Post-operative hallux varus: a review of treatment methods
| Autor: | Cyrille Cazeau, Yves Stiglitz, Christophe Piat |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Metatarsophalangeal Joint
musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Osteotomy medicine Humans Orthopedics and Sports Medicine Displacement (orthopedic surgery) Hallux Valgus Metatarsal Bones Orthodontics biology business.industry medicine.disease biology.organism_classification Hallux Varus Hallux varus Tendon Valgus Treatment Outcome medicine.anatomical_structure Orthopedic surgery Ligament Hallux Surgery business Range of motion |
| Zdroj: | International Orthopaedics. 45:2193-2199 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s00264-021-05143-w |
| Popis: | Hallux varus is a classical complication of hallux valgus surgery with a medium rate of 6%. Methods of treatment are MTP1 fusion or conservative joint operations. Hallux varus results from imbalance between excessive medial capsule retraction or tensioning and excessive lateral laxity or soft-tissue release but also and mainly from an over displacement of the first metatarsal which reduces the intermetatarsal angle and thus leads to medial displacement of the great toe. A majority are well tolerated, but few need to be re-operated upon. Factors guiding choice are mainly range of motion and reducibility of the first metatarsophalangeal joint and tendon balance. Joint sparing could be decided for a mobile and well balancesd MTP1 with two options, soft-tissue repairing such as tendon and ligament transfer and reverse osteotomies. The choice depends mainly on the radiological features as an unduly closed intermetarsal angle which leads to a reverse scarf or chevron osteotomy whatever previous surgery was or was not with an osteotomy. Conservative treatment is tricky, and MTP1 fusion is still a reliable procedure which can be used widely. |
| Databáze: | OpenAIRE |
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