Hallux Varus and Plantar Plate Repair
Date
2017
Type:
Artículo
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9
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Authors
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Journal Title
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Volume Title
Publisher
Lippincott Williams & Wilkins
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Abstract
One of the most frequent problems encountered in foot and ankle are hallux valgus and lesser toes
deformities. One of the complications after hallux valgus treatment is a iatrogenic hallux varus. This
deformity can be solved at 2 levels, namely the skeletal level, through a metatarsal osteotomy to
correct the varus component of the bone and at the soft tissue level, to compensate and rebalance
soft tissue tension surrounding the metatarsophalangeal (MTP) joint. The soft tissue reconstruction
may include capsular releases, capsulorraphies, tendon transfers, and augmentations such as
nonreabsorbable suture reinforcement of some MTP capsular components. Lesser toe deformities
have historically shown moderate to low levels of satisfaction after surgical treatment. Ten years
ago the MTP component of lesser toes deformity was solved with some type of metatarsal
shortening osteotomy and soft tissue release, specially including dorsal structures over the
metatarsal head. Over the last few years’ knowledge from a series of articles have shown the
importance in recognizing and repairing the MTP plate to regain stability and alignment at the joint.
Different alternatives of repair exist at this level, and some of them are discussed in this article.
Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of
levels of evidence.
Description
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Citation
Techniques in Foot & Ankle Surgery: September 2017 - Volume 16 - Issue 3 - p 99–107
Keywords
hallux varus, plantar plate, tendon transfer, reconstruction, osteotomy