Surgical Treatment Of Hallux Valgus Research Articles

Venous thrombosis after hallux valgus surgery.

Although surgery for the treatment of hallux valgus is frequently performed, the exact rate of deep vein thrombosis following this procedure is unknown. We performed a single-center, prospective, phlebographically controlled study to quantify the rate of venous thrombosis following operative correction of hallux valgus. Consecutive patients undergoing chevron bunionectomy for correction of hallux valgus deformity were enrolled in the study. Patients with clinical or hematological risk factors for venous thrombosis were excluded. One hundred patients with a mean age of 48.9 years were operated on and did not receive medical prophylaxis against thrombosis. All patients were assessed with phlebography at a mean of twenty-nine days postoperatively. Venous thrombosis was found in four patients (4%). The mean age of these patients (and standard deviation) was 61.7 +/- 6.1 years compared with a mean age of 48.4 +/- 13.9 years for the patients in whom thrombosis did not develop (p = 0.034). Patients are at a low risk for venous thrombosis following surgical treatment of hallux valgus. The need for prophylaxis against thrombosis should be calculated individually for each patient according to his or her known level of risk. Routine medical prophylaxis against thrombosis might be justified for patients over the age of sixty years.

Resection arthroplasty in the treatment of hallux valgus

Sixty-six feet operated on for hallux valgus in 1984 were reviewed. Keller-Brandes' operation was performed in all cases, together with Lelièvre's "fibrous cerclage" and flexor hallucis longus tendon anchoring to the sesamoid pad, as described by A. Viladot. In most cases, satisfactory clinical correction was achieved and the patients could wear standard shoes. More than half of the cases presented partial limitation of movement at the first metatarsophalangeal joint; however, flexion power of the big toe was preserved, and the range of motion was wide enough to allow a painless and limp-free gait. Radiologically, good correction of the angle between the first and second metatarsals and the metatarsophalangeal angle was obtained, but all cases presented proximal displacement of sesamoid bones. A baropodometric study showed that the toe-off phase of the gait does not change after this operation. In our series, central metatarsalgia was present in 17 feet; however, it did not compromise the functional result and was easily relieved with orthopaedic devices. Four feet showed radiographic images, suggesting necrosis of the first metatarsal head; all four were asymptomatic. The only case that required reoperation was the one that developed hallux varus deformity. The Keller-Brandes-Lelièvre-Viladot procedure is still a simple and effective method for the surgical treatment of hallux valgus in elderly people with osteoarthritis at the first metatarsophalangeal joint.

Surgical Treatment of Hallux Valgus in RA Patients

Surgical Treatment of Hallux Valgus in RA Patients

Passive Motion of the First Metatarsal Cuneiform Joint: Preoperative Assessment

Surgical treatment of hallux valgus with metatarsus primus varus aims to normalize the intermetatarsal angle, reduce the exostosis, and realign the proximal phalanx. These goals can be achieved by numerous osseous and soft-tissue procedures. The surgeon must be aware of the many treatment options and be able to select the appropriate procedure for each foot.

An orthosis for the postoperative management of first metatarsophalangeal joint reconstruction.

There is described a simple and readily made orthosis designed to improve results after surgical treatment of hallux valgus.

The Stone Operation: A Clinical Review of Seven Years' Experience

A series of 46 patients who underwent 78 first metatarso-phalangeal operations is reported. The procedure for the Stone operation is detailed. The Stone operation is a satisfactory procedure in the surgical treatment of hallux valgus and hallux rigidus.

Some views on the surgical treatment of hallux valgus.

Some views on the surgical treatment of hallux valgus.