Foot Width Changes Following Hallux Valgus Surgery

Abstract

Level III, comparative series.

Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus

“…4 Soft tissue foot width was not measured in the Jung et al study, 4 and the decreases in foot width were likely confounded by the large medial eminence resection. Tenenbaum et al 13 noted 5% decreases in bony foot width and 2% decreases in soft tissue foot width in 71 patients treated with a scarf osteotomy in combination with an Akin osteotomy and distal soft tissue release. However, the study by Tenenbaum et al 13 did not quantify the foot width decreases in millimeters.…”

“…Tenenbaum et al 13 noted 5% decreases in bony foot width and 2% decreases in soft tissue foot width in 71 patients treated with a scarf osteotomy in combination with an Akin osteotomy and distal soft tissue release. However, the study by Tenenbaum et al 13 did not quantify the foot width decreases in millimeters. Although foot width changes after metatarsal osteotomies have been variable and inconsistent, our study and recent evidence demonstrate that the first tarsometatarsal arthrodesis more reliably and consistently leads to reductions in foot width.…”

“…11 Few studies have evaluated changes in foot width after operative correction for hallux valgus; the majority of previous studies evaluated changes in foot width after metatarsal osteotomies with varying results. 4,7,13 A recent study by Conti et al 2 found that a modified Lapidus in combination with a modified McBride (plus medial eminence resection) and Akin osteotomy resulted in significant decreases in bony foot width (mean 8.9 mm; 9.1% reduction) and soft tissue width (mean 6.9 mm; 6.3% reduction). The study by Conti et al measured foot width changes after a modified Lapidus procedure using a crossed-screw technique, with patients made nonweightbearing for at least 6 weeks after surgery.…”

Does Hallux Valgus Correction Reduce the Width of the Forefoot?

“…2 A recent publication showed a reduction of bony forefoot width by an average of 5% and soft-tissue width of 2%, but in this study, 18.3% of feet actually increased in bone width. 3 Surgeons and patients reported interest in reducing shoe wear difficulties and alleviating pain, 4 and achieving free choice of shoe wear has a positive effect on quality-of-life outcomes. 5…”

“…Although patients are concerned with achieving free choice of shoe wear and foot width postoperatively, there is limited available research on the change in foot width following hallux valgus correction, with the previous research limited to proximal or midshaft osteotomies. 3,10 Utilizing the MS, we aimed to determine if this measurement was a reproducible measurement among several reviewers while also determining the extent of foot width change when a distal osteotomy is performed.…”