Hallux valgus is a very common foot disorder, with its prevalence estimated at 33% in adult shoe-wearing populations. Conservative management is the initial treatment of choice for this condition, but surgery is sometimes needed. The 60(0) angle Chevron osteotomy is an accepted method for correction of mild to moderate hallux valgus in adults less than 60 years old. A modified 90(0) angle Chevr...

BACKGROUND There are indications that the diagnosis and management of common foot problems vary widely in general practice. OBJECTIVES Our aim was to explore the variation of GPs' diagnosis and management of common foot problems and the possible correlation between GPs' characteristics and their competence to diagnose correctly. METHODS In a cross-sectional design, 90 GPs in The Netherlands...

Background Hallux valgus (HV) is a progressive foot deformity involving lateral deviation of the hallux, and a common indication for forefoot surgery. However, the degree of foot pain experienced by individuals with HV is unclear. Recent evidence suggests an association between HV and foot pain; whereas, other studies have found no association. Furthermore, it is unknown whether more severe HV ...

BACKGROUND Postoperative transfer metatarsalgia is a common complication after hallux valgus surgeries. Shortening of the first metatarsal is traditionally thought to be the primary cause of it. However, we speculate the abnormal loading pattern during gait is the real reason. This study is to determine specific differences in the loading patterns between reconstructive hallux valgus (HV) feet ...

The morbid anatomy of hallux valgus was studied carefully in the nineteenth century, particularly by Volkmann (1856), Lane (1887), Payr (1894) and Heubach (1897), and has been reviewed by Simon (1918) and Hohmann (1925) with adequate references to the literature. Stein (1938), who gave the most extensive review in the English language, based his work on general considerations and on observation...

Successful deformity correction utilizing first metatarsophalangeal (MTP) fusion for hallux valgus with concomitant degenerative changes of the MTP joint is well documented. Currently, there limited discussion in literature focusing on triplanar arthrodesis. Presented a novel approach triplane and biplanar locked plating system.

This study relates the extent of cartilage lesions within the first metatarsophalangeal joint to hallux valgus. We prospectively examined 265 first metatarsophalangeal joints of 196 patients with a mean age of 54.2 years at operation for the existence of cartilage lesions. Grade I lesions were found in 41 feet (15.5%), grade II in 82 (30.9%), grade III in 51 (19.3%), grade IV in 20 (7.5%). Only...

Controversy exists with regard to the effects of chevron osteotomy on blood supply and subsequent development of avascular necrosis (AVN) of the first metatarsal head. The aim of this study was to assess the incidence of avascular necrosis in our centre following chevron osteotomy for hallux valgus, using bone scintigraphy. Thirty nine patients who had a chevron osteotomy for treatment of hallu...

Thirty nine surgical hallux valgus corrections in 32 adolescents (7 bilateral) performed between 1994 and 2001 were retrospectively studied. The mean age at the time of surgery was 14.2 years. The operation consisted of a proximal dome osteotomy of the first metatarsal, excision of the medial protuberance, lateral capsular and adductor release, and distal medial soft tissue plication. The patie...