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Salvage of recurrence after failed surgical treatment of hallux valgus

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Recurrence of the deformity is unfortunately a common occurrence following surgical treatment of hallux valgus. The underlying reason for recurrence is multifactorial and includes surgeon’s factor, patient’s factor, and deformity components that were not addressed at the index procedure. Salvage of recurrence can be challenging for both the patient and the surgeon. Successful treatment requires understanding the underlying reason for the failure of initial treatment and correcting bony alignment, restoring the joint congruity, and balancing soft tissues. We present an algorithmic approach to revision hallux valgus surgery.

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References

  1. Coughlin MJ (1996) Hallux valgus. J Bone Jt Surg Am 78:932–966

    CAS  Google Scholar 

  2. Coughlin MJ, Mann RA (2006) Hallux valgus. In: Coughlin MJ, Mann RA, Saltzman CL (eds) Surgery of the foot and ankle, 8th edn. Mosby, St. Louis, pp 184–354

    Google Scholar 

  3. Weir RF (1897) The operative treatment of hallux valgus. Ann Surg 25:444–453

    PubMed  CAS  Google Scholar 

  4. Pratt CA (1953) Hallux valgus. Lancet 1:746–747

    Article  PubMed  CAS  Google Scholar 

  5. Klosok JK, Pring DJ, Jessop JH, Maffulli N (1993) Chevron or Wilson metatarsal osteotomy for hallux valgus: a prospective randomised trial. J Bone Jt Surg Br 75:825–829

    CAS  Google Scholar 

  6. Kadakia AR, Smerek JP, Myerson MS (2007) Radiographic results after percutaneous distal metatarsal osteotomy for correction of hallux valgus deformity. Foot Ankle Int 28:355–360

    Article  PubMed  Google Scholar 

  7. Paczesny L, Kruczyński J, Adamski R (2009) Scarf versus proximal closing wedge osteotomy in hallux valgus treatment. Arch Orthop Trauma Surg 129:1347–1352

    Article  PubMed  Google Scholar 

  8. Ozkan NK, Güven M, Akman B, Cakar M, Konal A, Turhan Y (2010) Transosseous capsuloplasty improves the outcomes of Lindgren-Turan distal metatarsal osteotomy in moderate to severe hallux valgus deformity. Arch Orthop Trauma Surg 130:1201–1207

    Article  PubMed  Google Scholar 

  9. Bai LB, Lee KB, Seo CY, Song EK, Yoon TR (2010) Distal chevron osteotomy with distal soft tissue procedure for moderate to severe hallux valgus deformity. Foot Ankle Int 31:683–688

    Article  PubMed  Google Scholar 

  10. Tóth K, Kellermann P, Wellinger K (2010) Fixation of Akin osteotomy for hallux abductus with absorbable suture. Arch Orthop Trauma Surg 130:1257–1261

    Article  PubMed  Google Scholar 

  11. Choi KJ, Lee HS, Yoon YS, Park SS, Kim JS, Jeong JJ, Choi YR (2011) Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus. J Bone Jt Surg Br 93:1079–1083

    Article  CAS  Google Scholar 

  12. Miller JM, Ferdowsian VN, Collman DR (2011) Inverted Z-scarf osteotomy for hallux valgus deformity correction: intermediate-term results in 55 patients. J Foot Ankle Surg 50:55–61

    Article  PubMed  Google Scholar 

  13. Thompson FM (1990) Complications of hallux valgus surgery and salvage. Orthopedics 13:1059–1067

    PubMed  CAS  Google Scholar 

  14. Sammarco GJ, Idusuyi OB (2001) Complications after surgery of the hallux. Clin Orthop Relat Res 391:59–71

    Article  PubMed  Google Scholar 

  15. Easley ME, Trnka HJ (2007) Current concepts review: hallux valgus part II: operative treatment. Foot Ankle Int 28:748–758

    Article  PubMed  Google Scholar 

  16. Robinson AH, Limbers JP (2005) Modern concepts in the treatment of hallux valgus. J Bone Jt Surg Br 87:1038–1045

    CAS  Google Scholar 

  17. Bock P, Lanz U, Kröner A, Grabmeier G, Engel A (2010) The Scarf osteotomy: a salvage procedure for recurrent hallux valgus in selected cases. Clin Orthop Relat Res 468:2177–2187

    Article  PubMed  Google Scholar 

  18. Coughlin MJ, Mann RA (1987) Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure. J Bone Jt Surg Am 69:68–75

    CAS  Google Scholar 

  19. Kitaoka HB, Patzer GL (1998) Salvage treatment of failed hallux valgus operations with proximal first metatarsal osteotomy and distal soft-tissue reconstruction. Foot Ankle Int 19:127–131

    PubMed  CAS  Google Scholar 

  20. Trnka HJ (2000) Arthrodesis procedures for salvage of the hallux metatarsophalangeal joint. Foot Ankle Clin 5:673–686

    PubMed  CAS  Google Scholar 

  21. Coetzee JC, Resig SG, Kuskowski M, Saleh KJ (2003) The Lapidus procedure as salvage after failed surgical treatment of hallux valgus: a prospective cohort study. J Bone Jt Surg Am 85-A:60–65

    Google Scholar 

  22. Machacek F Jr, Easley ME, Gruber F, Ritschl P, Trnka HJ (2004) Salvage of a failed Keller resection arthroplasty. J Bone Jt Surg Am 86-A:1131–1138

    Google Scholar 

  23. Baumhauer JF, DiGiovanni BF (2003) Salvage of first metatarsophalangeal joint arthroplasty complications. Foot Ankle Clin 8:37–48

    Article  PubMed  Google Scholar 

  24. Belczyk R, Stapleton JJ, Grossman JP, Zgonis T (2009) Complications and revisional hallux valgus surgery. Clin Podiatr Med Surg 26:475–484

    Article  PubMed  Google Scholar 

  25. Klaue K, Hansen ST, Masquelet AC (1994) Clinical, quantitative assessment of first tarsometatarsal mobility in the sagittal plane and its relation to hallux valgus deformity. Foot Ankle Int 15:9–13

    PubMed  CAS  Google Scholar 

  26. Coughlin MJ, Jones CP (2007) Hallux valgus and first ray mobility: a prospective study. J Bone Jt Surg Am 89:1887–1898

    Article  Google Scholar 

  27. Coughlin MJ, Smith BW (2008) Hallux valgus and first ray mobility. Surgical technique. J Bone Jt Surg Am 90(Suppl 2 Pt 2):153–170

    Article  Google Scholar 

  28. Kitaoka HB, Franco MG, Weaver AL, Ilstrup DM (1991) Simple bunionectomy with medial capsulorrhaphy. Foot Ankle 12:86–91

    PubMed  CAS  Google Scholar 

  29. Mann RA, Rudicel S, Graves SC (1992) Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy: a long-term follow-up. J Bone Jt Surg Am 74:124–129

    Google Scholar 

  30. Johnson JE, Clanton TO, Baxter DE, Gottlieb MS (1991) Comparison of Chevron osteotomy and modified McBride bunionectomy for correction of mild to moderate hallux valgus deformity. Foot Ankle 12:61–68

    PubMed  CAS  Google Scholar 

  31. Lagaay PM, Hamilton GA, Ford LA, Williams ME, Rush SM, Schuberth JM (2008) Rates of revision surgery using Chevron-Austin osteotomy, Lapidus arthrodesis, and closing base wedge osteotomy for correction of hallux valgus deformity. J Foot Ankle Surg 47:267–272

    Article  PubMed  Google Scholar 

  32. Markbreiter LA, Thompson FM (1997) Proximal metatarsal osteotomy in hallux valgus correction: a comparison of crescentic and chevron procedures. Foot Ankle Int 18:71–76

    PubMed  CAS  Google Scholar 

  33. Jones S, Al Hussainy HA, Ali F, Betts RP, Flowers MJ (2004) Scarf osteotomy for hallux valgus: a prospective clinical and pedobarographic study. J Bone Jt Surg Br 86:830–836

    Article  CAS  Google Scholar 

  34. Berg RP, Olsthoorn PG, Pöll RG (2007) Scarf osteotomy in hallux valgus: a review of 72 cases. Acta Orthop Belg 73:219–223

    PubMed  Google Scholar 

  35. Chiodo CP, Schon LC, Myerson MS (2004) Clinical results with the Ludloff osteotomy for correction of adult hallux valgus. Foot Ankle Int 25:532–536

    PubMed  Google Scholar 

  36. Faber FW, Mulder PG, Verhaar JA (2004) Role of first ray hypermobility in the outcome of the Hohmann and the Lapidus procedure: a prospective, randomized trial involving one hundred and one feet. J Bone Jt Surg Am 86-A:486–495

    Google Scholar 

  37. Kumar S, Pradhan R, Rosenfeld PF (2010) First metatarsophalangeal arthrodesis using a dorsal plate and a compression screw. Foot Ankle Int 31:797–801

    Article  PubMed  Google Scholar 

  38. Lapidus PW (1934) The operative correction of the metatarsus primus varus in hallux valgus. Surg Gynecol Obstet 58:183–191

    Google Scholar 

  39. Sangeorzan BJ, Hansen ST Jr (1989) Modified lapidus procedure for hallux valgus. Foot Ankle 9:262–266

    PubMed  CAS  Google Scholar 

  40. Coetzee JC, Resig SG, Kuskowski M, Saleh KJ (2004) The lapidus procedure as salvage after failed surgical treatment of hallux valgus surgical technique. J Bone Jt Surg Am 86-A(Suppl 1):30–36

    Google Scholar 

  41. Zembsch A, Trnka HJ, Ritschl P (2000) Correction of hallux valgus: metatarsal osteotomy versus excision arthroplasty. Clin Orthop Relat Res 376:183–194

    Article  PubMed  Google Scholar 

  42. Scranton PE Jr, McDermott JE (1995) Prognostic factors in bunion surgery. Foot Ankle Int 16:698–704

    PubMed  Google Scholar 

  43. Takao M, Komatsu F, Oae K, Miyamoto W, Uchio Y, Ochi M, Matsushita T (2007) Proximal oblique-domed osteotomy of the first metatarsal for the treatment of hallux valgus associate with flat foot: effect to the correction of the longitudinal arch of the foot. Arch Orthop Trauma Surg 127(8):685–690

    Article  PubMed  Google Scholar 

  44. Wukich DK, Roussel AJ, Dial DM (2009) Correction of metatarsus primus varus with an opening wedge plate: a review of 18 procedures. J Foot Ankle Surg 48:420–426

    Article  PubMed  Google Scholar 

  45. Okuda R, Kinoshita M, Yasuda T, Jotoku T, Kitano N, Shima H (2009) Postoperative incomplete reduction of the sesamoids as a risk factor for recurrence of hallux valgus. J Bone Jt Surg Am 91:1637–1645

    Article  Google Scholar 

  46. Machacek F Jr, Easley ME, Gruber F, Ritschl P, Trnka HJ (2005) Salvage of the failed Keller resection arthroplasty surgical technique. J Bone Jt Surg Am 87(Suppl 1(Pt 1)):86–94

    Article  Google Scholar 

  47. Grimes JS, Coughlin MJ (2006) First metatarsophalangeal joint arthrodesis as a treatment for failed hallux valgus surgery. Foot Ankle Int 27:887–893

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Center for Joint Surgery, Southwest Hospital, Third Military Medical University, 30 Gaotanyan Street, Chongqing, 400038, China

    Xiaojun Duan

  2. Division of Foot and Ankle Surgery, Department of Orthopedic Surgery, University of Michigan, 2098 South Main Street, Ann Arbor, MI, 48103, USA

    Anish R. Kadakia

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  1. Xiaojun Duan
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Correspondence to Anish R. Kadakia.

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Duan, X., Kadakia, A.R. Salvage of recurrence after failed surgical treatment of hallux valgus. Arch Orthop Trauma Surg 132, 477–485 (2012). https://doi.org/10.1007/s00402-011-1447-6

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  • DOI: https://doi.org/10.1007/s00402-011-1447-6

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