Efficacy of first metatarsophalangeal joint lateral release in hallux valgus surgery

Augoyard, R.; Largey, A.; Munoz, M.-A.; Canovas, François

doi:10.1016/j.otsr.2013.01.009

Cited by 26 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This has been proven experimentally [11,12,14] and clinically [7,20,27]. Preferably this ligament should be transected under direct vision after incision of the lateral Fig.…”

Section: Resultsmentioning

confidence: 94%

“…The lateral metatarsosesamoid suspensory ligament is the key to a successful lateral release [8,14,20]: Corrections of MTP and IM angles to physiological values are achieved only when the ligamentous connection between the metatarsal head and the lateral sesamoid is transected completely. At the same time, reduction of sesamoid luxation is only possible when the lateral metatarsosesamoid suspensory ligament is transected.…”

Section: The Anatomymentioning

confidence: 99%

See 1 more Smart Citation

Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique

Schneider¹

2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The distal soft tissue procedure has evolved into an indispensable additional surgical procedure to increase the corrective effect in hallux valgus surgery. Considering the biomechanical development of hallux valgus deformity, degenerative changes of the soft tissues around the first metatarsophalangeal joint contribute much more to the deformity than changes in the bony structures which can rather be seen as degenerative changes secondary to the deformity. Thus the principles in hallux valgus correction should aim to reverse all pathogenetic steps leading to deformity: release of the contracted lateral soft tissue structures, tightening of the torn-out medial structures and reduction and rebalancing the first metatarsal head onto the sesamoid complex. The scientific discussion over the last decades has clarified the impact of different surgical steps and methods on the efficacy of the lateral release, the risk of creating overcorrection or instability of the joint and the risk of avascular necrosis of the first metatarsal head. According to anatomical and clinical data, a lateral soft tissue release can be combined with a distal metatarsal osteotomy, provided that the osteotomy is performed in a defined safe zone without increasing the risk for avascular necrosis of the first metatarsal head. Transecting the lateral metatarsosesamoid suspensory ligament is the key to a successful lateral release in hallux valgus surgery. Release of the deep transverse metatarsal ligament and the adductor hallucis muscle does not contribute to hallux valgus correction. The lateral short sesamophalangeal ligament and the plantar attachment of the articular capsule should be preserved to avoid possible joint instability. Thus today, the distal soft tissue procedure cannot be seen only as a supplementary surgical procedure in cases where the bony procedure needs additional correction, but rather is an indispensable procedure to restore the physiological situation and function of the first metatarsophalangeal joint.

show abstract

“…This has been proven experimentally [11,12,14] and clinically [7,20,27]. Preferably this ligament should be transected under direct vision after incision of the lateral Fig.…”

Section: Resultsmentioning

confidence: 94%

Section: The Anatomymentioning

confidence: 99%

Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique

Schneider¹

2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…It has recently been suggested that preoperative incongruity of the first metatarsophalangeal joint has the greatest effect on the rate of recurrence. 41,42 Soft-tissue factors, such as the adequacy of the lateral release, may also contribute to the outcome.…”

Section: Discussionmentioning

confidence: 99%

Surgery for the correction of hallux valgus

Chong

Nazarian

Chandrananth

et al. 2015

The Bone & Joint Journal

View full text Add to dashboard Cite

This study sought to determine the medium-term patient-reported and radiographic outcomes in patients undergoing surgery for hallux valgus. A total of 118 patients (162 feet) underwent surgery for hallux valgus between January 2008 and June 2009. The Manchester-Oxford Foot Questionnaire (MOXFQ), a validated tool for the assessment of outcome after surgery for hallux valgus, was used and patient satisfaction was sought. The medical records and radiographs were reviewed retrospectively. At a mean of 5.2 years (4.7 to 6.0) post-operatively, the median combined MOXFQ score was 7.8 (IQR:0 to 32.8). The median domain scores for pain, walking/standing, and social interaction were 10 (IQR: 0 to 45), 0 (IQR: 0 to 32.1) and 6.3 (IQR: 0 to 25) respectively. A total of 119 procedures (73.9%, in 90 patients) were reported as satisfactory but only 53 feet (32.7%, in 43 patients) were completely asymptomatic. The mean (SD) correction of hallux valgus, intermetatarsal, and distal metatarsal articular angles was 18.5° (8.8°), 5.7° (3.3°), and 16.6° (8.8°), respectively. Multivariable regression analysis identified that an American Association of Anesthesiologists grade of >1 (Incident Rate Ratio (IRR) = 1.67, p-value = 0.011) and recurrent deformity (IRR = 1.77, p-value = 0.003) were associated with significantly worse MOXFQ scores. No correlation was found between the severity of deformity, the type, or degree of surgical correction and the outcome. When using a validated outcome score for the assessment of outcome after surgery for hallux valgus, the long-term results are worse than expected when compared with the short- and mid-term outcomes, with 25.9% of patients dissatisfied at a mean follow-up of 5.2 years.

show abstract

“…Indeed if the transverse metatarsal ligament were to be divided this would lead to an increase mobility in all planes [8]. In clinical practice Augoyard et al demonstrated through progressive division of the metatarosesamoid suspensory ligament and phalangeal insertional band that lateral soft tissue release was achieved in most cases whilst adductor release from the lateral sesamoid had limited value [24].…”

Section: Discussionmentioning

confidence: 99%

Single incision lateral release for hallux valgus using a cervical biopsy blade: A cadaveric study

et al. 2018

View full text Add to dashboard Cite

Efficacy of first metatarsophalangeal joint lateral release in hallux valgus surgery

Abstract: Level IV.

Cited by 26 publications

References 25 publications

Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique

Distal soft tissue procedure in hallux valgus surgery: biomechanical background and technique

Surgery for the correction of hallux valgus

Single incision lateral release for hallux valgus using a cervical biopsy blade: A cadaveric study

Contact Info

Product

Resources

About