Surgical management of hallux valgus
DOI:
https://doi.org/10.1016/j.rccot.2019.07.004Keywords:
Hallux Valgus, Scarf Osteotomy, Chevron Osteotomy, Lapidus, Hallux Arthrodesis, Foot and Ankle Minimal Invasive Surgery, Bosch Osteotomy, Proximal Osteotomies, Ludloff osteotomyAbstract
Hallux valgus is very common disorder in the Colombian population. The surgical decision is based on patient symptoms, and is never performed for aesthetic purposes. A realignment of the joint must be carried out using simple or multiple osteotomies, depending on the degree of deformity. In many cases the decision to perform an osteotomy depends on the experience of the surgeon. This article addresses the most common types of the osteotomies described in the literature and each author describes their experience.
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Chou LB, Dieter AA, Aronson J, Kelly DM. Hallux Valgus. En: Pinzur MS, Foot OKU, editores. Ankle 4th edition. Rosemont: AAOS; 2008. p. 233-44.
Coughlin MJ, Mann RA. Hallux Valgus. En: Coughlin MJ, Mann RA, editores. Surgery of the foot and ankle. 8th ed. Philadelphia: Mosby -Elsevier; 2007. p. 183-362.
Wagner E, Wagner P. Hallux valgus en el adulto: conceptos actuales y revisión del tema. Revista Chilena de Ortopedia y Traumatología. 2016 Sept 1;57:89-94.
Coughlin MJ, Shurnas PS. Hallux valgus in men Part II: First ray mobility after bunionectomy and factors associated with hallux valgus deformity. Foot Ankle Int. 2003 Jan;24:73-8.
Nery C, Coughlin MJ, Baumfeld D, Ballerini FJ, Kobata S. Hallux valgus in males–part 1: demographics, etiology, and comparative radiology. Foot Ankle Int. 2013 May;34:629-35, http://dx.doi.org/10.1177/1071100713475350.
Nery C, Coughlin MJ, Baumfeld D, Ballerini FJ, Kobata S. Hallux valgus in males–part 2:radiographic assessment of surgical treatment. Foot Ankle Int. 2013 May;34:636-44, http://dx.doi.org/10.1177/1071100713475351.
Easley ME, Trnka HJ. Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int. 2007 Jun;28:748-58.
Shurnas PS, Coughlin MJ. Recall of the risks of forefoot surgery after informed consent. Foot Ankle Int. 2003 Dec;24:904-8.
Tai CC, Ridgeway S, Ramachandran M, Ng VA, Devic N, Singh D. Patient expectations for hallux valgus surgery. J Orthop Surg (Hong Kong). 2008 Apr;16:91-5.
Smyth NA, Aiyer AA. Introduction: Why Are There so Many Different Surgeries for Hallux Valgus? Foot Ankle Clin. 2018 Jun;23:171-82, http://dx.doi.org/10.1016/j.fcl.2018.01.001.
Galois L. History of surgical treatments for hallux valgus. Eur J Orthop Surg Traumatol (internet). 2018 May 31 (citado). Disponible en doi: 10.1007/s00590-018-2235-6.t).
Da EL. Scientific Exhibit: V-Osteotomy of the fisrt metatarsal head. Chicago: AAOS. 1968.
Da EL. A new osteotomy for hallux valgus: A horizontally directed’’V‘‘displacement osteotomy of the metatarsal head for hallux valgus and primus varus. Clin Orthope Relat Res. 1981 jun;157:25-30.
Sh KJ. Chevron osteotomy: analysis of factors in patients’ dissatisfaction. Foot Ankle. 1985 May-Jun;5:327-32.
Ht AZ, Me MS, Pr MM. The chevron osteotomy for correction of hallux valgus Comparison of findings after two and five years of follow-up. JBJS. Am. 2000 Oct;82-A:1373-8.
Jm JSD. Blood supply to the forst metatarsal head and vessels at risk with a chevron osteotomy. JBJS. Am. 2007;89:2018-22.
Rl HF. Modified chevron osteotomy of the first metatarsal. Clin Orthop Relat Res. 1981 Jun;157:105-9.
KJj DPNM. Chevron or Wilson metatarsal osteotomy for hallux valgus. JBJS. Br. 1993 Sep;75:825-9.
Mc RM. Mann’s Surgery of the Foot and Ankle, 2-Volume Set. 9th Edition. In MC, CS RAM. Mann’s Surgery of the Foot and Ankle, 1-Volume Set. 8th Edition. Mosby ELSEVIER. 2007:273.
Mg MD, Tb LMMN. Avascular necrosis following distal Chevron osteotomy of the first metatarsal. J Foot Ankle Surg. 1993 NovDec;32:617-22.
Pm JK. The risks and benefits of distal first metatarsal osteotomies. Foot Ankle. 1985 Aug;6:7-17.
Weil LS. Scarf osteotomy for correction of hallux valgus Historical perspective, surgical technique, and results. Foot Ankle Clin. 2000 Sep;5:559-80.
Weil L Jr. Mastering the Scarf procedure for hallux valgus correction. Foot Ankle Spec. 2009 Jun;2:151-5.
Roukis TS. hallux proximal phalanx Akin-Scarf osteotomy. J Am Podiatr Med Assoc. 2004 Jan-Feb;94:70-2.
Pinney SJ, Song KR, Chou LB. Surgical treatment of severe hallux valgus: the state of practice among academic foot and ankle suergeons. Foot Ankle Int. 2006 Dec;27:1024-9.
Molloy A, Widnall J. Scarf osteotomy. Foot Ankle Clin. 2014 Jun;19:165-80.
The Modified Lapidus Fusion. Foot Ankle Clin N Am 19 (2014) 223-233.
Contemporary Approaches and Advancements to the Lapidus Procedure. Clin Podiatr Med Surg 31 (2014) 299-308.
Santrock RD, Smith B. Hallux Valgus Deformity and Treatment A Three-Dimensional Approach: Modified Technique for Lapidus Procedure. Foot Ankle Clin N Am. 2018;23:281-95.
Coetzee JC, Resig SG, Kuskowski M, et al. The Lapidus procedure as salvage after failed surgical treatment of hallux valgus Surgical technique. J Bone Joint Surg Am. 2004;86A Suppl 1: 30-6.
Coetzee JC, Wickum D. The Lapidus procedure: a prospective cohort outcome study. Foot Ankle Int. 2004;25:526-31.
Scranton PE, Coetzee JC, Carreira D. Arthrodesis of the first metatarsocuneiform joint: a comparative study of fixation methods. Foot Ankle Int. 2009;30:341-5, http://dx.doi.org/10.3113/FAI. 2009.0341.
Klos K, Gueorguiev B, Mückley T, et al. Stability of medial locking plate and compression screw versus two crossed screws for Lapidus arthrodesis. Foot Ankle Int. 2010;31:158-63, http://dx.doi.org/10.3113/FAI. 2010.0157.
Drummond D, et al. Stability of Locking Plate and Compression Screws for Lapidus Arthrodesis: A Biomechanical Comparison of Plate Positio. The Journal of Foot & Ankle Surgery. 2018;57:466-70.
Patel RA, Wilson RF, Patel PA, et al. The effect of smoking on bone healing: a systematicreview. Bone Joint Res. 2013;2:102-11.
Basile P, Cook EA, Cook JJ. Immediate weight bearing following modified lapidu arthrodesis. J Foot Ankle Surg. 2010;49:459-64.
Cottom JM, Vora AM. Fixation of lapidus arthrodesis with a plantar interfragmentary screw and medial locking plate: a report of 88 cases. J Foot Ankle Surg. 2013;52:465-9.
Edward V. Wood, FRCS(Tr&Orth)a,*,Christopher R. Walker, MCH(Orth), FRCS(Orth), FRCS(Eng), FRCS(Ed)b, Michael S. Hennessy, BSc, FRCSEd(Tr&Orth)c, First Metatarsophalangeal Arthrodesis for Hallux Valgus. Foot Ankle Clin N Am. 2014;19:245-58, http://dx.doi.org/10.1016/j.fcl.2014.02.006.
Curtis MJ, Myerson M, Jinnah RH, et al. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques. Foot Ankle. 1993;14:395-9.
Kelikian AS. Technical considerations in hallux metatarsalphalangeal arthrodesis. Foot Ankle Clin. 2005;10:167-90, http://dx.doi.org/10.1016/j.fcl.2004.11.002.
Brage ME, Ball ST. Surgical options for salvage of end-stage hallux rigidus. Foot Ankle ClinNorth Am. 2002;7:49-73.
Buranosky DJ, Taylor DT, Sage RA, et al. First metatarsophalangeal joint arthrodesis:quantitative mechanical testing of six-hole dorsal plate versus crossed screw fixation in cadaveric specimens. J Foot Ankle Surg. 2001;40:208-13.
Kumar S, Pradhan R, Rosenfeld PF. First metatarsophalangeal arthrodesis using a dorsal plate and a compression screw. Foot Ankle Int. 2010;31:797-801.
Joel Politi MD*, John Hayes BS**, Glen Njus PhD**, Gordon L, Bennett MD, David B, Kay MD. First Metatarsal-Phalangeal Joint Arthrodesis: A Biomechanical Assessment of Stability. Foot & Ankle International. April 2003;Vol. 24(No 4).
Kenneth J, Hunt MD1, Cameron R, Barr MD1, Derek P, Lindsey MS2, Loretta B. Chou Locked Versus Nonlocked Plate Fixation for First Metatarsophalangeal Arthrodesis: A Biomechanical Investigation. Foot & Ankle International. November 2012;Vol. 33(No. 11).
Joel Politi MD*, John Hayes BS**, Glen Njus PhD**, Gordon L, Bennett MD, David B. Kay, First Metatarsal-Phalangeal Joint Arthrodesis: A Biomechanical Assessment of Stability. Foot & Ankle International/. April 2003;Vol. 24(No. 4).
Waldecker U. Interpositional Arthrodesis of the First Metatarsophalangeal Joint. 2013;151:507-12, https://doi.org/10.1055/s-0033-1350754 Z Orthop Unfall.
DeFrino PF, Brodsky JW, Pollo FE, et al. First metatarsophalangeal arthrodesis: clinical, pedobarographic and gait analysis study. Foot Ankle Int. 2002;23:496-502.
Judith F. Baumhauer, Dishan Singh, Prospective, Randomized, Multi-Centered Clinical Trial Assessing Safety and Efficacy of a Synthetic Cartilage Implant Versus Firtst Metatarsophalangeal Arthrodesis in Advanced Hallux Rigidus. Foot and Ankle International. 2015:1-13.
Dreeban S, mann RA. Advance hallux valgus deformity: long term results utilizing the distal soft tissue procedure and proximal metatarsal osteotomy. Foot ankle int. 1996;17:142-4.
Chiodo CP, schon LC, myerson MS. clinical results with the ludloff osteotomy for correction of adult hallux valgus. Foot ankle int. 2004;25:532-6.
Ludloff k. Die beseitigung des hallux valgus durch die schräge planta-dorsale osteotomie des metatarsus i. Arch klin chir. 1918;110:364-87.
Easly ME, kiebzak GM, davis WH, et al. Prospective, randomized comparision of proximal crescentic and proximal chevron osteotomies for correction of hallux valgus deformity. Foot ankle int. 1996;17:307-16.
Cooper MT, berlet GC, shurnas PS, et al. Proximal opening wedge osteotomy of the first metatarsal for correction of hallux valgus. Surg technol int. 2007;16:215-9.
Trnka HJ, muhlbauer M, zembsch A, et al. Basal closing wedge osteotomy for correction of hallux valgus and metatarsus primus varus: 10 to 22 years follow-up. Foot ankle int. 1999;20:171-7.
Glover JP, Hyer CF, berlet GC, et al. Early results of mau osteotomy for correction of moderate to severe hallux valgus. J foot ankle surg. 2008;47:237-42.
Leemrijse T, Valtin B, Besse JL. Hallux valgus surgery in 2005 Conventional, mini invasive or percutaneous surgery? Uni- or bilateral? Hospitalisation or one-day surgery? Rev Chir Orthop Reparatrice Appar Mot. 2008;94:111-27 [PubMed].
De Prado M, Ripoll PL, Golano P. Minimally Invasive Foot Surgery: Surgical Techniques, Indications, Anatomical Basis. Bilbao. Spa About Your Health. 2009.
Coillard JY, Laffenetre O, Cermolacce C, Determe P, Guillo S, Jambou S, de Lavigne C. Traitement chirurgical des métatarsalgies statiques par technique mini-invasive. 2e éd. Paris: Elsevier Ed; 2005. p. 153-7.
Darcel V, Villet L, Chauveaux D, Grecmip group, Laffenetre O. Treatment of static metatarsalgia using distal percutaneous metatarsal osteotomy: a prospective study of 222 feet. Rev Chir Orthop. 2009;5:229-42.
Maffulli N, Easley M. Minaimally Invasive Sugery of the Foot and Ankle. Spinger-Verlag;. 2011.
Bosch P, Wanke S, Legenstein R. Hallux valgus correction by the method of Bosch: a new technique with a seven-to-ten year follow-up. Foot Ankle Clin. 2000;5:485-98 [PubMed].
Coughlin MJ, Jones CP, Viladot R, Glano P, Grebing BR, Kennedy MJ. Hallux valgus and first ray mobility: a cadeveric study. Foot Ankle Int. 2004;25:537-44 [PubMed].
De Prado M, Ripoll PL, Vaquero J, Golano P. Tratamiento quirurgico per cutaneo del hallux mediante osteotomias multiples. Rev Orthop Traumatol. 2003;47:406-16.
Vernois J, Redfern DJ. Percutaneous Chevron; the union of classic stable fixed approach and percutaneous technique. Fuss & Sprunggelenk. 2013;11:70-5.
Gerbert J, Melillo T. A modified Akin procedure for the correction of hallux valgus. J Am Podiatric Assoc. 1971;61:132 [PubMed].
Henry J, Besse JL, Fessy MH. AFCP Distal osteotomy of the lateral metatarsals: a series of 72 cases comparing the Weil osteotomy and the DMMO percutaneous osteotomy. Orthop Traumatol Surg Res. 2011 Oct;97 6 Suppl:S57-65 [PubMed].
Oliva F, Longo UG, Maffulli N. Minimally invasive hallux valgus correction. Orthop Clin North Am. 2009 Oct;40:525-30 [PubMed].
Laffenêtre O, Cermolacce C, Coillard JY, et al. Chirurgie miniinvasive de l’halluxvalgus. En: Valtin B, Leemrijse T, editores. Cahiers d’enseignement de la SOFCOT: chirurgie de l’avantpied. Elsevier SAS.; 2005. p. 96-104.
Roukis TS. Percutaneous and minimum incision metatarsal osteotomies: a sys-tematic review. J Foot Ankle Surg. 2009;48:380-7 [PubMed].
Maffulli N, Longo UG, Marinozzi A, Denaro V. Hallux valgus: effectiveness and safety of minimally invasive surgery. A systematic review. Br Med Bull. 2011;97:149-67 [PubMed].
Vernois J. The treatment of the hallux valgus with a percutaneous chevron osteotomy. J Bone Joint Surg Br. 2011;93 Suppl IV:482.
Isham S. The Reverdin-Isham procedure for the correction of hallux abducto valgus. A distal metatarsal osteotomy procedure. Clin Podiatr Med Surg. 1991;8:81-94 [PubMed].
Bauer T, Biau D, Lortat-Jacob A, et al. Percutaneous hallux valgus correction using the Reverdin-Isham osteotomy. Orthop Traumatol Surg Res. 2010;96:407-16, 19. [PubMed].
Kadakia AR, Smerek JP, Myerson MS. Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int. 2007;28:355-60 [PubMed].
Magnan B, Pezze L, Rossi N, Bartolozz P. Percutaneous distal meta- tarsal osteotomy for correction of hallux valgus. J Bone Joint Surg Am. 2005;87:1191-9.
Faour-Martın O, Martın-Ferrero MA, Valverde Garcia JA, et al. Long-term results of the retrocapital metatarsal percutaneous osteotomy for hallux valgus. Int Orthop. 2013;37:1799-803 [PMC free article] [PubMed].
Huang PJ, Lin YC, Fu YC, et al. Radiographic evaluation of minimally invasive distal metatarsal osteotomy for hallux valgus. Foot Ankle Int. 2011;32:S503-7.
Redfern D, Gill I, Harris M. Early experience with a minimally invasive modified chevron and akin osteotomy for correction of hallux valgus. J Bone Joint Surg Br. 2011;93 Suppl IV:482.
Bauer T, de Lavigne C, Biau D, De Prado M, Isham S, Laffenétre O. Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases. Orthop Clin North Am. 2009 Oct;40:505-14 [PubMed].
Walker R. Redfern Redfern. Experience with a minimally invasive distal lesser metatarsal osteotomy for the treatment of metatarsalgia. J Bone Joint Surg Br. 2012;94 Suppl XXII:39.
Perera AM, Beddard L, Marudunayam A. Paper presented at American Orthopaedic Foot and Ankle Society Summer meeting. Hollywood, Fl. 2013 Jul.
Iannò B, Familiari F, De Gori M, Galasso O, Ranuccio F, Gasparini G. Midterm Results and Complications After Minimally Invasive Distal Metatarsal Osteotomy for Treatment of Hallux Valgus. Foot & Ankle International. 2013;34:969-77, http://dx.doi.org/10.1177/1071100713481453.
Bosch P, Markowski H, Rannicher V. Technik und erste Ergebnisse der subkutanen distalen Metatarsale-I-Osteotomie. Orthopaedische Praxis. 1990;26:51-6.
Magerl F. Stabile Osteotomien zur Behandlung des Hallux valgus und Metatarsale I varum. Orthopade. 1982;11:170-80.
Lamprecht E. Die retrokapitale Metatarsale-I-Osteotomie nach Kramer zur Behandlung des Hallux valgus. En: Meyer RP, Kappeler U, editores. Fußchirurgie in der Praxis. Germany: Springer-Verlag Berlin Heidelberg; 1996. p. 145-57.
Magnan B, Samaila E, Viola G, Bartolozzi P. Minimally invasive retrocapital osteotomy of the first metatarsal in hallux valgus deformity. Oper Orthop Traumatol. 2008;20:89-96.
Sié EJB, Kacou AD, Traore A, Mobiot C, Lambin Y. Bösch technique for hallux valgus surgery in a tropical setting. journal of clinical orthopaedics and trauma. 2013;4:123-8, http://dx.doi.org/10.1016/j.jcot.2013.07.003.
Chao-Ching Chiang, Chien-Fu Jeff Lin, Yun-Hsuan Tzeng, ChingKuei Huang, Wei-Ming Chen, Chien-Lin Liu. Distal Linear Osteotomy Compared to Oblique Diaphyseal Osteotomy in Moderate to Severe Hallux Valgus. Foot & Ankle International. 2012;33:479-86, http://dx.doi.org/10.3113/FAI. 2012.0479.
Arzac IR, Florentina G, Perez G. Osteotomía percutánea de Bosch ¿El paciente acepta la clavija? Análisis clínico - funcional y resultados a corto plazo. Rev Asoc Argent Ortop Traumatol. 2015;80:260-5, http://dx.doi.org/10.15417/470.
Tong CK, Ho YF. Use of minimally invasive distal metatarsal osteotomy for correction of hallux valgus. J Orthop Trauma Rehab. 2012;16:16-21.
Lin Y, Cheng Y, Chang JK, Chen CH, Huang PJ. Minimally invasive distal metatarsal osteotomy for mild to moderate hallux valgus deformity. Kaohsiung J Med Sci. 2009;25:431-6.
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