The modified Hohmann osteotomy: An alternative joint salvage procedure for hallux rigidus

Gonzalez, Joseph V.; Garrett, Philip P.; Jordan, Michael J.; Reilly, Charles H.

doi:10.1053/j.jfas.2004.09.007

Cited by 25 publications

(8 citation statements)

References 28 publications

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“…In addition, a second transverse limb has been added to control rotation and limit metatarsal shortening. This transverse limb is a key point that differentiates this modification from previously described distal metatarsal osteotomies ensuring that metatarsal length is preserved or minimally altered [10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. A cadaveric model

Asunción

Poggio

Pellegrini

et al. 2015

Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

“…A myriad of first metatarsal osteotomies have been described to treat hallux rigidus [1,2,[4][5][6][7][8][9][10]. All of these osteotomies attempt to relocate the head of the first metatarsal in the center of the proximal phalanx of the hallux.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. A cadaveric model

Asunción

Poggio

Pellegrini

et al. 2015

Foot and Ankle Surgery

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“…В свою очередь, J. Gonzalez и соавт. [78] предложили модифицированную остеотомию Hohmann, выполняющуюся в случае умеренно и значительно выраженного ОА I ПФС в сочетании с относительно длинной и приподнятой I ПК. При выполнении данной операции головка I ПК смещается в подошвенную сторону, а также происходит укорочение I ПК [4,78].…”

Section: инструментальная диагностикаunclassified

Principles of Surgical Treatment in Patients With Osteoarthritis of the First Metatarsophalangeal Joint

Нурмухаметов¹

2018

rsp

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At present, there is no general approach to choosing surgical tactics for hallux rigidus. Many surgical procedures are used to treat osteoarthritis (OA) of the first metatarsophalangeal joint (FMPJ), which are relevant at different stages of the disease. Nevertheless, this fact also suggests that all proposed methods have one or other disadvantages. At the same time, FMPJ arthrodesis that relieves pain and is functionally inferior to joint-sparing surgery remains the gold standard. However, due to the fact that not only persons over the age of 50 years, but also younger patients often suffer from FMPJ OA, the most non-damaging option of joint-sparing surgery is cheilectomy with chondroplasty of the FMPJ, which allows restoration of painless joint motions, thus sparing the anatomy of the foot. Chondroplasty using the authologous matrix-induced chondrogenesis (AMIC®) technique for knee, hip, and ankle cartilage defects is described. There are no reports on FMPJ chondroplasty with the AMIC method in either Russian or foreign literature.

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“…Although decompressive osteotomies have reported good outcomes, the grades of articular involvement for which the procedure was applied were diffuse and have not been established. 1 , 2 , 4 , 7 , 11 , 12 , 18 - 20 , 22 , 23 , 27 , 28 Moreover, those osteotomies were combined with cheilectomy; therefore, it was unclear whether the good outcomes were due to metatarsal osteotomy or cheilectomy. 21 …”

Section: Introductionmentioning

confidence: 99%

Sliding Oblique Metatarsal Osteotomy Fixated With K-Wires Without Cheilectomy for All Grades of Hallux Rigidus: A Case Series of 76 Patients

Nakajima

2022

Foot & Ankle Orthopaedics

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Background: Studies on decompression metatarsal osteotomy without cheilectomy for hallux rigidus are limited. This study aimed to review the data of patients who underwent this surgery for all grades of hallux rigidus. Methods: The medical records of patients who underwent this surgery between August 2017 and January 2021 were retrospectively reviewed. The outcomes were assessed using the visual analog scale (VAS), the Japanese Society for Surgery of the Foot (JSSF) score, and the hallux dorsiflexion angle. Patients who were followed up for more than 2 years were included. The plantar shift of the first metatarsal head (PS) and the shortening of the first metatarsal (SH) were measured to supplementally investigate the associations with other measurements. Results: A total of 76 patients (female, 42; male, 34; mean age, 60.3 years; mean body mass index, 23.1) with 80 feet were enrolled. Six patients (7.5%) were grade 1, 20 (25.0%) were grade 2, 30 (37.5%) were grade 3, and 24 (30.0%) were grade 4. The mean follow-up duration was 3.5 years. Overall, the mean VAS score improved from 63.2 to 6.2, the mean JSSF score from 59.0 to 82.6, and the mean dorsiflexion angle from 37.3 to 56.3 degrees. These measures improved for all grades, but the dorsiflexion angles and JSSF scores decreased as the grade advanced. No clear associations were found between the postoperative VAS and the PS and SH. Eight patients (10.5%) had complications: 4 (5.2%) had occasional plantar discomfort under the metatarsal head, 2 (2.6%) required shoe modification, 1 (1.3%) had wound pain, and 1 (1.3%) experienced breakage of a K-wire. Conclusion: The VAS scores, dorsiflexion angles, and JSSF scores improved for all grades of hallux rigidus within a relatively short period of follow-up; however, the dorsiflexion angles and JSSF scores decreased as the grade advanced. Level of Evidence: Level IV, retrospective case series.

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The modified Hohmann osteotomy: An alternative joint salvage procedure for hallux rigidus

Cited by 25 publications

References 28 publications

Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. A cadaveric model

Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. A cadaveric model

Principles of Surgical Treatment in Patients With Osteoarthritis of the First Metatarsophalangeal Joint

Sliding Oblique Metatarsal Osteotomy Fixated With K-Wires Without Cheilectomy for All Grades of Hallux Rigidus: A Case Series of 76 Patients

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