Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up

PubMed ID: 20505975Background Surgical decision-making was reevaluated by comparison with an algorithm designed to analyze treatment of hallux valgus deformities. Materials and methods A modified McBride procedure was performed on 52 feet of 35 patients with hallux valgusdeformity. From this series, 36 feet of 21 patients were evaluated preoperatively, early postoperatively, and late postoperatively by means of subjective evaluation and clinical and radiological findings. Results The hallux valgus angle preoperatively, early postoperatively, and late postoperatively was 32.7 ± 8.5°, 10.1 ± 6.9°, and 20.6 ± 9.5°, respectively. Hallux valgus recurrence of 72.2% was observed. Subjective results were better and the patients rated their satisfaction with the procedure as excellent or high in 23 cases (63.9%) and moderate, low, or unsatisfactory in 13 cases (36.1%). Conclusions This level of patient satisfaction demonstrates that the McBride procedure is an efficient approach for eliminating pain due to hallux valgus deformity. © The Author(s) 2010

Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up

PubMed ID: 20505975Background Surgical decision-making was reevaluated by comparison with an algorithm designed to analyze treatment of hallux valgus deformities. Materials and methods A modified McBride procedure was performed on 52 feet of 35 patients with hallux valgusdeformity. From this series, 36 feet of 21 patients were evaluated preoperatively, early postoperatively, and late postoperatively by means of subjective evaluation and clinical and radiological findings. Results The hallux valgus angle preoperatively, early postoperatively, and late postoperatively was 32.7 ± 8.5°, 10.1 ± 6.9°, and 20.6 ± 9.5°, respectively. Hallux valgus recurrence of 72.2% was observed. Subjective results were better and the patients rated their satisfaction with the procedure as excellent or high in 23 cases (63.9%) and moderate, low, or unsatisfactory in 13 cases (36.1%). Conclusions This level of patient satisfaction demonstrates that the McBride procedure is an efficient approach for eliminating pain due to hallux valgus deformity. © The Author(s) 2010

Surgical Treatment Options for the Diabetic Charcot Hindfoot and Ankle Deformity

Charcot neuroarthropathy is associated with progressive, noninfectious, osteolysis-induced bone and joint destruction. When the ankle and/or hindfoot is affected by the destruction process, management is further complicated with collapse and destruction of the talar body, which increases instability around the ankle. In this patient population, arthrodesis is the most commonly used surgical procedure. Internal fixation, external fixation, or a combination of both can be used for the treatment. Decision making between them should be individualized according to the patient characteristics

Treatment of hindfoot and ankle pathologies with posterior arthroscopic techniques

The two-portal hindfoot arthroscopy is an effective procedure enabling direct visualisation of posterior ankle pathology with low invasiveness

Endoscopic treatment of posteriorly localized talar cysts

This study presents the short-term follow-up results from our case series of patients with posteriorly localized intraosseous talar cysts. Patients were treated via hindfoot endoscopy in the prone position

Surgical Treatment of Neglected Bilateral Hemophilic Equinus Contracture With External Fixation: A Case Report

Hemophilia is a disorder of blood coagulation with X-linked recessive inheritance. It is characterized by uncontrollable hemorrhage, and 80% of these occur intraarticularly. With recurrent hemarthrosis, recurrent synovitis occurs, which eventually leads to the formation of articular contractures. The key to the prevention of hemophilic joint complications is successful prevention of bleeding and management of the initial hemarthrosis. However, after the development of a rigid contracture, surgical correction remains the only method to correct the deformity. Achilles tendon lengthening. synovectomy, anterior osteophyte resection, corrective osteotomies, external fixators, or arthrodesis should be considered as surgical options. In the present report, we describe our experience using hybrid-type external fixators to manage bilateral neglected rigid equinus contractures in a hemophilic patient, with 78 months of follow-up data. (C) 2017 by the American College of Foot and Ankle Surgeons. All rights reserved

Translation, Cross-Cultural Adaptation, Reliability, and Validity of Turkish Version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale

Amerikan Ortopedik Ayak Ayak ve Ayak Bileği Toplum ayak bileği ayak taban terazisini (AOFAS-AHFS) tercüme etmek ve kültürel olarak uyarlamak ve çevrilmiş versiyonun seçilen psikometrik özelliklerini belirlemek için çalıştık. AOFAS-AHFS ayak ve ayak bileği yaralanmalarıyla ilişkili özürlülüğü değerlendirmek için yaygın olarak kullanılmaktadır, ancak Türkçe konuşan bireyler için henüz tercüme edilmemiş veya kültürel olarak uyarlanmamıştır. AOFAS-AHFS, Beaton rehberlerini kullanarak Türkçe'ye çevrildi. 72 hasta (94 ayak, 50 [% 69.4] kadın; ortalama ± SD yaş 44.88 ± 16.30 yıl) çeşitli AOFAS-AHFS (iç tutarlılık, yapı geçerliliği ve taban ve tavan etkileri) ölçüm özelliklerini test etmiştir. Ayak ve ayak bileği patolojik özellikleri. Yapı geçerliliği, Ayak ve Ayak Bileği Beceri Ölçeği (FAAM) ve kısa sonuç formu olan 12 maddelik anketin (SF-12) tıbbi sonuç çalışmaları kullanılarak analiz edildi. AOFAS-AHFS'nin Türkçe versiyonu mükemmel test-tekrar test güvenilirliği gösterdi (sınıf içi korelasyon katsayısı 0.91). AOFAS-AHFS ile günlük yaşam ve FAAM sporunun FAAM aktiviteleri arasındaki korelasyon katsayıları sırasıyla r = 0.41, p = .01 ve r = 0.37, p = 0.03 idi. AOFAS-AHFS ve SF-12 fiziksel bileşen ölçeği arasındaki korelasyon katsayıları r = 0.27, p = .08 idi. En zayıf korelasyon AOFAS-AHFS ve SF-12 zihinsel bileşen ölçeği arasında bulundu (r = -0.03, p = .73). AOFAS-AHFS'in Türkçe versiyonu, çeşitli ayak ve ayak bileği bozukluklarına sahip, Türkçe konuşan bireylerin hasta tarafından bildirilen sonuçlarını ölçmek için yeterli güvenilirlik ve geçerliliğe sahiptir

A Two-Portal Posterior Endoscopic Approach in the Treatment of a Complex Talus Fracture A Case Report

The two-portal hindfoot endoscopy is a relatively new technique that is becoming increasingly popular. It gives excellent access to the posterior ankle compartment, the subtalar joint, and extra-articular structures. We report a 24-year-old man with a complex talus fracture involving the posterior part of the talar body and posterolateral process. He was treated endoscopically, with a two-portal posterior approach to the hindfoot. This approach allowed a better visualization and treatment of accompanying pathologies. Combined excision of the posterolateral process and fixation of the fracture was performed with the two-portal hindfoot endoscopy, which has not been previously described to our knowledge. The two-portal posterior endoscopic approach can be an attractive treatment alternative for the posterior part fractures of the talus, which can in turn, be a new indication for this technique. (J Am Podiatr Med Assoc 99(5): 443-446, 2009

Isolated foot metastasis of squamous cell carcinoma of the lung: a rare location

Squamous cell carcinoma of the lung usually presents as a local rather than a metastatic disease. We present a 55-year-old male who was referred to the orthopedics and traumatology clinic for evaluation of pain and discomfort around the left ankle 2 months after diagnosis of locally advanced non-small cell (squamous cell) lung cancer. Physical examination revealed nonspecific pain and tenderness around the ankle. T2-weighted MR images showed lesions like a bone marrow edema around the talar head and neck. Whole body dynamic bone scan revealed a metastatic lesion only in the foot. The patient died 4 months after diagnosis of the metastasis. Early diagnosis of foot metastasis may be challenging and delays in diagnosis of up to 24 months have been reported. Foot metastases are usually associated with advanced metastatic disease and survival rates are poor. Although metastatic disease of the foot is rare, it should be considered in the diagnosis of a painful foot in the elderly lung cancer patients. Palliative treatments such as pain relief medications should be chosen for patients with an expectancy of short survival whereas aggressive approaches may be applied for those with longer survival expectations

Endoscopic treatment of posterior ankle pain

The aim of this study is to describe the indications for two-portal hindfoot endoscopy in the treatment of posterior ankle compartment pathologies and to express the effectiveness of this technique by short- to mid-term outcomes on 59 consecutive patients