Midfoot width changes after first metatarsal osteotomy in hallux valgus surgery: A biomechanical effect?

Q2 Health Professions

Foot Pub Date : 2024-02-09 DOI:10.1016/j.foot.2024.102070

Eduardo Pedrini Cruz , José Antônio Veiga Sanhudo , Walter Brand Iserhard , Esthefani Katherina Mendes Eggers , Leandro Marcantônio Camargo , Leandro de Freitas Spinelli

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Abstract

Hallux valgus is a challenging pathology characterized by a valgus deformity in the metatarsophalangeal area of the first ray. The aim of this study was to analyze the influence of first metatarsal osteotomy on the relationship between midfoot bones in patients with hallux valgus. The sample consisted of patients from the orthopedics and traumatology outpatient clinic who underwent surgical treatment for hallux valgus. Preoperative and postoperative X-rays were compared regarding the width of the midfoot and the tarsometatarsal joint. The sample consisted of 17 women, with 22 feet assessed in each group. The distance from the medial cuneiform to the cuboid, the distance from the intermediate cuneiform to the cuboid, the distance between the first and fifth metatarsals, and the distance between the second and fifth metatarsals reduced significantly between pre- and postoperative assessments. Hallux valgus correction through osteotomy of the first metatarsal leads to a structural change in the midfoot. Further studies should determine whether these changes persist over time.

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足外翻手术中第一跖骨截骨后足中部宽度的变化：生物力学效应？

拇指外翻是一种具有挑战性的病理现象，其特点是第一跖骨区域出现外翻畸形。本研究旨在分析第一跖骨截骨术对足外翻患者足中部骨骼关系的影响。样本包括骨科和创伤科门诊中接受手术治疗的足外翻患者。对术前和术后的X光片进行了比较，以了解足中部和跖跗关节的宽度。样本包括 17 名女性，每组评估 22 只脚。在术前和术后的评估中，内侧楔形骨到立方体的距离、中间楔形骨到立方体的距离、第一和第五跖骨之间的距离以及第二和第五跖骨之间的距离都明显缩小。通过第一跖骨截骨术矫正足外翻会导致中足的结构变化。进一步的研究应确定这些变化是否会随着时间的推移而持续。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.