis
(56.2 years,. sd. 6.5). Clinical and radiographical data
as well as the American Orthopaedic Foot and Ankle Society (AOFAS)
scores were determined. GRF were measured using an instrumented
treadmill. A two-way model of analysis of variance (ANOVA) was used
to determine the effects of surgery on biomechanical parameters
of walking, particularly propulsion. Results. Epidemiological, radiographical and clinical data were comparable
in the two groups and better restoration of propulsive function
was found after osteotomy as shown by ANOVA (two way: surgery ×
foot) with a surgery effect on vertical forces (p <
0.01) and
a foot effect on anteroposterior impulse (p = 0.01). Conclusion. Patients who underwent Scarf osteotomy had a gait pattern similar
to that of their non-operated foot, whereas those who underwent
arthrodesis of the first (metatarsophalangeal) MTP joint did not
totally recover the propulsive forces of the forefoot. Take home message: The main findings of this study were that
after surgical correction for
In a survey of 6000 children between 9 and 10 years of age, 122 were found to have unilateral or bilateral
We compared the chevron and the Wilson metatarsal osteotomy for
A modification of the Lapidus procedure to correct
Seventy-two Mitchell distal metatarsal osteotomies for
In a retrospective study we compared the results of 31 Wilson and 31 Hohmann osteotomies of the first metatarsal in the treatment of