Application of an Interosseous Suture and Button Device for Hallux Valgus Correction: A Review of Outcomes in a Small Series

Ponnapula, Priya; Wittock, Richard

doi:10.1053/j.jfas.2009.08.014

Cited by 16 publications

(7 citation statements)

References 25 publications

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“…4,5 Recently, a few publications have looked at the TightRope specifically as an alternative to first metatarsal osteotomy for the reduction of first-second intermetatarsal angle in the treatment of hallux valgus. 13,14,17,27 To our knowledge, no study of this size has been published…”

Section: Discussionmentioning

confidence: 99%

Postoperative Second Metatarsal Fractures Associated With Suture-Button Implant in Hallux Valgus Surgery

Weatherall

Chapman

Shapiro³

2013

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 99%

Postoperative Second Metatarsal Fractures Associated With Suture-Button Implant in Hallux Valgus Surgery

Weatherall

Chapman

Shapiro³

2013

Foot Ankle Int.

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“…Thus, it would be desirable to have surgeries that are effective in improving plantar load distribution. Some surgeons endeavor to develop alternative surgical methods, including metatarsal suturing techniques (e.g., mini-tightrope) that could reinforce the site stability and minimize the risk of traumatizing osseous procedures [ 61 ]. However, the effectiveness of these methods warrants further investigation.…”

Section: Discussionmentioning

confidence: 99%

Forefoot Function after Hallux Valgus Surgery: A Systematic Review and Meta-Analysis on Plantar Load Measurement

Wong

Cheung

Zhao

et al. 2023

JCM

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While hallux valgus (HV) surgeries are useful for correcting skeletal alignment problems, their effects on plantar load, which reflects forefoot functions, are less understood. The objective of this study is to conduct a systematic review and meta-analysis on the plantar load change after HV surgeries. A systematic search of Web of Science, Scopus, PubMed, CENTRAL, EMBASE, and CINAHL was performed. Studies that assessed the pre- and post-operative plantar pressure of HV patients undergoing surgeries and reported load-related parameters over the hallux, medial metatarsal, and/or central metatarsal regions were included. Studies were appraised by using the modified NIH quality assessment tool for before-after study. Studies suitable for meta-analysis were pooled with the random-effects model, using the standardized mean difference of the before-after parameters as an effect measure. Twenty-six studies containing 857 HV patients and 973 feet were included for the systematic review. Meta-analysis was conducted on 20 of them, and most studies did not favor HV surgeries. Overall, HV surgeries reduced the plantar load over the hallux region (SMD −0.71, 95% CI, −1.15 to −0.26), indicating that forefoot function worsened after surgeries. For the other five outcomes, the overall estimates were not statistically significant, indicating that surgeries did not improve them either. There was substantial heterogeneity among the studies, which in most cases could not be resolved by pre-planned subgroup analyses by surgical classification, year of publication, median age of patients, and length of follow-up. Sensitivity analysis removing lower-quality studies showed that the load integrals (impulse) over the central metatarsal region significantly increased (SMD 0.27, 95% CI, 0 to 0.53), indicating that surgeries increased the risk of transfer metatarsalgia. There is no solid evidence that HV surgeries could improve forefoot functions from a biomechanical point perspective. Currently available evidence even suggests that surgeries might reduce the plantar load over the hallux and adversely affect push-off function. The reasons behind and the effectiveness of alternative surgical methods warrant further investigation.

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“… 28 Another method for correcting hallux valgus is to use an interosseous suture and button device positioned under tension between the first and second metatarsals, thereby reducing the first intermetatarsal angle. 29 …”

Section: Discussionmentioning

confidence: 99%

Tensile Properties of the Deep Transverse Metatarsal Ligament in Hallux Valgus

2016

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The deep transverse metatarsal ligament (DTML) connects the neighboring2 metatarsal heads and is one of the stabilizers connecting the lateral sesamoid and second metatarsal head. In this study, we aimed to determine the tensile properties of the DTML in normal specimens and to compare these results with hallux valgus specimens. We hypothesized that the tensile properties of the DTML would be different between the 2 groups of specimens.The DTML in the first interspace was dissected from 12 fresh frozen human cadaveric specimens. Six cadavers had bilateral hallux valgus and the other 6 cadavers had normal feet. The initial length (L0) and cross-sectional area (A0) of the DTML were measured using a digital caliper, and tensile tests with load failure were performed using a material testing machine.There were significant between-groups differences in the initial length (L0) P = 0.009 and cross-sectional area (A0) of the DTML P = 0.007. There were also significant between-groups differences for maximum force (N) P = 0.004, maximum distance (mm) P = 0.005, maximum stress (N/mm2) P = 0.003, and maximum strain (%) P = 0.006.The DTML is an anatomical structure for which the tensile properties differ in hallux valgus.

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Application of an Interosseous Suture and Button Device for Hallux Valgus Correction: A Review of Outcomes in a Small Series

Cited by 16 publications

References 25 publications

Postoperative Second Metatarsal Fractures Associated With Suture-Button Implant in Hallux Valgus Surgery

Postoperative Second Metatarsal Fractures Associated With Suture-Button Implant in Hallux Valgus Surgery

Forefoot Function after Hallux Valgus Surgery: A Systematic Review and Meta-Analysis on Plantar Load Measurement

Tensile Properties of the Deep Transverse Metatarsal Ligament in Hallux Valgus

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