The Relationship Between the Sesamoid Complex and the First Metatarsal After Hallux Valgus Surgery Without Lateral Soft-Tissue Release: A Prospective Study

Lamo-Espinosa, José María; Flórez, Borja; Villas, Carlos; Pons-Villanueva, Juan; Bondia, José María; Aquerreta, Jesús Dámaso; Alfonso, Matías

doi:10.1053/j.jfas.2015.07.022

Cited by 18 publications

(6 citation statements)

References 38 publications

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“…During the MIIND technique, surgeons should be meticulous in the correction of IMA and HVA by proper bunionectomy, linear osteotomy, and adequate I-MTTH lateral translation to achieve the optimal balancing of the sesamoid complex. Our previous 5 and present findings, in line with those of other reports, 14,41,45 suggest that LR is not necessary when a distal extra-articular osteotomy is performed. Associating LR, whether open or MI, to an extra-articular distal osteotomy could involve an overcorrection and consequent hallux varus, 9,13,28 increase the risk of postoperative stiffness of the I-MTPJ, 42 and cause neurovascular injuries.…”

Section: Discussionsupporting

confidence: 93%

Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus

et al. 2020

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Background: This study was aimed at assessing clinical and radiographic outcomes of the Minimally Invasive Intramedullary Nail Device (MIIND) to correct moderate to severe hallux valgus (HV) and the long-term persistence of its effects. Methods: This case series study involved 100 patients, 84 women and 16 men (mean age, 59 years), who underwent the MIIND procedure with a mean follow-up of 97 months. Assessment was performed preoperatively, postoperatively, at 6 and 12 months, and at last follow-up. Clinical outcomes were evaluated with American Orthopaedic Foot & Ankle Society (AOFAS) scores, visual analog scale (VAS), and patient satisfaction. Intermetatarsal angle (IMA), metatarsophalangeal hallux valgus angle (HVA), distal metatarsal articular angle (DMAA), and tibial sesamoid position were assessed. Statistical analysis was performed. Results: The mean AOFAS score improved from 57.9 to 90.5 points, VAS scale was 1.5 ± 2.0, and patients’ satisfaction was 8.7 ± 1.4. The mean correction of the HVA and IMA showed a significant correction; however, the effect of time was not statistically significant on DMAA. Sex ( P = .047), severity ( P = .050), associated procedures ( P = .000), and preoperative angle ( P = .000) showed significant association with HVA correction and its persistence over time. Age was not statistically significant. Complications were 9 cases of superficial wound infection and 6 recurrences. Conclusions: The MIIND technique proved a viable procedure to correct moderate to severe HV with a low rate of complications and recurrence, producing significant correction of most radiographic parameters assessed and their persistence, even at long term. Level of Evidence: Level IV, case series study.

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Section: Discussionsupporting

confidence: 93%

Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus

et al. 2020

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“…Our study evaluated the safety of lateral release using a curve cervical biopsy blade placed inferiorly to the metatarsal head through a medial incision in a cadaveric model. Silver et al described the importance of restoring the metatarsal sesamoid relationship [19]. Radiological evaluation of hallux valgus correction has changed to translation of the metatarsal head over the sesamoids rather than reduction of the sesamoids with a lateral release, leading some authors to question the rationale behind performing such a release [19,20].…”

Section: Discussionmentioning

confidence: 99%

“…Silver et al described the importance of restoring the metatarsal sesamoid relationship [19]. Radiological evaluation of hallux valgus correction has changed to translation of the metatarsal head over the sesamoids rather than reduction of the sesamoids with a lateral release, leading some authors to question the rationale behind performing such a release [19,20]. Woo et al compared the lateral sesamoid position with and without lateral soft tissue release and concluded that although there was no difference in lateral sesamoid position between the techniques, clinical and radiological outcomes were improved with the addition of lateral soft tissue release [21].…”

Section: Discussionmentioning

confidence: 99%

Single incision lateral release for hallux valgus using a cervical biopsy blade: A cadaveric study

et al. 2018

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“…However, the medial free space of the tibiotalar joint was apparently larger on the weight-bearing CBCT scans than on the conventional CT scans, which is probably due to the anterior displacement of the talus in the non-weight-bearing position, which is greater in the anterior portion than in the posterior portion. In patients with hallux valgus, determining the role of coronal rotation of the first metatarsal and sesamoid bones is essential to planning the correction of the deformity ( 40 - 43 ) .…”

Section: Indications For Weight-bearing Cbctmentioning

confidence: 99%

Weight-bearing cone-beam computed tomography in the foot and ankle specialty: where we are and where we are going - an update

et al. 2021

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Cone-beam computed tomography (CBCT) has been applied in dentistry and medicine for nearly two decades. Its application in the foot and ankle specialty has grown exponentially in recent years. Weight-bearing CBCT allows clinicians to obtain weight-bearing images that can be viewed in all three planes and to construct three-dimensional models, similar to those constructed from traditional CT scans, as well as exposing patients to less radiation than do traditional CT scans. This technology has revolutionized diagnoses, improving the understanding of various lesions and surgical planning in the foot and ankle specialty. Ongoing studies of the use of weight-bearing CBCT in foot and ankle surgery are focused on fully automated and semi-automated three-dimensional measurements, as well as bone segmentation, mapping of the distances/orientation of the joints, and the production of customized implants. The aims of this review article are to show the evolution of this emerging tool in the foot and ankle specialty, to update those in related specialties on its use in current clinical practice, and to indicate where the research community is heading.

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The Relationship Between the Sesamoid Complex and the First Metatarsal After Hallux Valgus Surgery Without Lateral Soft-Tissue Release: A Prospective Study

Cited by 18 publications

References 38 publications

Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus

Functional and Radiographic Outcomes of Minimally Invasive Intramedullary Nail Device (MIIND) for Moderate to Severe Hallux Valgus

Single incision lateral release for hallux valgus using a cervical biopsy blade: A cadaveric study

Weight-bearing cone-beam computed tomography in the foot and ankle specialty: where we are and where we are going - an update

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