Does Hallux valgus severity change after medial capsulotomy? Intraoperative Analysis:

Foot & Ankle Orthopaedics

RubenRadkievich¹ 

关键词: hallux valgus;    bunion;    instability;    metatarsophalangeal capsulotomy;   

DOI  :  10.1177/2473011418S00392

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:BunionIntroduction/Purpose:Most treatment algorithms for hallux valgus surgery consider the intermetatarsal angle (IMA) and the metatarsophalangeal (MTP) angle to help decide which technique to choose. Some guidelines are more stringent, and some use different absolute values to decide between one technique and another. Every open approach includes a medial metatarsophalangeal capsulotomy to gain access to the joint and perform some type of osteotomy. No study is available which measures hallux valgus deformity after an intraoperative metatarsophalangeal capsulotomy, which may change our surgical technique depending on the algorithm in use. Our hypothesis was that when performing a medial capsulotomy, the hallux valgus deformity would increase.Methods:We analyzed 20 feet in 14 hallux valgus patients operated between April to June 2017, average age 57 years, 13 women and 1 men. Patients with previous hallux valgus surgery, arthritic changes, knee or hip comorbidities were excluded. Fluoroscopic im...

【 授权许可】

CC BY