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First tarsometatarsal joint derotational arthrodesis--a new operative technique for flexible hallux valgus without touching the first metatarsophalangeal joint.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Klemola, Tero Leppilahti, Juhana Kalinainen, Salla Ohtonen, Pasi Ojala, Risto Savola, Olli
Description	Author Affiliation: Klemola T ( Division of Orthopaedic and Trauma Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland. Electronic address: tero.klemola@ppshp.fi.); Leppilahti J ( Professor, Division of Orthopaedic and Trauma Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland.); Kalinainen S ( Division of Orthopaedic and Trauma Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland.); Ohtonen P ( Department of Surgery and Anesthesiology, Oulu University Hospital, Oulu, Finland.); Ojala R ( Department of Radiology, Oulu University Hospital, Oulu, Finland.); Savola O ( Division of Orthopaedic and Trauma Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland.)
Abstract	No operative technique for hallux valgus has been introduced in which the first metatarsophalangeal joint is not touched. We report the first tarsometatarsal joint derotational arthrodesis in which we mimic the function of the peroneus longus tendon without involving the first metatarsophalangeal joint, allowing function of the windlass mechanism without interference. We treated 66 patients (62 women and 4 men) with 84 flexible hallux valgus feet using our new operative technique. Preoperative and postoperative follow-up weightbearing radiographs were evaluated. Most patients had a pronation type foot (78%) preoperatively, and mean correction in hallux valgus and intermetatarsal angle was 20° and 9°, respectively (p < .001). The LaPorta classification showed a median change of 2.5 U (p < .001). We have described a new operative technique for flexible hallux valgus. The first tarsometatarsal joint derotational arthrodesis showed notable correction angles in hallux valgus, although the first metatarsophalangeal joint was left intact.
File Format	HTM / HTML
ISSN	10672516
Issue Number	1
Volume Number	53
e-ISSN	15422224
Journal	The Journal of Foot and Ankle Surgery
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Arthrodesis Methods Hallux Valgus Surgery Adult Female Humans Male Metatarsal Bones Metatarsophalangeal Joint Middle Aged Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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