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Recurrence Following Correction of Hallux Valgus

Discussion in 'Foot Surgery' started by NewsBot, Mar 17, 2015.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    High Rate of Recurrence Following Proximal Medial Opening Wedge Osteotomy for Correction of Moderate Hallux Valgus
    Sravisht Iyer, Constantine A. Demetracopoulos, Carolyn M. Sofka, Scott J. Ellis
    Foot & Ankle International March 16, 2015
     
  2. NewsBot

    NewsBot The Admin that posts the news.

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    First Metatarsal Proximal Opening Wedge Osteotomy for Correction of Hallux Valgus Deformity: Comparison of Straight versus Oblique Osteotomy.
    Han SH et al
    Yonsei Med J. 2015 May 1;56(3):744-52. doi: 10.3349/ymj.2015.56.3.744.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

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    Recurrence of Hallux Valgus Can Be Predicted from Immediate Postoperative Non-Weight-Bearing Radiographs.
    Park CH, Lee WC.
    J Bone Joint Surg Am. 2017 Jul 19;99(14):1190-1197. doi: 10.2106/JBJS.16.00980.
     
  4. NewsBot

    NewsBot The Admin that posts the news.

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    PUBLIC RELEASE: 24-JUL-2017
    After bunion surgery, immediate x-rays predict recurrence risk

    July 24, 2017 - For patients undergoing surgery to repair a bunion deformity of the foot, non-weight-bearing x rays taken immediately after surgery can provide a good estimate of the risk that the bunion will return over time, reports a study in the current issue of The Journal of Bone & Joint Surgery. The journal is published in partnership with Wolters Kluwer.

    Recurrence of bunions can be "reliably predicted" from a few simple measurements on postoperative x rays, according to the new research by South Korean investigators Chul Hyun Park, MD, PhD, of Yeungnam University Medical Center and Woo-Chun Lee, MD, PhD, of Injie University Seoul Paik Hospital. They believe that, with further study, using the same x-ray predictors during surgery might help to minimize recurrence risk.

    Simple X-Ray Measurements Strongly Liked to Bunion Recurrence

    Bunions--the medical term is "hallux valgus"--are a common foot deformity. They appear as a bump on the side of the foot, caused by misalignment of the big toe and the long bone (first metatarsal bone) connecting it to the ankle. When bunions become severe, painful, or interfere with walking, surgery can be performed to realign the bones.

    Unfortunately, for many patients, bunions gradually return after surgery--previous studies have reported recurrence rates of up to 25 percent. Drs. Park and Lee sought to determine whether measurements made on routine "non-weight-bearing" x rays immediately after surgery could predict the risk of recurrence in the months after the procedure.

    The study included 93 patients undergoing bunion surgery on 117 feet. All but two patients were women, reflecting the fact that bunions are commonly caused by tight, confining shoes.

    At an average follow-up of two years, the bunion recurrence rate was 17 percent. Recurrence was defined as a hallux valgus angle (HVA)--the angle formed by the toe bone and first metatarsal bone--of 20 degrees or greater.

    Patients with larger preoperative and postoperative HVAs were at higher risk of recurrence. Bunions were 28 times more likely to recur when the postoperative HVA was eight degrees or larger than when the HVA was less than eight degrees. The HVA continued to widen over time in patients with recurrent bunions, but stabilized at six months in those without recurrence.

    "The recurrence of hallux valgus is one of the most important complications after surgery because it is closely related to patient satisfaction," the researchers write. While previous studies have focused on one or two risk factors for recurrent bunions, the new study evaluated the effects of multiple factors. Other factors associated with increased recurrence risk included severe bunions with a preoperative HVA of 40 degrees or larger and the position of a pair of small bones (sesamoids) under the joint on postoperative x rays.

    If future studies confirm their results, Drs. Park and Lee believe that radiographs taken during surgery might help develop guidelines for "satisfactory correction" of bunions--in particular, ensuring that surgery corrects the HVA to eight degrees or less.
     
  5. NewsBot

    NewsBot The Admin that posts the news.

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    Recurrent Hallux Valgus
    15 Year Single Surgeon Series

    David Beck, MD, Steven Raikin, MD, Andrew Park, MD
    Foot & Ankle Orthopaedics September 18, 2017
     
  6. NewsBot

    NewsBot The Admin that posts the news.

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    Is Generalized Ligamentous Laxity a Prognostic Factor for Recurred Hallux Valgus Deformity?
    Byung-Ki Cho et al
    Foot and Ankle Surgery; 13 October 2017
     
  7. NewsBot

    NewsBot The Admin that posts the news.

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    Factors Associated With Early Loss of Hallux Valgus Correction
    Naohiro Shibuya et al
    The Journal of Foot and Ankle Surgery 15 December 2017
     
  8. NewsBot

    NewsBot The Admin that posts the news.

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    The Effect of Second Toe Valgus on Correction Loss of Hallux Valgus Angle in Surgical Treatment
    Suk Woong Kang, Moo Ho Song, Yeong Joon Kim, Young Kwang Oh and Seong Ho Yoo
    J Korean Foot Ankle Soc. 2017 Dec;21(4):135-138. Korean.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

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    Treatment of Recurrent Hallux Valgus after Surgery
    Ki Bum Kwon and Kyoung Min Lee
    J Korean Foot Ankle Soc. 2019 Dec;23(4):149-153.
     
  10. NewsBot

    NewsBot The Admin that posts the news.

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    Radiographic Risk Factors of Recurrent Hallux Valgus Deformity after Modified Scarf and Akin Osteotomy
    Jae Wan Suh, Sung Hyun Kim, and Hyun-Woo Park
    J Korean Foot Ankle Soc. 2019 Dec ;23(4):159-165. Korean.
     
  11. NewsBot

    NewsBot The Admin that posts the news.

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    Risk factors for recurrence of hallux valgus deformity after minimally invasive distal linear metatarsal osteotomy
    TomonobuHagioaIchiroYoshimuraaKazukiKanazawabSoMinokawacTetsuroIshimatsuaMasayaNagatomoaYukiSuginoaTakuakiYamamotoa
    Journal of Orthopaedic Science
     
  12. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    [QUOTE = "NewsBot, publicación: 405814, miembro: 2114"] Factores de riesgo de recurrencia de la deformidad en hallux valgus después de una osteotomía metatarsiana lineal distal mínimamente invasiva
    TomonobuHagioaIchiroYoshimuraaKazukiKanazawabSoMinokawacTetsuroIshimatsuaMasayaNagatomoaYukiSuginoaTakuakiYamamotoa
    Revista de ciencia ortopédica [/ QUOTE]
     
  13. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    Assessing a proximal metatarsal osteotomy may reduce its recurrence rate. It can be minimally invasive.
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Association of First Metatarsal Pronation Correction With Patient-Reported Outcomes and Recurrence Rates in Hallux Valgus
    Matthew S Conti et al
    Foot Ankle Int. 2021 Oct 6
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Prevalence and Predisposing Factors for Recurrence after Hallux Valgus Surgery: A Systematic Review and Meta-Analysis
    Yasmin Ezzatvar et al
    J Clin Med. 2021 Dec 9;10(24):5753
     
  16. NewsBot

    NewsBot The Admin that posts the news.

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    Hallux Valgus Recurrence After Simple Bunionectomy: Algorithm Treatment
    Torrent J, Figa R, Clares I, Rabat E
    Preprint from Research Square, 14 Jan 2022
     
  17. NewsBot

    NewsBot The Admin that posts the news.

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    Analysis of risk factors and progress on revision surgery for postoperative recurrence of hallux valgus
    Cheng Wang, Zhong-Min Shi
    Zhongguo Gu Shang. 2022 Sep 25;35(9):893-7
     
  18. NewsBot

    NewsBot The Admin that posts the news.

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    Relationship Between Hallux Valgus Recurrence and Sesamoid Position on Anteroposterior Standing Radiographs After Distal Chevron Metatarsal Osteotomy
    Tae-Hoon Kim et al
    Source
     
  19. NewsBot

    NewsBot The Admin that posts the news.

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    Recurrence Rates With Longer-Term Follow-up After Hallux Valgus Surgical Treatment With Distal Metatarsal Osteotomies: A Systematic Review and Meta-analysis
    Matthieu Lalevee et al
    Source
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Utility of the modified 5-item frail index to predict complications and reoperations after hallux valgus percutaneous surgery
    Virginia M Cafruni et al
    Rev Esp Cir Ortop Traumatol. 2023 Oct 5
     
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