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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2012, Number 6

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Acta Ortop Mex 2012; 26 (6)

Disruption of anterointernal weight bearing: sequelae of surgical treatment of hallux valgus

García-Renedo RJ, Carranza-Bencano A, Delgado-Calle J, Núñez-Samper M, Llanos-Alcázar LF

Language: Spanish
References: 12
Page: 393-397
PDF size: 113.40 Kb.


ABSTRACT

Sequelae of forefoot surgery range between 30 and 40%; the most frequent ones are transfer metatarsalgia and deformity relapse. Forefoot surgery complications disrupt biomechanics. Anterointernal weight bearing alteration is most frequent, due to involvement of the metatarsal, the phalanx or both. Metatarso-phalangeal arthrodesis normalizes the length of the first ray and pressure transmission. The use of this technique has made it possible to confirm pain relief, as well as improved function and a better cosmetic result, which allows the patient to wear normal footwear.


REFERENCES

  1. Núñez-Samper M: Secuelas de la cirugía del antepié por conflicto del apoyo anterointerno. Rev Ortop Traumatol (Madr) 2007; 51(Suppl 1): 80-90.

  2. Schuh R, Trnka HJ: First metatarsophalangeal arthrodesis for severe bone loss. Foot Ankle Clin 2011; 16(1): 13-20.

  3. Hamilton GA, Ford LA, Patel S: First metatarsophalangeal joint arthrodesis and revision arthrodesis. Clin Podiatr Med Surg 2009; 26(3): 459-73.

  4. Blaunt W, Falliner A: Artrodesis de distracción e interposición de la base del primer dedo del pie. Tec Quir Ortop Traumatol 1997; 6: 123-33.

  5. Singh B, Draeger R, Del Gaizo DJ, Parekh SG: Changes in length of the first ray with two different first MTP fusion techniques: a cadaveric study. Foot Ankle Int 2008; 29(7): 722-5.

  6. Stapleton JJ, Rodriguez RH, Jeffries LC, Zgonis T: Salvage of the first ray with concomitant septic and gouty arthritis by use of a bone block joint distraction arthrodesis and external fixation. Clin Pediatr Med Surg 2008; 25(4): 755-62.

  7. Coughlin MJ, Smith BW: Hallux valgus and first ray mobility. Surgical technique. J Bone Joint Surg Am 2008; 90(Suppl 2): 153-70.

  8. Vienne P, Sukthankar A, Favre P, Werner CM, Baumer A, Zingg PO: Metatarsophalangeal joint arthrodesis after failed Keller-Brandes procedure. Foot Ankle Int 2006; 27(11): 894-901.

  9. Moon JL, McGlamry MC: First metatarsophalangeal joint arthrodesis: current fixation options. Clin Podiatr Med Surg 2011; 28(2): 405-19.

  10. Womack JW, Ishikawa SN: First metatarsophalangeal arthrodesis. Foot Ankle Clin 2009; 14(1): 43-50.

  11. Núñez-Samper M, Kubba MN: Metatarsophalangeal arthrodesis of the first ray. When is it indicated? The Foot 2005; 15: 123-32.

  12. Núñez-Samper M, Kubba MN, Llanos ALF: Metatarsophalangeal arthrodesis of the treatment of severe first ray deficiency. Foot Ankle Surg 1999; 5: 227-33.




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