The Mitchell procedure for the treatment of adolescent hallux valgus. A long-term study.

Canale, P B; Aronsson, David D.; LaMont, Richard L.; Manoli, Arthur

doi:10.2106/00004623-199311000-00005

Cited by 55 publications

(19 citation statements)

References 22 publications

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“…Die dur chschnittliche postoperat ive Verkürzung des ersten Mittelfußknochen s beträgt 4 mm bis 6 mm (Canale et al, 1993;Kin nard und Go rdon , 1984;W u, 1987). Wir finden eine durchschni ttliche Verkürzung von etwa 5,4 mm.…”

Section: Der Sesambeinkomplex Und Die Hallux Valgus-defo Rmitiuunclassified

“…Mitchell et al (1958) be wer te n unt er den Krit eri en Schmerzrezidiv, Rezidivbildung des Hallux valgus und Bewegungsei nschränkung am Großzchcngrundgelenk da s Operationsergebnis in 82% ihrer nachuntersuchten Patienten mit sehr gut oder gut. Die Patienten selbst sind zu e twa 80% se hr zufriede n. And ere Au to ren finden se hr gute ode r gute Op erationsergebn isse in 69-100% (Canale et al, 1993;Meier und Kenzora. 1985).…”

Section: Der Sesambeinkomplex Und Die Hallux Valgus-defo Rmitiuunclassified

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Der Sesambeinkomplex und die Hallux valgus-Deformität

Wetzel¹,

Appel²,

Hess³

et al. 2008

Z Orthop Ihre Grenzgeb

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The aim of the operative treatment of the hallux valgus deformity is to correct the medial luxation of the first metatarsal head out of the sesamoid complex, the restoration of a congruent joint, the patient after treatment should be painfree. 82 patients were available for an independent clinical and radiological review. The median follow up was 32 months. The evaluation of the results are based on objective and subjective assessment of the patients as well as on radiographic criteria, such as hallux valgus angle, intermetatarsal angle, shortening of the first metatarsal bone, subluxation, lateral positioning of the osteotomized MT I-head and position of the sesamoid complex. Depending on the degree of "lateralisation" of the sesamoid complex seven groups were defined: 0/0, 1/0, 1/1, 2/1, 2/2. 2/3, 3/3 following Appel. Following objective criteria 61% of the patients were evaluated excellent or good, following subjective criteria 77% were evaluated excellent or good. Isolated parallel shifting seems to be sufficient in mild forms of hallux valgus (sesamoid complex group 2/2 or less), while the severe subluxation in the metatarsophalangeal joint (sesamoid complex group 2/3, 3/3) requires an additional lateral wedge osteotomy.

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Section: Der Sesambeinkomplex Und Die Hallux Valgus-defo Rmitiuunclassified

Der Sesambeinkomplex und die Hallux valgus-Deformität

Wetzel¹,

Appel²,

Hess³

et al. 2008

Z Orthop Ihre Grenzgeb

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show abstract

“…Several other studies [2][3][4][5][6][7] have shown that functional treatment with early movement using dynamic bracing does not compromise the operative repair and produces results which are better than those of immobilisation of the ankle. Functional treatment allows earlier return to work and sporting activities with higher patient satisfaction.…”

Section: Percutaneous Repair Of the Ruptured Tendo Achillismentioning

confidence: 99%

“…Presumably, they felt that this would have been unethical in view of their earlier biomechanical results, 2 and those of Shereff, Sobel and Kummer, 3 but this prejudges the outcome of the study. We doubt if this would have been unethical since several clinical studies [4][5][6] of the Mitchell osteotomy have shown a relatively low rate of malunion and transfer metatarsalgia. The foot may have a larger capacity to withstand suboptimal mechanics than in vitro studies suggest.…”

Section: Authors' Replymentioning

confidence: 99%

Percutaneous repair of the ruptured tendo Achillis

Deakin

Wood

Barrie

2000

The Journal of Bone and Joint Surgery. British volume

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“…eine Bewegungseinschränkung. Des Weiteren kann eine Verkürzung der medialen Gelenkkapsel den Bewegungsumfang limitieren [2,8,9,20,21]. Um das Risiko einer postoperativen Bewegungsreduktion des Großze-hengrundgelenks einzuschränken, sollte die Technik der medialen Kapselraffung kritisch überdacht werden.…”

Section: Introductionunclassified

Eine spezielle Weichteilplastik am Großzehengrundgelenk bei Hallux-valgus-Operationen

et al. 2011

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A total of 30 isolated hallux valgus deformities with a mean preoperative intermetatarsal (IMA) angle of 12.9° (range 11-15°) were operated with a chevron osteotomy. The mean follow-up was 14.4 (range 8-17) months. The mean dorsiflexion at the last follow-up was 44° (range 20-60°). Only 2 patients had a dorsiflexion <40°. The mean reduction of the IM angle was 5.6° (range 3-7°). One patient required wound revision. There was no infection or avascular necrosis of the metatarsal head observed in the patients. At follow-up, 20 (67%) patients were completely satisfied, 9 (30%) satisfied, and 1 (3%) was not satisfied.

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The Mitchell procedure for the treatment of adolescent hallux valgus. A long-term study.

Cited by 55 publications

References 22 publications

Der Sesambeinkomplex und die Hallux valgus-Deformität

Der Sesambeinkomplex und die Hallux valgus-Deformität

Percutaneous repair of the ruptured tendo Achillis

Eine spezielle Weichteilplastik am Großzehengrundgelenk bei Hallux-valgus-Operationen

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