Post-operative hallux varus: a review of treatment methods.
Metatarsophalangeal fusion
Post-operative hallux varus
Reverse scarf osteotomy
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
03
07
2021
accepted:
07
07
2021
pubmed:
20
7
2021
medline:
26
10
2021
entrez:
19
7
2021
Statut:
ppublish
Résumé
Hallux varus is a classical complication of hallux valgus surgery with a medium rate of 6%. Methods of treatment are MTP1 fusion or conservative joint operations. Hallux varus results from imbalance between excessive medial capsule retraction or tensioning and excessive lateral laxity or soft-tissue release but also and mainly from an over displacement of the first metatarsal which reduces the intermetatarsal angle and thus leads to medial displacement of the great toe. A majority are well tolerated, but few need to be re-operated upon. Factors guiding choice are mainly range of motion and reducibility of the first metatarsophalangeal joint and tendon balance. Joint sparing could be decided for a mobile and well balancesd MTP1 with two options, soft-tissue repairing such as tendon and ligament transfer and reverse osteotomies. The choice depends mainly on the radiological features as an unduly closed intermetarsal angle which leads to a reverse scarf or chevron osteotomy whatever previous surgery was or was not with an osteotomy. Conservative treatment is tricky, and MTP1 fusion is still a reliable procedure which can be used widely.
Identifiants
pubmed: 34279671
doi: 10.1007/s00264-021-05143-w
pii: 10.1007/s00264-021-05143-w
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2193-2199Informations de copyright
© 2021. SICOT aisbl.
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