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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
Hallux valgus
Zoran Lj Bascarević1, Zoran S Vukasinović, Violeta D Bascarević
1Medical Faculty, University of Belgrade, Belgrade, Serbia.
Hallux valgus, a complex foot deformity, involves significant bone and soft tissue changes. While non-operative treatments exist, surgery is common, with various procedures offering distinct solutions for this condition.
Area of Science:
- Orthopedics
- Podiatry
- Biomechanics
Background:
- Hallux valgus is a complex forefoot deformity characterized by lateral deviation of the first metatarsophalangeal joint and intermetatarsal angle.
- It involves extensive changes in soft tissues, the sesamoid mechanism, and the metatarsocuneiform joint.
- This condition predominantly affects humans and is strongly associated with footwear.
Purpose of the Study:
- To review the diverse operative procedures for correcting hallux valgus.
- To discuss the indications and biomechanical goals of different surgical interventions.
- To highlight the importance of comfortable footwear in preventing hallux valgus.
Main Methods:
- Review of existing literature on hallux valgus surgical techniques.
- Categorization of operative procedures based on conceptual differences.
- Analysis of the etiopathogenesis and preventive measures.
Main Results:
- Numerous operative procedures exist for hallux valgus, ranging from bunionectomy to arthrodesis.
- Seven conceptually distinct surgical approaches are identified.
- Each procedure has specific indications, and no single method is universally superior.
Conclusions:
- Hallux valgus requires a multifaceted approach to treatment, considering bone, soft tissue, and joint involvement.
- Operative treatment is prevalent, with a variety of techniques available to address the deformity.
- Prevention through the use of comfortable footwear is emphasized based on the disease's etiology.
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