Hallux Valgus

According to presented results, patients who undergo minimally invasive hallux valgus correction surgery may expect complete bony union at 6 months, regardless of postoperative cortical formation or degree of displacement.

Presented results showed minimally invasive chevron and Akin osteotomy may be an effective treatment for hallux valgus deformity correction.

Isolated first metatarsophalangeal joint arthrodesis may reduce radiographic alignment and subluxation of the first tarsometatarsal joint, according to published results.

With the body of literature growing fast, weight-bearing CT will become the standard of care in foot and ankle surgery, according to a presenter at the virtual American Orthopaedic Foot & Ankle Society Annual Meeting.

Wright Medical released its Ortholoc 2 LapiFuse Triplanar Correction System, the company’s new solution for hallux valgus correction.

A 53-year-old woman with rheumatoid arthritis on oral prednisone presented to a podiatric surgeon after a lifelong history of hallux valgus and lesser toe deformities. After failure of conservative management options, she opted for surgical management with first metatarsophalangeal joint arthroplasty with a double-stem silastic implant. Hammertoe deformities of her second through fifth digits were treated with lesser metatarsal head resections with transarticular pin fixation. The patient’s postoperative period was unremarkable, but after about 2 months, she noticed recurrence of the deformity of the lesser toes. She also developed a painful plantar prominence at the hallux metatarsophalangeal with return of the valgus deformity. After 4 years of persistent pain, she was referred to orthopedic surgery for further evaluation.

Technical innovations led to excellent results in orthopaedic surgery. Quality management efforts like registers, patient-reported outcome measure, and certifications, like EndoCert, brought us, in many cases, to even higher success rates. Emerging evidence is, however, making it clear that more attention has to be drawn to non-technical factors, such as prevention and perioperative optimization, including lifestyle changes. Perioperative smoking cessation is maybe the most influencing factor for further improvement in orthopaedic operations.

CHICAGO — At the American Orthopaedic Foot and Ankle Society Annual Meeting, Steven M. Raikin, MD, discussed a study that looked at degenerative changes at the metatarsal head sesamoid articulation seen during surgery for hallux valgus correction. He said there was a high incidence of arthritis (87%) at the metatarsal head sesamoid articulation.

CHICAGO — At long-term follow-up, patients with sesamoiditis, fracture, nonunion, osteonecrosis and arthritis who underwent isolated fibular sesamoidectomy reported long-term pain relief, according to a presenter at the American Orthopaedic Foot and Ankle Society Annual Meeting.