The American College of Foot and Ankle Surgeons® Clinical Consensus Statement: Hallux Valgus

Meyr, Andrew J.; Doyle, Matthew D.; King, Christy M.; Kwaadu, Kwasi Y.; Nasser, Ellianne M.; Ramdass, Roland; Theodoulou, Michael H.; Zarick, Caitlin S.

doi:10.1053/j.jfas.2021.08.011

Cited by 6 publications

(1 citation statement)

References 299 publications

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“…Hallux valgus is the most common deformity of the forefoot and toes 1 , 2 with an estimated prevalence of 23% in adults aged 18-65 and 36% in those over 65. 3 It is a chronic, progressive, degenerative condition 4 that begins with lateral deviation of the proximal phalanx and medial deviation of the first metatarsal. 5 The etiology is unclear but is thought to be due to a combination of extrinsic and intrinsic factors, including but not limited to, footwear, genetics, sex, age, ligamentous laxity, and other foot deformities.…”

Section: Introductionmentioning

confidence: 99%

Triple osteotomy of first ray for severe hallux valgus surgery: Long-term follow-up

Guevel,

Rutherfoord,

Fazal

2024

Acta Orthopaedica et Traumatologica Turcica

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Objective: This study aimed to present a retrospective case series of the long-term results of severe hallux valgus treated with triple osteotomy of the first ray. Methods: Patients with severe hallux valgus treated with a basal medial opening wedge, distal chevron, and Akin osteotomy from 2008 to 2012 were identified from the electronic medical records. Radiological outcomes such as pre- and postoperative hallux valgus angle, intermetatarsal angle, and distal metatarsal articular angle) were collected. Patients were contacted to complete foot and ankle outcome score (FAOS). Results: Nineteen patients underwent 20 triple osteotomies of the first ray. Clinical data and FAOS were collected at a median follow-up of 10.2 years. There was a significant improvement in hallux valgus angle, intermetatarsal angle, and distal metatarsal articular angle from pre- to postoperatively, both at initial and final radiographic follow-up ( P < .0001). Patient satisfaction was high, with median FAOS of 94.5 (symptoms), 97 (function/activities of daily living), 100 (function/sport and recreation), 85 (foot and ankle-related quality of life), and 100 (pain). Conclusion: Triple first-ray osteotomy is a successful mode of treatment for severe hallux valgus, with high levels of patient satisfaction and excellent improvement in radiological parameters measured over long-term follow-up. Level of Evidence: Level IV, Therapeutic Study.

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Section: Introductionmentioning

confidence: 99%

Triple osteotomy of first ray for severe hallux valgus surgery: Long-term follow-up

Guevel,

Rutherfoord,

Fazal

2024

Acta Orthopaedica et Traumatologica Turcica

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Classification of hallux valgus deformity–is there a standard?

Spindler,

Ettinger,

Stukenborg-Colsman

et al. 2024

Arch Orthop Trauma Surg

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Introduction Hallux valgus deformity severity is one determent for the surgical procedure for hallux valgus (HV) correction. HV deformities are usually classified into mild/moderate/severe. The aim was to investigate the cut-off criteria used to classify HV deformity. Materials and Methods The study was based on a previous living systematic review. Four common databases were searched for the last decade. All review-steps were conducted by two reviewers. Data assessed were the individual cut-off values used to classify HV deformity into mild/moderate/severe, and the referenced classification systems. Results 46 studies were included. 21/18 studies grade deformity based on the intermetatarsal angle (IMA)/ hallux valgus angle (HVA) with great heterogeneity throughout the different cut-off values. The most referenced classification systems were the Coughlin and Mann’s and the Robinson classification. Conclusions The currently used classification systems are heterogenic, and no standard could be defined. The community should define a uniform classification system. Level of Evidence. Level I, systematic review of randomized controlled trials and prospective comparative studies.

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Evaluation of hallux valgus treatment: is classical angular correction approach relevant?

Barça,

Demir,

Doğan

et al. 2024

Arch Orthop Trauma Surg

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The American College of Foot and Ankle Surgeons® Clinical Consensus Statement: Hallux Valgus

Cited by 6 publications

References 299 publications

Triple osteotomy of first ray for severe hallux valgus surgery: Long-term follow-up

Triple osteotomy of first ray for severe hallux valgus surgery: Long-term follow-up

Classification of hallux valgus deformity–is there a standard?

Evaluation of hallux valgus treatment: is classical angular correction approach relevant?

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