Complications and Revisional Hallux Valgus Surgery

Belczyk, Ronald; Stapleton, John J.; Grossman, Jordan P.; Zgonis, Thomas

doi:10.1016/j.cpm.2009.04.002

Cited by 21 publications

(10 citation statements)

References 15 publications

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“…In hallux varus, overcorrection of the IMA has been defined as a pre-operative angle < 0°1 ,5 or <2°. 10 In our study the hallux valgus had been treated by scarf osteotomy in 13 patients (68.4%) and proximal chevron osteotomy in six (31.6%) but we could not determine which osteotomy was more likely to lead to hallux varus.…”

Section: Fig 5amentioning

confidence: 70%

“…1,[6][7][8][9] The surgical options for the treatment of this deformity are medial capsular release, corrective osteotomy, tendon transfer and arthrodesis. 10 However, medial capsular release alone is insufficient and is usually combined with other procedures, such as corrective osteotomy or tendon transfer. Arthrodesis is recommended as palliative treatment when hallux varus is accompanied by arthritis in the first metatarsophalangeal joint (MTPJ).…”

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confidence: 99%

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Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus

Choi¹,

Lee

Yoon

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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We reviewed the outcome of distal chevron metatarsal osteotomy without tendon transfer in 19 consecutive patients (19 feet) with a hallux varus deformity following surgery for hallux valgus. All patients underwent distal chevron metatarsal osteotomy with medial displacement and a medial closing wedge osteotomy along with a medial capsular release. The mean hallux valgus angle improved from -11.6° pre-operatively to 4.7° postoperatively, the mean first-second intermetatarsal angle improved from -0.3° to 3.3° and the distal metatarsal articular angle from 9.5° to 2.3° and the first metatarsophalangeal joints became congruent post-operatively in all 19 feet. The mean relative length ratio of the metatarsus decreased from 1.01 to 0.99 and the mean American Orthopaedic Foot and Ankle Society score improved from 77 to 95 points. In two patients the hallux varus recurred. One was symptom-free but the other remained symptomatic after a repeat distal chevron osteotomy. There were no other complications. We consider that distal chevron metatarsal osteotomy with a medial wedge osteotomy and medial capsular release is a useful procedure for the correction of hallux varus after surgery for hallux valgus.

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Section: Fig 5amentioning

confidence: 70%

mentioning

confidence: 99%

Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus

Choi¹,

Lee

Yoon

et al. 2011

The Journal of Bone and Joint Surgery. British volume

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“…As with any procedure, complications can arise after surgery. The rate of complications in hallux valgus surgery ranges from 10% to 55% (12)(13)(14)(15). One of the most apparent complications is recurrence of the hallux valgus deformity.…”

Section: Discussionmentioning

confidence: 99%

Consequences of Avulsion Fracture of the Proximal Phalanx Caused by a Technical Failure of Hallux Valgus Surgery

Park

Lee²,

Jegal³

et al. 2016

The Journal of Foot and Ankle Surgery

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“…Various authors have reported complication rates for specific surgical procedures done to correct hallux valgus deformity [13,14,24,[42][43][44].But only a sparse collection of data has been collected for clinical recurrence rate analysis [21,22,24].…”

Section: Clinical Recurrence Rate Studiesmentioning

confidence: 99%

“…A thorough physical exam is critical. The physical examination of a hallux valgus deformity must be performed with the patient sitting and standing [1,23,24]. The foot is examined for a pes planus deformity and for contracture of the Achilles tendon, both of which may affect the choice and success of the operation.…”

Section: Current Concepts For Primary Operative Treatmentmentioning

confidence: 99%

Salvage of recurrence after failed surgical treatment of hallux valgus

Duan

Kadakia

2011

Arch Orthop Trauma Surg

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Recurrence of the deformity is unfortunately a common occurrence following surgical treatment of hallux valgus. The underlying reason for recurrence is multifactorial and includes surgeon's factor, patient's factor, and deformity components that were not addressed at the index procedure. Salvage of recurrence can be challenging for both the patient and the surgeon. Successful treatment requires understanding the underlying reason for the failure of initial treatment and correcting bony alignment, restoring the joint congruity, and balancing soft tissues. We present an algorithmic approach to revision hallux valgus surgery.

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Complications and Revisional Hallux Valgus Surgery

Cited by 21 publications

References 15 publications

Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus

Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus

Consequences of Avulsion Fracture of the Proximal Phalanx Caused by a Technical Failure of Hallux Valgus Surgery

Salvage of recurrence after failed surgical treatment of hallux valgus

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