Treatment of Hallux Varus After Traumatic Adductor Hallucis Tendon Rupture

Barp, Eric A.; Temple, Eric W.; Hall, Jennifer L.; Smith, Hayden L.

doi:10.1053/j.jfas.2017.09.001

Cited by 8 publications

(6 citation statements)

References 10 publications

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“…In their procedure, 2.7 mm bone tunnels were created at the proximal phalanx and the metatarsal bone under fluoroscopy, whereafter suture tape was fixed using the 3.0 mm biotenodesis screws with congruent reduction. Other reports have shown the utility of a suture button device (mini Tigh-tRope R , Arthrex) for medial instability of the first MTP joint and traumatic hallux varus deformity [18][19][20]. Using these devices will enable less invasive joint stabilization surgery with a lower recurrence rate.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus

Nekomoto

Nakasa

Ikuta

et al. 2021

Case Reports in Orthopedics

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Iatrogenic hallux varus is a difficult complication of hallux valgus surgery. Although tendon transfer combined with bony correction is performed for hallux varus, tendon transfer has several disadvantages, such as the complicated nature of the procedure and the donor site morbidity. We describe the case of a 70-year-old woman with iatrogenic hallux varus treated by lateral collateral ligament (LCL) reconstruction using a suture tape anchor with bony correction. Tarsometatarsal joint arthrodesis was performed to correct the narrow intermetatarsal angle (IMA), and the varus deformity of the great toe at the metatarsophalangeal joint was corrected by anatomical reconstruction of the LCL using the suture tape anchor. One year postoperatively, the Japanese Society for Surgery of the Foot Hallux Metatarsophalangeal-Interphalangeal Scale had improved from 37 to 90 points. Radiography confirmed that the hallux valgus angle had been corrected from -24° to 4° and the IMA from 0° to 8°. Reconstruction of the LCL using suture tape anchor is an easy procedure for iatrogenic hallux varus which can achieve good stabilization.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus

Nekomoto

Nakasa

Ikuta

et al. 2021

Case Reports in Orthopedics

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“…The procedures for traumatic hallux varus used in the were tenodesis of the adductor tendon with a suture imbrication of the capsuloligamentous complex, an extensor split tenodesis, and soft tissue anchors with or without a medial soft tissue release. [6][7][8] This is in distinction to our technique using 2 SonicAnchors for the lateral capsuloligamentous reconstruction along with a medial soft tissue release. There has been 1 report of a traumatic hallux varus which progressed to arthritis of the first MTP, possibly due to altered joint mechanics.…”

Section: Possible Concerns and Future Of The Techniquementioning

confidence: 99%

“…Commonly used techniques include tenodesis of the adductor tendon using suture imbrication of the capsuloligamentous complex, extensor split tenodesis, and soft tissue anchors 6,7. The majority of reports have also described the inability to identify the adductor tendon and restore its length to successfully perform a primary repair 7,8. Thus, it becomes important to describe a new technique that can be used as a guide for surgeons tasked with the treatment of a patient with acquired hallux varus.…”

Section: Historical Perspectivementioning

confidence: 99%

“…On the basis of the etiology, procedures are either bony, soft tissue, or combined. The procedures for traumatic hallux varus used in the past were tenodesis of the adductor tendon with a suture imbrication of the capsuloligamentous complex, an extensor split tenodesis, and soft tissue anchors with or without a medial soft tissue release 6–8. This is in distinction to our technique using 2 SonicAnchors for the lateral capsuloligamentous reconstruction along with a medial soft tissue release.…”

Section: Possible Concerns and Future Of The Techniquementioning

confidence: 99%

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Traumatic Hallux Varus: Operative Technique Guide

Kadakia

Sharma

Sam

et al. 2021

Techniques in Foot &Amp; Ankle Surgery

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Traumatic hallux varus, although rare in occurrence, requires thoughtful clinical attention due to its disabling nature and the natural progression of this deformity. Although there is abundant literature on capsuloligamentous injuries, the traumatic hallux varus variant of this injury type currently exists solely as isolated case reports. Because of its infrequent presentation and limited research on the pathology, there exists a paucity in management options and surgical techniques. Conventional treatment methods listed in management of traumatic hallux varus are limited to tenodesis of the adductor tendon using suture imbrication of the capsuloligamentous complex, extensor split tenodesis, and soft tissue anchors. These come with various limitations, including the inability to identify the adductor tendon and restore its length to successfully perform a primary repair. In the present techniques report, a novel method for treatment of both subacute and chronic traumatic hallux varus is described that allows the surgeon to best restore the lateral capsuloligamentous complex anatomy via dual lateral capsuloligamentous reconstruction with a medial percutaneous soft tissue release.

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“…Mini TightRope has been used to treat several conditions in other locations, such as suspension of the first metacarpal after trapeziectomy, 9 forearm interosseus ligament reconstruction, 10 Lisfranc joint instability, 11 and acquired hallux varus due to lateral first MTP instability. 12,13 Its usage was also reported in conjunction with hemiarthroplasty of the first MTP joint for severe hallux abducto-valgus deformity in a diabetic woman with history of deep vein thrombosis, in whose case bony procedure and cast immobilization was preferably avoidable and immediate weight-bearing was desirable. 14 In our case, Mini TightRope was proven as an effective method for medial collateral ligament reconstruction of the first MTP joint.…”

Section: Treatmentmentioning

confidence: 99%

Novel dynamic stabilization method for medial instability of the first metatarsophalangeal joint

Koós¹,

Sisák

2019

J Orthop Surg (Hong Kong)

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Medial collateral ligament injury of the first metatarsophalangeal (MTP) joint is rare. If it is missed, chronic instability and traumatic hallux valgus develop, requiring surgical treatment. Different methods have been reported in the limited available literature aiming to restore the balance between the lateral and medial stabilizers by tightening the medial joint capsule with or without additional tendon graft. Our described method utilizes a suture button device (Mini TightRope, Arthrex, Naples, Florida) for reconstruction. This device applies tension to hold the hallux in the correct position, providing stability. Relevant diagnostic regimen, surgical technique, and postoperative care are described, along with a case of a handball player who underwent this procedure. He continues to perform at the same level 38 months postoperatively. Mini TightRope fixation for chronic medial first MTP instability has not been reported. It does not require postoperative immobilization and allows faster return to sport, so it seems superior to other methods when treating athletes.

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Treatment of Hallux Varus After Traumatic Adductor Hallucis Tendon Rupture

Cited by 8 publications

References 10 publications

Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus

Reconstruction of the Lateral Collateral Ligament Using a Suture Tape Anchor for Iatrogenic Hallux Varus

Traumatic Hallux Varus: Operative Technique Guide

Novel dynamic stabilization method for medial instability of the first metatarsophalangeal joint

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