BACKGROUND The proximal medial opening wedge (PMOW) osteotomy has become more popular to treat moderate to severe hallux valgus with the recent development of specifically designed, low-profile modular plates. Despite the promising results previously reported in the literature, we have noted a high incidence of recurrence in patients treated with a PMOW. The purpose of this study was to report ...

Hallux valgus is a soft tissue condition of normal bones deviating from their normal alignment due to failure of their stabilizing ligaments. Affected bones are victims rather than culprits. Osteotomy of normal bones to compensate a soft tissue problem can compromise biomechanics of the all-important first ray for function and complicate the matter. To patients, hallux valgus deformity is mainl...

The incidence of primary skin cancers of the foot is exceedingly low; conversely, problems associated with a hallux valgus are common. A nonhealing ulcer overlying a hallux valgus managed conservatively with ointments and orthotic adjustments, and even with skin grafts, did not resolve over a period of 10 years. Ultimately, a shave biopsy revealed that the lesion was a basal cell carcinoma. Wid...

Correction osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. The purpose of this study was to analyze short- and mid-term results in hallux valgus patients who underwent a Scarf osteotomy. The subjective and radiological outcome of 131 Scarf osteotomies (106 hallux valgus patients, mean age...

We hypothesized an association between foot type, foot deformity, and foot ulceration and conducted an analysis of a well-characterized, high-risk diabetic population of 398 subjects. The average age was 62 years of age and 74% of the study population were males. Foot-type distributions were 19.5% pes cavus (high arch), 51.5% neutrally aligned (normal arch), and 29.0% pes planus (low arch). We ...

OBJECTIVE To evaluate the clinical and radiological results in the surgical treatment of moderate and severe hallux valgus by performing percutaneous double osteotomy. MATERIAL AND METHOD A retrospective study was conducted on 45 feet of 42 patients diagnosed with moderate-severe hallux valgus, operated on in a single centre and by the same surgeon from May 2009 to March 2013. Two patients we...

Adequate correction of hallux valgus may be attempted at various levels of the first ray complex, depending on appropriate determination of the apex of the deformity. Methods of correction may include first metatarsal base osteotomy and first metatarsal head osteotomy as well as uncomplicated first metatarsophalangeal joint soft tissue realignment. In those instances in which the major deformit...

Arthrodesis of the first metatarsophalangeal joint is indicated for hallux valgus associated with degenerative changes, severe deformity, or rheumatoid arthritis and those for whom primary hallux valgus surgery has failed. Open approach requires extensive soft tissue dissection. The purpose of this Technical Note was to report the details of arthroscopic arthrodesis of the first metatarsophalan...

Progression to severe hallux valgus following the second and third brachymetatarsia is a rare deformity. This condition is a challenging problem because the entire correction of hallux valgus deformity and metatarsal length discrepancy is necessary to prevent a recurrence of deformity. Metatarsal length discrepancy between the first and second ray in early adolescent patient can be aggravated w...

Objective: Hallux valgus is one of the most common foot deformities. It is considered that hallux valgus is associated with foot arch height, footwear, sex and so on. Toe grip strength (TGS) is important for developing foot posture because it attributes to foot arch height. The relationship between hallux valgus and TGS in children is unknown, although childhood is a key period for developing f...