Skip to main content
SpringerLink
Log in

Operationen am Hallux und Metatarsale I

  • Chapter
  • First Online:
Book cover Orthopädische Fußchirurgie

  • 2657 Accesses

Zusammenfassung

Ein umfangreicher Algorithmus erleichtert die Indikationsstellung für die deformitätsbezogenen Operationstechniken zur Behandlung des Hallux-valgus-Komplexes. Der distale Weichteileingriff im Bereich des ersten Metatarsophalangealgelenks wird ebenso beschrieben wie diverse Osteotomien am Metatarsale I (subkapital, diaphysär und proximal). Knöcherne Eingriffe am Großzehengrundgelenk bei Hallux rigidus finden in einem Abschnitt Berücksichtigung und umfassen die Cheilektomie sowie die Resektionsarthroplastik des Großzehengrundgelenks. Im Bereich der Großzehe selbst werden auch varisierende und dorsalextendierende Phalangenosteotomien der Grundphalanx sowie die Arthrodese des ersten Interphalangealgelenks besprochen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 64.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 84.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

Literatur zu Abschn. 5.4

  • Badekas A, Georgiannos D, Lampridis V, Bisbinas I (2013) Proximal opening wedge metatarsal osteotomy for correction of moderate to severe hallux valgus deformity using a locking plate. Int Orthop 37 (9): 1765–70

    Article  PubMed  PubMed Central  Google Scholar 

  • Bae SY, Schon LC (2007) Surgical strategies: Ludloff first metatarsal osteotomy. Foot Ankle Int 28 (1): 137–44

    Article  PubMed  Google Scholar 

  • Beischer AD, Ammon P, Corniou A, Myerson M (2005) Three-dimensional computer analysis of the modified Ludloff osteotomy. Foot Ankle Int 26 (8): 627–32

    Article  PubMed  Google Scholar 

  • Bösch P, Wanke S, Legenstein R (2000) Hallux valgus correction by the method of Bösch: a new technique with a seven-to-ten-year follow-up. Foot Ankle Clin 5 (3): 485–98

    PubMed  Google Scholar 

  • Budny AM, Masadeh SB, Lyons MC 2nd, Frania SJ (2009) The opening base wedge osteotomy and subsequent lengthening of the first metatarsal: an in vitro study. J Foot Ankle Surg 48 (6): 662–7

    Article  PubMed  Google Scholar 

  • Chiang CC, Lin CF, Tzeng YH, Huang CK, Chen WM, Liu CL (2012) Distal linear osteotomy compared to oblique diaphyseal osteotomy in moderate to severe hallux valgus. Foot Ankle Int 33 (6): 479–86

    Article  PubMed  Google Scholar 

  • Choi JH, Zide JR, Coleman SC, Brodsky JW (2013) Prospective study of the treatment of adult primary hallux valgus with scarf osteotomy and soft tissue realignment. Foot Ankle Int 34 (5): 684–90

    Article  PubMed  Google Scholar 

  • Choi YR, Lee HS, Jeong JJ, Kim SW, Jeon IH, Lee DH, Lee WC (2012) Hallux valgus correction using transarticular lateral release with distal chevron osteotomy. Foot Ankle Int 33 (10): 838–43

    Article  PubMed  Google Scholar 

  • Choi WJ, Yoon HK, Yoon HS, Kim BS, Lee JW (2009) Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus. Foot Ankle Int 30 (12): 1154–60

    Article  PubMed  Google Scholar 

  • Coughlin MJ, Grebing BR, Jones CP (2005) Arthrodesis of the first metatarsophalangeal joint for idiopathic hallux valgus: intermediate results. Foot Ankle Int 26 (10): 783–92

    Article  PubMed  Google Scholar 

  • Day T, Charlton TP, Thordarson DB (2011) First metatarsal length change after basilar closing wedge osteotomy for hallux valgus. Foot Ankle Int 32 (5): S513–8

    Article  PubMed  Google Scholar 

  • Ettl V, Radke S, Gaertner M, Walther M (2003) Arthrodesis in the treatment of hallux rigidus. Int Orthop 27 (6): 382–5

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Fuhrmann RA (2005) Arthrodesis of the first tarsometatarsal joint for correction of the advanced splayfoot accompanied by a hallux valgus. Oper Orthop Traumatol 17 (2): 195–210

    Article  PubMed  Google Scholar 

  • Fuhrmann RA (2009) Komplikationen bei der Behandlung von Fehlentwicklungen und Erkrankungen des Fußes. In: Wirth CJ, et al (Hrsg) Komplikationen in Orthopädie und Unfallchirurgie. Thieme, Stuttgart, S 492–512

    Google Scholar 

  • Fuhrmann RA, Zollinger-Kies H, Kundert HP (2010) Mid-term results of Scarf osteotomy in hallux valgus. Int Orthop 34 (7): 981–9

    Article  PubMed  PubMed Central  Google Scholar 

  • Fuhrmann RA (2011) First metatarsophalangeal arthrodesis for hallux rigidus. Foot Ankle Clin 16 (1): 1–12

    Article  PubMed  Google Scholar 

  • Fuhrmann R (2014) Rheumatic forefoot deformities. Z Rheumatol 73 (9): 814–21

    Article  CAS  PubMed  Google Scholar 

  • Giannini S, Cavallo M, Faldini C, Luciani D, Vannini F (2013) The SERI distal metatarsal osteotomy and Scarf osteotomy provide similar correction of hallux valgus. Clin Orthop Relat Res 471 (7): 2305–11

    Article  PubMed  PubMed Central  Google Scholar 

  • Haddon TB, LaPointe SJ (2013) Relative strength of tailor’s bunion osteotomies and fixation techniques. J Foot Ankle Surg 52 (1): 16–23

    Article  PubMed  Google Scholar 

  • Huang EH, Charlton TP, Ajayi S, Thordarson DB (2013) Effect of various hallux valgus reconstruction on sesamoid location: a radiographic study. Foot Ankle Int 34 (1): 99–103

    Article  CAS  PubMed  Google Scholar 

  • Iannò B, Familiari F, De Gori M, Galasso O, Ranuccio F, Gasparini G (2013) Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int 34 (7): 969–77

    Article  PubMed  Google Scholar 

  • Lee KT, Park YU, Young KW, Kim JS, Kim KC, Kim JB (2011) Reverse distal chevron osteotomy to treat iatrogenic hallux varus after overcorrection of the intermetatarsal 1–2 angle: technique tip. Foot Ankle Int 32(1): 89–91

    Article  PubMed  Google Scholar 

  • Maffulli N, Denaro V, Loppini M (2012) Bösch Osteotomy. Foot Ankle Int 33 (9): 808–9

    Article  PubMed  Google Scholar 

  • Mittag F, Leichtle U, Meisner C, Ipach I, Wülker N, Wünschel M (2013) Proximal metatarsal osteotomy for hallux valgus: an audit of radiologic outcome after single screw fixation and full postoperative weightbearing. J Foot Ankle Res 6 (1): 22

    Article  PubMed  PubMed Central  Google Scholar 

  • Moon JY, Lee KB, Seon JK, Moon ES, Jung ST (2012) Outcomes of proximal chevron osteotomy for moderate versus severe hallux valgus deformities. Foot Ankle Int 33 (8): 637–43

    Article  PubMed  Google Scholar 

  • Mulcahy D, Daniels TR, Lau JT, Boyle E, Bogoch E (2003) Rheumatoid forefoot deformity: a comparison study of 2 functional methods of reconstruction. J Rheumatol 30 (7): 1440–1450

    PubMed  Google Scholar 

  • Nedopil A, Rudert M, Gradinger R, Schuster T, Bracker W (2010) Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus. Foot Ankle Surg 16 (1): 9–14

    Article  PubMed  Google Scholar 

  • Park CH, Jang JH, Lee SH, Lee WC (2013) A comparison of proximal and distal chevron osteotomy for the correction of moderate hallux valgus deformity. Bone Joint J 95-B (5): 649–56

    Article  PubMed  Google Scholar 

  • Park HW, Lee KB, Chung JY, Kim MS (2013) Comparison of outcomes between proximal and distal chevron osteotomy, both with supplementary lateral soft-tissue release, for severe hallux valgus deformity: A prospective randomised controlled trial. Bone Joint J 95-B (4): 510–6

    Article  PubMed  Google Scholar 

  • Petroutsas J, Easley M, Trnka HJ (2006) Modified bone block distraction arthrodesis of the hallux metatarsophalangeal joint. Foot Ankle Int 27 (4): 299–302

    Article  PubMed  Google Scholar 

  • Robinson AH, Bhatia M, Eaton C, Bishop L (2009) Prospective comparative study of the scarf and Ludloff osteotomies in the treatment of hallux valgus. Foot Ankle Int 30 (10): 955–63

    Article  PubMed  Google Scholar 

  • Saragas NP (2009) Proximal opening-wedge osteotomy of the first metatarsal for hallux valgus using a low profile plate. Foot Ankle Int 30 (10): 976–80

    Article  PubMed  Google Scholar 

  • Schuh R, Adams S, Hofstaetter SG, Krismer M, Trnka HJ (2010) Plantar loading after chevron osteotomy combined with postoperative physical therapy. Foot Ankle Int 31 (11): 980–6

    Article  PubMed  Google Scholar 

  • Schuh R, Willegger M, Holinka J, Ristl R, Windhager R, Wanivenhaus AH (2013) Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity. Int Orthop 37 (9): 1771–80

    Article  PubMed  PubMed Central  Google Scholar 

  • Scott AT, DeOrio JK, Montijo HE, Glisson RR (2010) Biomechanical comparison of hallux valgus correction using the proximal chevron osteotomy fixed with a medial locking plate and the Ludloff osteotomy fixed with two screws. Clin Biomech 25 (3): 271–6

    Article  Google Scholar 

  • Smith SE, Landorf KB, Butterworth PA, Menz HB (2012) Scarf versus chevron osteotomy for the correction of 1–2 intermetatarsal angle in hallux valgus: a systematic review and meta-analysis. J Foot Ankle Surg 51 (4): 437–44

    Article  PubMed  Google Scholar 

  • Trnka HJ, Hofstaetter SG, Easley ME (2009) Intermediate-term results of the Ludloff osteotomy in one hundred and eleven feet. Surgical technique. J Bone Joint Surg Am 91 Suppl 2 Pt 1: 156–68

    Article  PubMed  Google Scholar 

  • Tsilikas SP, Stamatis ED, Kourkoulis SK, Mitousoudis AS, Chatzistergos PE, Papagelopoulos PJ (2011) Mechanical comparison of two types of fixation for ludloff oblique first metatarsal osteotomy. J Foot Ankle Surg 50 (6): 699–702

    Article  PubMed  Google Scholar 

  • Waizy H, Czardybon MA, Stukenborg-Colsman C, Wingenfeld C, Wellmann M,Windhagen H, Frank D (2010) Mid- and long-term results of the joint preserving therapy of hallux rigidus. Arch Orthop Trauma Surg 130 (2): 165–70

    Article  PubMed  Google Scholar 

  • Waizy H, Stukenborg-Colsman C, Abbara-Czardybon M, Emmerich J, Windhagen H, Frank D (2011) Eine spezielle Weichteilplastik am Großzehengrundgelenk bei Hallux-valgus-Operationen. Orthop Traumatol 23: 46–51

    Article  CAS  Google Scholar 

  • Walther M, Simons P, Nass K, Röser A (2011) Fusion of the first tarsometatarsaljoint using a plantar tension band osteosynthesis. Oper Orthop Traumatol 23 (1): 52–9

    Article  CAS  PubMed  Google Scholar 

  • Wanivenhaus A, Bock P, Gruner F, et al (2009) Deformtitätsassoziierte Behandlung des Hallux-valgus-Komplexes. Orthopäde 38 (11): 1117–1126

    Article  CAS  PubMed  Google Scholar 

  • Wülker N, Suckel A (2005) Osteotomien des Mittelfußes beim Hallux valgus. Orthopäde 34: 726–734

    Article  PubMed  Google Scholar 

Literatur zu Abschn. 5.5

  • Deland JT, Williams BR (2012) Surgical management of hallux rigidus. J Am Acad Orthop Surg 20 (6): 347–58

    Article  PubMed  Google Scholar 

  • Dereymaeker G (2005) Die operative Therapie des Hallux rigidus. Orthopäde 34 (8): 742–4

    Article  CAS  PubMed  Google Scholar 

  • Feldman KA (1992) The Green-Watermann procedure: geometric analysis and preoperative radiographic template technique. J Foot Surg 31 (2): 182–5

    CAS  PubMed  Google Scholar 

  • Giannini S, Ceccarelli F, Faldini C, Bevoni R, Grandi G, Vannini F (2004) What’s new in surgical options for hallux rigidus. J Bone Joint Surg 86-A Suppl. 2: 72–83

    Article  Google Scholar 

  • Kuni B, Wolf SI, Zeifang F, Thomsen M (2014) Foot kinematics in walking on a level surface and on stairs in patients with hallux rigidus before and after cheilectomy. J Foot Ankle Res 7 (1): 13

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Malley MJ, Basran HS, Gu Y, Sayres S, Deland JT (2013) Treatment of advanced stages of hallux rigidus with cheilectomy and phalangeal osteotomy. J Bone Joint Surg Am 95 (7): 606–10

    Article  PubMed  Google Scholar 

  • Lundeen RO, Rose JM (2000) Sliding oblique osteotomy for the treatment of hallux abducto valgus associated with functional hallux limitus. J Foot Ankle Surg 39: 161–167

    Article  CAS  PubMed  Google Scholar 

  • Peace RA, Hamilton GA (2012) End-stage hallux rigidus: cheilectomy, implant, or arthrodesis? Clin Podiatr Med Surg 29 (3): 341–53

    Article  PubMed  Google Scholar 

  • Polzer H, Polzer S, Brumann M, Mutschler W, Regauer M (2014) Hallux rigidus: Joint preserving alternatives to arthrodesis - a review of the literature. World J Orthop 5 (1): 6–13

    Article  PubMed  PubMed Central  Google Scholar 

  • Regnauld B (1986) The foot. Springer, New York, S 336–338

    Book  Google Scholar 

  • Schneider W, Kadnar G, Kranzl A, Knahr K (2011) Long-term results following Keller resection arthroplasty for hallux rigidus. Foot Ankle Int 32 (10): 933–9

    Article  PubMed  Google Scholar 

Literatur zu Abschn. 5.6

  • Cullen NP, Angel J, Singh D, Burg A, Dudkiewicz I (2009) Fixation of an Akin osteotomy with a tension suture: our results. Foot (Edinb) 19 (2): 107–9

    Article  CAS  Google Scholar 

  • Park JY, Jung HG, Kim TH, Kang MS (2011) Intraoperative incidence of hallux valgus interphalangeus following basilar first metatarsal osteotomy and distal soft tissue realignment. Foot Ankle Int 32(11): 1058–1062

    Article  PubMed  Google Scholar 

  • Shannak O, Sehat K, Dhar S (2011) Analysis of the proximal phalanx size as a guide for an Akin closing wedge osteotomy. Foot Ankle Int 32 (4): 419–21

    Article  PubMed  Google Scholar 

Literatur zu Abschn. 5.7

  • Babazadeh S, Su D, Blackney MC (2011) Hallux IP arthritis after MP arthrodesis managed with interpositional arthroplasty of MP joint and IP fusion: case report. Foot Ankle Int 32 (9): 900–4

    Article  PubMed  Google Scholar 

  • Dhukaram V, Roche A, Walsh HP (2003) Interphalangeal joint fusion oft the great toe. Foot Ankle (9): 161–163

    Article  Google Scholar 

  • Gross CE, Hsu AR, Lin J, Holmes GB, Lee S (2013) Revision MTP arthrodesis for failed MTP arthroplasty. Foot Ankle Spec 6 (6): 471–8

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Riggenbachstr. 53, CH 4600, Olten, Schweiz

    Peter Engelhardt

  2. Orthopädisches Spital, Speisingerstr. 109, A 1130, Wien, Österreich

    Reinhard Schuh

  3. Alseggerstr. 42, A 1180, Wien, Österreich

    Axel Wanivenhaus

Authors
  1. Peter Engelhardt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Reinhard Schuh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Axel Wanivenhaus
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer-Verlag GmbH Deutschland

About this chapter

Cite this chapter

Engelhardt, P., Schuh, R., Wanivenhaus, A. (2018). Operationen am Hallux und Metatarsale I. In: Orthopädische Fußchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44993-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-44993-2_5

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-44992-5

  • Online ISBN: 978-3-642-44993-2

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation