Early Results of the Modified Simmonds-Menelaus Procedure for Adolescent Hallux Valgus

Andreacchio, Antonio; Catena, Nunzio; Rocca, Gino

doi:10.1097/01241398-200205000-00022

Cited by 8 publications

(10 citation statements)

References 17 publications

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“…[4][5][6] The complication rate in the current series is comparable to those reported for similar procedures. [4][5][6]10 The average followup time of 25 months strengthens the evidence that the procedure provides adequate correction and patient satisfaction at mid-term follow-up. The modified DMO with capsular advancement offers solutions to pitfalls experienced with prior surgical techniques.…”

Section: Discussionsupporting

confidence: 58%

“…Several surgical procedures have been described in the treatment of AHV. [4][5][6][7][8][9][10] Distal osteotomies such as the Chevron or Mitchell have been popularized and are ef-fective in treating mild to moderate deformities. [7][8][9] In the adolescent population with severe deformities secondary to high intermetatarsal and distal metatarsal articular angles, a more powerful correction is necessary.…”

mentioning

confidence: 99%

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Adolescent Hallux Valgus Revisited

Marshall¹,

Shung²,

Khoury³

2014

Orthopedics

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Section: Discussionsupporting

confidence: 58%

mentioning

confidence: 99%

Adolescent Hallux Valgus Revisited

Marshall¹,

Shung²,

Khoury³

2014

Orthopedics

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“…In total, 115 papers were retrieved from the initial search strategy. Nine studies met the inclusion criteria and are included in this study [10][11][12][13][14][15][16][17][18].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…On the duPont BRS, three studies [16][17][18] reported on a total of 69 feet (50 patients). In total, 19/69 (28 %) rated their outcome as excellent, 43/69 (62 %) as good, 6/69 (9 %) as fair and 1/69 (1 %) rated their results as poor.…”

Section: Clinical Diversitymentioning

confidence: 99%

Adolescent hallux valgus: A systematic review of outcomes following surgery

Harb

Kokkinakis

Ismail

et al. 2015

Journal of Children's Orthopaedics

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PurposeThe management of adolescent hallux valgus (AHV) remains controversial, with reservations about both conservative and surgical treatments. Non-operative management has a limited role in preventing progression. Surgical correction of AHV has, amongst other concerns, been associated with a high prevalence of recurrence of deformity after surgery. We conducted a systematic review to assess clinical and radiological outcomes following surgery for AHV.MethodsA comprehensive literature search was performed in the Cochrane Library, CINAHL, EMBASE, Google Scholar and PubMed. The study was performed in accordance with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Demographic data, radiographic parameters and results of validated clinical scoring systems were analysed.ResultsThe published literature on AHV is largely heterogeneous and retrospective. Nine contemporary studies reporting on 140 patients (201 osteotomies) were included. The female to male ratio was 10:1. The mean age at operation was 14.5 years (range 10.5–22). The mean follow-up was 41.6 months (range 12–134). The mean post-operative American Orthopaedic Foot and Ankle Society (AOFAS) score was 85.8 (standard deviation, SD ±7.38). The mean AOFAS patient satisfaction showed that 86 % (SD ±11.27) of patients were satisfied or very satisfied with their outcome. On the duPont Bunion Rating Score (BRS), 90 % rated their outcome as good or excellent. There was a statistically significant improvement in the inter-metatarsal angle (IMA, p = 0.0003), hallux valgus angle (HVA, p < 0.0001) and distal metatarsal articular angle (DMAA, p = 0.019).ConclusionBased on the most current published evidence, contemporary surgical interventions for AHV show excellent clinical and radiological outcomes, with high patient satisfaction. The rates of recurrence and other complications are lower than the historically reported figures. There is a need for high-level, multi-centre collaborative studies with prospective data to establish the long-term outcomes and optimal surgical procedure(s).

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“…This kind of surgery often has been associated with a high rate of recurrence and poor results, including stiffness of the metatarsophalangeal joint and persistent pain. 3,7,14,15 Lateral hemiepiphysiodesis also has been described, 16 and first MPT joint fusion has been performed for children with cerebral palsy. 13 This is why isolated soft- tissue procedures, such as a McBride, frequently fail.…”

Section: Surgical Treatmentmentioning

confidence: 99%

The management of juvenile and adolescent hallux valgus

Wooldridge

Diab

2013

Current Orthopaedic Practice

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Several clinical characteristics separate juvenile and adolescent hallux abducto valgus from its adult counterpart, including the lack of degenerative joint disease and bursal thickening, less pronation, and less sesamoid subluxation. This deformity is more common in girls and has a genetic component. Currently consensus is lacking on the optimal surgical treatment after failure of conservative treatment; however, options exist with careful patient selection. This article describes the current concepts and approaches to treatment. Key WordsHallux abducto valgus, first metatarsal osteotomy RADIOGRAPHIC ASSESSMENT AND CLASSIFICATIONIn the assessment of HAV, radiographs continue to be the standard means to assess the pathology and measure angular

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Early Results of the Modified Simmonds-Menelaus Procedure for Adolescent Hallux Valgus

Cited by 8 publications

References 17 publications

Adolescent Hallux Valgus Revisited

Adolescent Hallux Valgus Revisited

Adolescent hallux valgus: A systematic review of outcomes following surgery

The management of juvenile and adolescent hallux valgus

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