Tendon Transfers and Salvaging Options for Hallux Varus Deformities

Gradisek, Brian; Weil, Lowell

doi:10.1016/j.cpm.2015.06.008

Cited by 8 publications

(6 citation statements)

References 10 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment of hallux varus has made great strides in the last decade. It was originally thought that arthrodesis should be first line due to the perceived propensity of soft tissue procedures to fail in the long-term [ 7 ]. However, hallux varus treatment has evolved from first MTP joint arthrodesis to various soft tissue procedures, assuming the deformity is flexible [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…It was originally thought that arthrodesis should be first line due to the perceived propensity of soft tissue procedures to fail in the long-term [ 7 ]. However, hallux varus treatment has evolved from first MTP joint arthrodesis to various soft tissue procedures, assuming the deformity is flexible [ 7 ]. Gradisek and Weil suggest that arthrodesis only be reserved for treatment-refractory hallux varus with MTP joint damage [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, hallux varus treatment has evolved from first MTP joint arthrodesis to various soft tissue procedures, assuming the deformity is flexible [ 7 ]. Gradisek and Weil suggest that arthrodesis only be reserved for treatment-refractory hallux varus with MTP joint damage [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report

Gottlich

Murphy

Jain

et al. 2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Hallux varus presents with midline deviation of the hallux at the first metatarsophalangeal joint. If left untreated, it may lead to pain and difficulty with normal daily activities. Here, we present a case of spontaneous hallux varus in an 84-year-old female treated non-operatively with injection of botulinum toxin in the Abductor Hallucis Brevis. Ultrasound guidance with electromyography was used to assist in all injections. Near total symptomatic relief and resumption of daily activities was obtained for up to 12 weeks at a time. Radiographic correction seen was improvement from 14° to 7° on weight bearing radiographs. After five rounds of treatment, no adverse reactions had been observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Use of botulinum toxin as a non-surgical treatment option for idiopathic hallux varus: a case report

Gottlich

Murphy

Jain

et al. 2023

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…The use of soft tissue rebalancing as well as tendon transfers are reserved for symptomatic patients with a flexible first MTPJ without evidence of crepitation or arthritis. 4,8,11,22 In cases with features of osteoarthritis, joint replacement or arthrodesis may yield more consistent results. 14,22…”

Section: Discussionmentioning

confidence: 99%

“…4,8,11,22 In cases with features of osteoarthritis, joint replacement or arthrodesis may yield more consistent results. 14,22…”

Section: Discussionmentioning

confidence: 99%

Hallux Varus Correction With Extensor Hallucis Longus Tendon Transfer and Reverse Scarf Osteotomy

Koh

Chong

Yeo

2021

Foot & Ankle Specialist

View full text Add to dashboard Cite

Introduction Hallux varus is the medial deviation of the hallux. Although rare, it can cause discomfort, functional weakness, difficulty with shoe wear, and dissatisfactory cosmesis. This study reports 3 cases of hallux varus treated using extensor hallucis longus (EHL) tendon transfer with or without the use of reverse scarf osteotomy (RSO). Methods This cases series studies the technique of using EHL tendon transfer and the role for RSO in the surgical correction of hallux varus. Indication for RSO included osseous overcorrection in the index hallux valgus surgery or as an adjunct when EHL tendon transfer alone was unable to restore alignment. Patients were followed-up for 24 months and their postoperative outcomes were recorded. Results All patients were female between the ages 55 to 67 years. Radiological parameters after surgery improved in all patients. The mean hallux-valgus angle was corrected from −23.7 ± 3.5° to −3.2 ± 2.0° postoperatively ( P < .05). Intermetatarsal angle was increased from 5.0 ± 1.9° to 6.7 ± 1.0° ( P = .065). Distal metatarsal articular angle improved from −28.9 ± 7.6° to −7.8 ± 3.7° ( P < .05). Mean American Orthopaedic Foot and Ankle Society scores improved from 37 ± 24 to 75 ± 9 ( P = .064) at 24 months. In addition, visual analogue scale pain scores reduced from 5 ± 1.5 to 1 ± 1 ( P < .05). All patients reported being satisfied with the procedure, and no complications were reported at 24 months after surgery. Conclusion Hallux varus correction using EHL tendon transfer with or without RSO appears to provide satisfactory results at 24 months. Levels of Evidence Level V: Expert opinion, Techniques

show abstract