Estudo retrospectivo da osteotomia de base do primeiro metatarso com tratamento do hálux valgo

Ignácio, Helencar; Chueire, Alceu Gomes; Filho, Guaracy Carvalho; Nascimento, Leandro Vieira; Vasconcelos, Ubiratan Maia Rodrigues; Barão, Gustavo Trajano de Freitas

doi:10.1590/s1413-78522006000100011

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…The mean AOFAS score in both techniques presented a significant increase, slightly higher for AORE, yet when compared, the difference was not significant, which is similar to the findings of Ruaro et al 12 and Ignacio et al 13 The mean AOFAS score for the AOP group presented an increase from 42.1 to 77.4 points, yet below the values obtained in the studies of Thomas et al 9 and Walther et al, 14 perhaps due to the fact that our casuistry is small (11 cases) and we are passing through the learning curve of the technique.…”

Section: Discussionsupporting

confidence: 88%

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Hálux valgo: estudo comparativo entre duas técnicas cirúrgicas de osteotomia proximal de adição

et al. 2012

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OBJECTIVE: To clinically and radiographically compare the results of treatment of hallux valgus, by two addition osteotomy techniques: one using resected exostosis, and the other using a plate fixation for addition wedge. METHODS: We evaluated 24 feet of 19 patients, mean age 51.3 years, affected by hallux valgus, with a mean follow-up of 50.1 months. 13 feet underwent addition osteotomy with resected exostosis (AORE) and 11 patients (11 feet) underwent addition osteotomy with plate (AOP). The AOFAS score, intermetatarsal 1 and 2 angles, and hallux valgus angle were evaluated before and after surgery. RESULTS: In the AORE technique, the mean preoperative AOFAS was 46.6, with IMA 14o and HVA 32o, while in the postoperative AOFAS it was 81.3, with IMA 9o and HVA 25o, and 92.3% satisfactory results. In the AOP technique, the mean preoperative AOFAS was 42.1, with IMA 15o and HVA 29o while in the postoperative AOFAS it was 77.4, with IMA 11o and HVA 23o and 81.8% of satisfactory results. CONCLUSIONS: Both techniques proved to be effective in the treatment of hallux valgus, both clinically and radiografically, with no statistical difference between them. Level of evidence III, Retrospective comparative study.

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Section: Discussionsupporting

confidence: 88%

“…Pain at the site of the plate was a complaint presented by one patient (4.1%), yet without the need to remove the plate, unlike other studies, 11 , 13 , 15 in which the plates had to be removed due to the presence of pain, breakage or loosening of the material.…”

Section: Discussionmentioning

confidence: 71%

Hálux valgo: estudo comparativo entre duas técnicas cirúrgicas de osteotomia proximal de adição

et al. 2012

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“…The radiographic study followed the technical standardization described in previous studies. 10,18 The angles were assessed on the printed radiographs of the feet using a goniometer. The angles were measured between the first and second metatarsals -formed by the intersection of the longitudinal axes of the diaphyses of these two bones -and hallux valgus angle -formed by the intersection of the longitudinal axes of the first metatarsal diaphysis and the proximal phalanx diaphysis 2,11,19 .…”

Section: Methodsmentioning

confidence: 99%

“…The weakened capsule of the metatarsophalangeal joint is not reinforced by any tendon, so it rotates medially with pronation, providing significant instability. 10 The elevation of the metatarsal head with medial movement may transfer plantar pressure to the lateral. 3,11 Therefore, hallux valgus is essentially a subluxation of the two great toe phalanges in the valgus sense.…”

Section: Introductionmentioning

confidence: 99%

Hallux Valgus Anatomical Alterations and Its Correlation With the Radiographic Findings

et al. 2020

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Objective: To describe the anatomical and pathological osteoarticular, muscular and tendinous variations in feet of cadavers with hallux valgus and to correlate them with the degree of radiographic deformity. Methods: Dissections and radiographs were conducted in the feet of 22 cadavers with halux valgus, aged between 20 and 70 years. The feet affected were compared with 5 normal feet in order to document the anatomical and pathological, myotendinous and articular variations found. Results: The extensor hallucis longus and brevis tendons were arched in all degrees of deformity, causing a lateral deviation that forms the arc chord of the metatarsophalangeal angle of the hallux. We also observed a deviation to the plantar face of the abductor muscle tendon and lateral deviation of the flexor hallucis muscle tendon. In the moderate deformities, the medial deviation of the first metatarsal head was observed, sliding out of the sesamoid apparatus, pronation of this head, and formation of medial exostoses. In severe deformities, in addition to all other deformities, we found the extensor hallucis longus tendon with two distal insertions, rather than just one. Conclusion: The anatomical alterations found in the hallux valgus may be related to the degree of radiographic deformity . Level of Evidence IV, Case series.

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“…İntermetatarsal açısı fazla olan halluks valgus olgularında şaft ve proximal osteotomiler genel kabul edilen osteotomilerdir. Bununla birlikta bu osteotomiler stabilizasyon sağlanması da dahil olmak üzere çeşitli komplikasyonlar içermekte-dir [63,64,65,66]. Yeni teknolojiler sayesinde düşük profilli plak ve vidalar proximal açık kama osteotomileri için güvenilir bir fiksasyon yöntemi olmuştur [67][68][69].…”

Section: Chevron Prosedürüunclassified

Hallux Valgus

köse¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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TanımHalluks valgus toplumda sık görülen, sıklığı giderek artan ayak başparmağının ilerleyici ve sıklıkla ağrıya sebep olan hastalığıdır. Tedavi edilmediği takdirde iş gücü kaybı, yaşam kalitesi bozukluğu ve estetik problemlere yol açar [1]. Hallux valgus için çe-şitli tanımlamalar yapılmış olup bir çok patolojinin bir arada olduğu bir kompleks ifadesi ile en ayrıntılı ve uygun tanımlama Helal tarafından aşağıdaki şekilde yapılmış-tır. [3,9,11,12]. 10) İkinci parmağın amputasyonu: Başparmağın lateral desteği kaybolduğu için halluks valgus gelişebilir [7,11]. 11) Ayakta pronasyon meydana getiren ve birinci MTP eklem dışındaki sebepler: Tibialis posterior tendon rüptürü, subtalar eklemin valgus deformitesi, aşil tendon kı-salığı, jeneralize eklem laksitesi ( Ehlers-Danlos sendromu), birinci MTP eklemin hipermobilitesi halluks valgus'a sebep olabilir [7,9,11,13,14]. 12) Kistik dejenerasyon: Birinci MTP eklemin medial kapsülünün kistik dejenerasyonu ganglion oluşturarak deformite oluşumuna sebep olabilir.

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Estudo retrospectivo da osteotomia de base do primeiro metatarso com tratamento do hálux valgo

Cited by 9 publications

References 10 publications

Hálux valgo: estudo comparativo entre duas técnicas cirúrgicas de osteotomia proximal de adição

Hálux valgo: estudo comparativo entre duas técnicas cirúrgicas de osteotomia proximal de adição

Hallux Valgus Anatomical Alterations and Its Correlation With the Radiographic Findings

Hallux Valgus

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