Can we correct first metatarsal rotation and sesamoid position with the 3D Lapidus procedure?

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The multiplanar effect of first metatarsal osteotomy on sesamoid position.

The standard classification system used to measure the sesamoids in the evaluation of hallux abductovalgus is a uniplanar description of a multiplanar deformity. Additionally, it cannot accurately describe a true measure of sesamoid positional change in the perioperative period because the first metatarsal is laterally transposed during corrective surgery. The intended emphasis of this investig...

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Hypermobility of the first metatarsal bone in patients with Rheumatoid arthritis treated by lapidus procedure

BACKGROUND Foot deformities and related problems of the forefoot are very common in patients with rheumatoid arthritis. The laxity of the medial cuneometatarsal joint and its synovitis are important factors in the development of forefoot deformity. The impaired joint causes the first metatarsal bone to become unstable in the frontal and sagittal planes. In this retrospective study we evaluated ...

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Effect of metatarsal osteotomy and open lateral soft tissue procedure on sesamoid position: radiological assessment

BACKGROUND Incomplete sesamoid reduction is a potential risk factor for the recurrence of hallux valgus. The purpose of this study was to radiologically investigate changes in sesamoid position after chevron osteotomy and the open lateral soft tissue procedure. METHODS Sixty-eight feet that underwent operative correction for hallux valgus deformity were reviewed consecutively. The hallux valg...

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A New Measure of Tibial Sesamoid Position in Hallux Valgus in Relation to the Coronal Rotation of the First Metatarsal in CT Scans.

BACKGROUND We aimed to find a new radiographic measurement for evaluating first metatarsal pronation and sesamoid position in hallux valgus (HV) deformity. METHODS Data from a clinical study of 19 control patients (19 feet) with no HV deformity were compared with preoperative data of 138 patients (166 feet) with HV deformities. Using a weightbearing plain radiograph in anteroposterior (AP) vi...

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ژورنال

عنوان ژورنال: Foot and Ankle Surgery

سال: 2021

ISSN: 1268-7731

DOI: 10.1016/j.fas.2021.04.001