latrogenically Induced Hallux Varus

Edelman, Ronald D.

doi:10.1016/s0891-8422(23)00444-5

Cited by 34 publications

(1 citation statement)

References 11 publications

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“…Its real significance lies in the degree of dissatisfaction it creates with patients often presenting with multiple symptoms. Hallux varus occurs when the tibial sesamoid is positioned medial to the first metatarsal head [30][31][32]. In the rotation scarf and Akin osteotomies hallux varus may be a consequence of excessive reduction of the intermetatarsal angle by the metatarsal osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Combined rotation scarf and Akin osteotomies for hallux valgus: a patient focussed 9 year follow up of 50 patients

Kilmartin

O'Kane²

2010

Journal of Foot and Ankle Research

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BackgroundThe Cochrane review of hallux valgus surgery has disputed the scientific validity of hallux valgus research. Scoring systems and surrogate measures such as x-ray angles are commonly reported at just one year post operatively but these are of dubious relevance to the patient. In this study we extended the follow up to a minimum of 8 years and sought to address patient specific concerns with hallux valgus surgery. The long term follow up also allowed a comprehensive review of the complications associated with the combined rotation scarf and Akin osteotomies.MethodsBetween 1996 and 1999, 101 patients underwent rotation scarf and Akin osteotomies for the treatment of hallux valgus. All patients were contacted and asked to participate in this study. 50 female participants were available allowing review of 73 procedures. The average follow up was over 9 years and the average age at the time of surgery was 57. The participants were physically examined and interviewed.ResultsPost-operatively, in 86% of the participants there were no footwear restrictions. Stiffness of the first metatarsophalangeal joint was reported in 8% (6 feet); 10% were unhappy with the cosmetic appearance of their feet, 3 feet had hallux varus, and 2 feet had recurrent hallux valgus. There were no foot-related activity restrictions in 92% of the group. Metatarsalgia occurred in 4% (3 feet). 96% were better than before surgery and 88% were completely satisfied with their post-operative result. Hallux varus was the greatest single cause of dissatisfaction. The most common adverse event in the study was internal fixation irritation. Hallux valgus surgery is not without risk and these findings could be useful in the informed consent process.ConclusionsWhen combined the rotation scarf and Akin osteotomies are an effective treatment for hallux valgus that achieves good long-term correction with a low incidence of recurrence, footwear restriction or metatarsalgia. The nature of the osteotomies allows early return to normal shoes and activity without the need for postoperative immobilisation in a plaster cast.

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Section: Discussionmentioning

confidence: 99%