Although surgery for the treatment of hallux valgus is frequently performed, the Además evaluar la variabilidad intra-observador en la clasificación de estas . Hallux rigidus is a degenerative and progressive disease of the metatarsal phalangeal joint of the hallux, with its main symptoms being pain and loss of joint . el hallux valgus y es la artrosis más frecuente del pie y tobi- Existen múltiples clasificaciones descritas (Regnauld, . Clasificación de Coughlin y Shurnas.

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The comparisons revealed no significant differences in the values of HIPA between any of the groups One smartphone application iPinPoint was reliable for measurements of the hallux valgus angles by either experienced or nonexperienced observers. Limited literature currently exists to assist in the diagnosis, management, and operative treatment.

After informed consent, 96 feet in 83 patients were randomized into two treatment groups 49 scarf and 47 chevron osteotomies. The trials were grouped according to the interventions being compared, but the dissimilarity in the comparisons prevented pooling of results.

Fixation with a lag screw, cannulated Herbert screw, memory cramp, threaded Kirschner wire, or interosseous suture. Complications and patient satisfaction were recorded. The mean age was Digital radiographic measurements were made for pre- and postoperative hallux valgus and intermetatarsal angles, dorsiflexion angle of the first metatarsal, and absolute and relative shortening of the first metatarsal.

The grading of hallux valgus. The Manchester Scale.

Distal metatarsal osteotomy and the modified McBride procedure have each been used for the treatment of mild to moderate hallux valgus. An independent experienced technician used digitized images to perform angular measurements with the Autocad software program Autodesk Inc. Realignment of the great toe in the case of a hallux clasidicacion interphalangeus by means of a medially based closing wedge osteotomy.


These two techniques yielded similar patient outcomes in terms of stiffness, pain and satisfaction.

Patients and methods A total of 90 patients were randomly divided into the following three groups based on the perioperative analgesic method: Forty-two cases of modified Chevron osteotomies were carried out in 33 patients with mild to moderate hallux valgus deformity. Consecutive adults who underwent isolated HVS via distal metatarsal osteotomy at a single US metropolitan teaching hospital from January to January were contacted and asked to complete a valtus outcome measure of foot health Manchester-Oxford Foot Questionnaire halluc their operated foot.

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The methodological quality of the 21 included trials was generally poor and trial sizes were small. Mean hallux valgus angles in Groups A and B reduced halllux Postoperative weight-bearing according to the osteotomy. There were The variability of all measurements was similar for the iPhone and the computer-assisted techniques. Furthermore, the search term used, authorship, and presence of commercial bias influence the value of these materials.

To improve valgs technique of osteotomy for hallux valgus bunion. These scores were significantly lower in patients with radiological undercorrection or with a reoperation. Plantar pressures determinants in mild Hallux Valgus.

The McBride technique and the technique of percutaneous anchor with the proposed amendment were performed. The mean age of these patients and standard deviation was We hypothesized that the tensile properties of the DTML would be different between the 2 groups of specimens.

Radiographic parameters were compared between these groups. The modified technique of percutaneous anchor showed clear clinical and radiographic improvements in the short term. Based on the results of the study authors believe there are no significant differences between patients with and without comorbidities in aspects like: The remaining 2 patients had occasional mild discomfort. Correlations between both techniques for the different angular measurements were as follows: Consecutive patients undergoing chevron bunionectomy for correction of hallux valgus deformity were enrolled in the study.


Improvement of outcome may therefore well be possible by increased attention on these surgical details. For the study participants, there were similar deviations of the distal phalanx of the hallux with respect to the proximal phalanx in normal feet and in feet with the early stages of the hallux limitus and hallux valgus deformities.

The heeled shoes and boots made of stiff leather that men wore in premodern times probably promoted the development of hallux valgus. The average preoperative HV improved with surgery.

Using a triplane framework and focusing on the apex of the deformity, all bunions become the same modified technique for Lapidus procedure can be performed regardless of the degree of deformity, always includes halux correction, and deformity size becomes irrelevant. The Internet is one of the most widely utilized resources for health-related information.

Strict elevation of the operated foot to prevent postoperative swelling. The patients were selected using criteria that included the degree of lateral soft tissue contracture and metatarsocuneiform joint flexibility. No statistically significant differences were found with respect to correction of hallux valgus angle HVA and intermetatarsal angle IMA between the two groups.


The grading of hallux valgus. The Manchester Scale.

Correction osteotomies of the first metatarsal are common surgical approaches in treating hallux valgus deformities whereas the Scarf osteotomy has gained popularity. For data analysis, we divided the patients into low-angle mild deformity and high-angle severe deformity groups, according to their preoperative mIMA.

Correction of the hallux valgus angle averaged Postoperative elevation of the operated foot.