• Corpus ID: 36429584

A Physiological Soft Tissue Procedure for Hallux Valgus Deformity Correction

@inproceedings{Wu2016APS,
  title={A Physiological Soft Tissue Procedure for Hallux Valgus Deformity Correction},
  author={Daniel Yiang Wu},
  year={2016}
}
  • D. Wu
  • Published 2016
  • Medicine
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 mainly a function problem of the foot that can eventually produce secondary problems like clawed toes… 

References

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The procedure presented addresses all aspects of the deformity while remaining technically undemanding, and it is also non-destructive, preserving all tissues for any future salvage procedure.

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  • D. Wu
  • Medicine
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The short-term results of this surgical procedure for the treatment of hallux valgus are satisfactory and the force data reflected the restoration of the function of the hallux.

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The writer presents the thesis that any operative procedure that does not include the correction of the deformity at its proximal focus is unscientific and inadequate; and that simple cuneiform osteotomy at the metatarso-cuneiform joint, with the redressement of certain secondary changes, is adequate and permanent.

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It is demonstrated that adequateHallux loading is imperative for a better outcome of the procedure and correlation of American Orthopaedic Foot and Ankle Society scores and pressure variables demonstrated a significant positive correlation with hallux loading.

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There was a wide variation in the type of procedure used to correct this severe hallux valgus deformity; approximately 50% of the respondents chose a metatarsal osteotomy, 25% chose a first MTP joint arthrodesis, and 25% a Lapidus procedure.

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