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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.7K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Bones of the Lower Limb: Tibia and Fibula01:10

Bones of the Lower Limb: Tibia and Fibula

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Updated: Apr 8, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Metatarsus Primus Varus Correction.

Matthew D Sorensen1, Brian Gradisek1, James M Cottom2

  • 1Weil Foot & Ankle Institute, Golf River Professional Building, 1455 East Golf Road, Des Plaines, IL 60016, USA.

Clinics in Podiatric Medicine and Surgery
|June 29, 2015
PubMed
Summary
This summary is machine-generated.

Proximal first-ray osteotomies offer a valid surgical approach for hallux valgus, aiming to stabilize the first tarsometatarsal joint. This method, alongside soft tissue procedures, can effectively realign and stabilize the foot's first ray.

Keywords:
Apex of deformityBunionDistal first-metatarsal osteotomyHallux valgusLapidusMetatarsus primus varusProximal metatarsal osteotomySCARF bunionectomy correction

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Biomechanics

Background:

  • Hallux valgus is a common foot deformity requiring surgical intervention.
  • First ray stability is crucial for proper foot function and is influenced by the first tarsometatarsal joint.
  • Current treatments often involve procedures like first-tarsometatarsal arthrodesis.

Purpose of the Study:

  • To discuss proximal first-ray osteotomies as a viable surgical option for hallux valgus.
  • To compare the efficacy of proximal osteotomies with first-tarsometatarsal arthrodesis.
  • To explore the biomechanical principles underlying first ray stabilization.

Main Methods:

  • Literature review of recent and historical studies on hallux valgus surgical treatments.
  • Analysis of biomechanical principles related to first ray stability.
  • Discussion of surgical techniques involving proximal osteotomies and distal soft tissue procedures.

Main Results:

  • Proximal first-ray osteotomies are presented as a valid alternative surgical treatment for hallux valgus.
  • The literature supports the reestablishment of retrograde stabilizing forces at the first tarsometatarsal joint for stability.
  • Combined distal soft tissue and proximal osteotomy procedures can achieve necessary realignment and stabilization.

Conclusions:

  • Proximal first-ray osteotomies represent a significant option in the surgical management of hallux valgus.
  • Achieving stability through realignment and retrograde forces at the first tarsometatarsal joint is key.
  • This approach, utilizing osteotomies and soft tissue techniques, offers a method for effective treatment.