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Hallux Abducto Valgus Surgery, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Hallux Abducto Valgus Surgery, An Issue of Clinics in Podiatric Medicine and Surgery, E-Book

Babak Baravarian

(2014)

Additional Information

Abstract

This issue of Clinics in Podiatric Medicine and Surgery is edited by Dr. Babek Baravarian and will include Biodynamics of Hallux Abducto Valgus Etiology and Pre-operative Evaluation, Priximal Phalangeal Osteotomies for Hallux Abducto Valgus Deformities, First Metatarsal Head Osteotomies, First Metatarsophalangeal Joint Arthrodesis Procedures, Scarf Osteotomy for Hallux Abducto Valgus Correction, First Metatarsal Base Osteotomies for Hallux Abducto Valgus deformities, The Lapidus Procedure, Fixation Updates for Hallux Valgus Correction, Revision Hallux Valgus Surgery and Management of Complications, Physical Therapy Post Hallux Abducto Valgus Correction.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Hallux Abducto Valgus\rSurgery i
copyright\r ii
Clinics in Podiatric Medicine and Surgery iii
Consulting Editor iii
Editorial Board Members - USA iii
Editorial Board Members - International iii
Contributors v
Consulting Editor v
Editor v
Authors v
Contents vii
Clinics In Podiatric\rMedicine And Surgery\r x
Foreword\r xi
Preface xiii
Biodynamics of Hallux Abductovalgus Etiology and Preoperative Evaluation 197
Key points 197
Introduction 197
Adult versus juvenile 198
The first metatarsal phalangeal joint 200
The first metatarsal cuneiform joint 200
The sesamoid apparatus 202
Tendon/muscle of the first MPJ 202
History and physical examination 203
Radiographic evaluation 205
The 1–2 intermetatarsal angle 205
Hallux valgus (abductus) angle 206
Hallux interphalangeal angle 206
Proximal articular set angle 206
MTP joint congruity and shape 207
Medial eminence 207
First metatarsal length 209
Tibial sesamoid position 209
First metatarsal cuneiform joint angles 211
Summary 211
References 211
Proximal Phalangeal Osteotomies for Hallux Abductovalgus Deformity 213
Key points 213
Introduction 213
Proximal phalangeal osteotomy 213
Preoperative clinical evaluation 214
Radiographic evaluation 214
Hallux Abductus Angle 214
Hallux Interphalangeal Angle 215
Proximal Articular Set Angle 215
Distal Articular Set Angle 215
Application of proximal phalangeal osteotomies 215
Variations of Proximal Phalangeal Osteotomy 215
Surgical technique 218
Summary 219
Acknowledgments 220
References 220
First Metatarsal Head Osteotomies for the Correction of Hallux Abducto Valgus 221
Key points 221
Introduction 221
Surgical treatment decision-making 221
Historical review 223
Reverdin 223
Hohmann 223
Mitchell 224
Wilson 224
DRATO 225
Chevron 225
Kalish 225
Youngswick 226
Percutaneous Technique 226
Operative technique 226
Postoperative management 227
Complications 228
The use of an amniotic membrane to augment distal metatarsal osteotomies in hallux abducto valgus surgery 229
Summary 230
References 230
Scarf Osteotomy for Correction of Hallux Abducto Valgus Deformity 233
Key points 233
Introduction 233
Surgical technique 234
Incision and Soft Tissue Release 234
Scarf Cuts 236
Longitudinal Cut 237
Distal and Proximal Cut 238
Fixation 238
Adjunctive Procedure: Akin Osteotomy 239
Closure 240
Adjuncts and modifications 240
Plantar Displacement 240
Lengthening/Shortening 241
Correction PASA 242
Postoperative Course 242
Time period: 0 to 7 days 242
Time period: 7 days to 6 weeks 244
Time period: 6 weeks to 3 months 244
Time period: 3 months to 1 year 244
Complications 245
Patient satisfaction 245
Summary 245
References 245
First Metatarsal Base Osteotomies for Hallux Abducto Valgus Deformities 247
Key points 247
Indications 248
Large Intermetatarsal Angles 248
Short First Metatarsal 248
Hypermobile First Ray 249
Closing base wedge osteotomy 250
Overview 250
Technique 250
Opening wedge osteotomy 253
Overview 253
Technique 253
Proximal chevron osteotomy 254
Overview 254
Technique 255
Crescentic osteotomy 256
Overview 256
Technique 257
Complications 258
Nonunion/Delayed Union 258
Vascular Injury 259
Shortening 259
Elevation 260
Summary 260
References 260
Fixation Updates for Hallux Valgus Correction 265
Key points 265
Introduction 265
Cerclage and Kirschner wire fixation 266
Cerclage Wiring 266
Transfixation with Kirschner Wires 266
Staple fixation 269
Screw fixation 270
Plate fixation 275
Summary 277
References 277
First Metatarsophalangeal Joint Arthrodesis in the Treatment of Hallux Valgus 281
Key points 281
Joint preparation 282
Position of arthrodesis 284
Method of fixation 286
Postoperative management 287
References 288
Revision Hallux Valgus 291
Key points 291
Causes of hallux valgus failure 291
Recurrence 291
Malunion 293
Hallux Varus 294
Shortening 295
Nonunion 296
Avascular necrosis 296
Summary 297
References 297
Contemporary Approaches and Advancements to the Lapidus Procedure 299
Key points 299
Introduction 299
Why avoid the Lapidus procedure? Myths considered 300
Patient selection 301
The Lapidus surgical procedure: the University Foot and Ankle Institute technique 302
To weight bear or not to weight bear? 306
Summary 307
References 308
Physical Therapy Post–Hallux Abducto Valgus Correction 309
Key points 309
Introduction 309
Comprehensive examination and treatment of postsurgical hallux valgus 310
Restoring normal joint function after hallux valgus correction 311
References 320
Index 323