The Treatment of Hallux Valgus

Wülker, Nikolaus; Mittag, Falk

doi:10.3238/arztebl.2012.0857

Cited by 76 publications

(89 citation statements)

References 42 publications

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“…Despite a higher satisfaction rate of 93% among patients in this study, compared with the 85% satisfaction rate for hallux valgus surgery reported in the recent literature, 24 31% of them still have some degree of residual pain at 6 months after surgery, whereas 9% of them were not totally pain free at the 2-year follow-up. Chou et al followed 98 patients who underwent foot and ankle surgery and concluded that preoperative pain intensity was a significant predictor for pain score at 3 days after surgery, whereas age and gender were not.…”

Section: Discussioncontrasting

confidence: 77%

Pain Resolution After Hallux Valgus Surgery

et al. 2016

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Section: Discussioncontrasting

confidence: 77%

Pain Resolution After Hallux Valgus Surgery

et al. 2016

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“…Currently, therapies vary by the severity of the deformity, ranging from non-operative medications and inlays under the forefoot to surgical procedures such as osteotomies or arthrodesis. Within all of these procedures, however, challenges remain, clinical indications vary and high-level evidence is scarce regarding when to use specific operative techniques over others [3]. …”

Section: Future Implicationsmentioning

confidence: 99%

Evolutionary Medicine: Why do humans get bunions?

Tamer

Simpson

2017

Evolution, Medicine, and Public Health

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“…A small number of methods include osteotomies in the shaft. Bone correction in the proximal aspect and arthrodesis of the TMT-I joint are reserved for larger IM angles and severe to extreme hallux valgus deformities [8] The goal of any corrective osteotomy in combination with a soft tissue release is the reduction of a pathological Ist intermetatarsal angle and the correction of the hallux valgus angle. However, a number of additional parameters must be taken into account.…”

Section: Introductionmentioning

confidence: 99%

Can a Subcapital Osteotomy Fixed with an Intramedullary Locking Plate Correct all Possible Deformities of a Mild to Moderate Hallux Valgus?

Vitek¹,

Kugler²,

Fink³

et al. 2017

OJO

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Background: There are at least 5 very popular methods described for the correction of mild to moderate hallux valgus deformities. Despite of reported and self experienced good results in favorable fitting preoperative anatomical conditions of some of these methods; it seems that no one is really satisfying under "difficult" or non favorable preoperative anatomic conditions. How could an optimum operation method for a satisfying correction of a mild to moderate hallux valgus look like? The well known criteria for an optimally satisfying method to achieve full normalization of important forefoot parameters under all conditions should be a lateralization, plantarization and derotation of the Ist metatarsal head and also a normalization of the distal metatarsal articular angle (DMAA) in combination with a soft tissue correction. Methods: In order to achieve this outcome without the disadvantages of shortening or the need for unloading, we developed a new operation technique and new fixation devices. We performed a simple transverse lazy-L subcapital osteotomy and after an additional soft tissue release the Ist metatarsal head was restored to its preplaned optimum position in terms of narrowing the IM angle, plantarization, correction of the hallux valgus angle, derotation of a pronation l malrotation and improvement of the DMAA. Fixation was achieved with an intramedullary angel-stable transfixed 30 mm titanium plate. The rigidity of the implant rendered interfragmental compression or solid bone contact unnecessary. The goal was only an optimal correction. All patients were allowed to ambulate with full weightbearing immediately after the operation. Results: We retrospectively reviewed 346 patients (433 feet) who underwent subcapital osteotomy between May 2007 and December 2011; 308 were women and 38 men; their mean age was 65 years. The follow-up investigation was performed on average after 6.5 years (78 months); range 5.5 to 10 years (66 to 120 show that interfragmental compression between the osteotomy partners or good interfragmental contact is not necessary when a rigid intramedullary fixation device is used. The goal of this approach to hallux valgus surgery was to achieve excellent correction and a very rigid intramedullary angle-stable locked implant. The procedure yielded excellent results and was associated with no recurrence of hallux valgus.

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The Treatment of Hallux Valgus

Abstract: The clinical outcome of present treatments seems to be good in most cases, but large-scale randomized trials are still needed to verify the efficacy of the wide variety of operations and fixation techniques that are currently being offered.

Cited by 76 publications

References 42 publications

Pain Resolution After Hallux Valgus Surgery

Pain Resolution After Hallux Valgus Surgery

Evolutionary Medicine: Why do humans get bunions?

Can a Subcapital Osteotomy Fixed with an Intramedullary Locking Plate Correct all Possible Deformities of a Mild to Moderate Hallux Valgus?

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