History of surgical treatments for hallux valgus

History of surgical treatments for hallux valgus In the nineteenth century, the prevalent understanding of the hallux valgus was that it was purely an enlargement of the soft tissue, first metatarsal head, or both, most commonly caused by ill-fitting footwear. Thus, treatment had varying results, with controversy over whether to remove the overlying bursa alone or in combination with an exostectomy of the medial head. Since 1871, when the surgical technique was first described, many surgical treatments for the correction of hallux valgus have been proposed. A number of these techniques have come into fashion, and others have fallen into oblivion. Progress in biomechanical knowledge, and improvements in materials and supports have allowed new techniques to be developed over the years. We have developed techniques that sacrifice the metatarsophalangeal joint (arthrodesis, arthroplasties), as well as conservative procedures, and one can distinguish those which only involve the soft tissues from those that are linked with a first ray osteotomy. Keywords Hallux valgus · Bunion · Techniques · History · Osteotomies Introduction Radical procedures Since 1871, when the surgical technique was first described, Arthroplasty resection many surgical treatments for the correction of hallux val- gus have been proposed. Thus, by 1965, Kelikian [1] had These procedures are all performed medially. Their objec- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Orthopaedic Surgery & Traumatology Springer Journals

History of surgical treatments for hallux valgus

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag France SAS, part of Springer Nature
Subject
Medicine & Public Health; Surgical Orthopedics; Traumatic Surgery
ISSN
1633-8065
eISSN
1432-1068
D.O.I.
10.1007/s00590-018-2235-6
Publisher site
See Article on Publisher Site

Abstract

In the nineteenth century, the prevalent understanding of the hallux valgus was that it was purely an enlargement of the soft tissue, first metatarsal head, or both, most commonly caused by ill-fitting footwear. Thus, treatment had varying results, with controversy over whether to remove the overlying bursa alone or in combination with an exostectomy of the medial head. Since 1871, when the surgical technique was first described, many surgical treatments for the correction of hallux valgus have been proposed. A number of these techniques have come into fashion, and others have fallen into oblivion. Progress in biomechanical knowledge, and improvements in materials and supports have allowed new techniques to be developed over the years. We have developed techniques that sacrifice the metatarsophalangeal joint (arthrodesis, arthroplasties), as well as conservative procedures, and one can distinguish those which only involve the soft tissues from those that are linked with a first ray osteotomy. Keywords Hallux valgus · Bunion · Techniques · History · Osteotomies Introduction Radical procedures Since 1871, when the surgical technique was first described, Arthroplasty resection many surgical treatments for the correction of hallux val- gus have been proposed. Thus, by 1965, Kelikian [1] had These procedures are all performed medially. Their objec-

Journal

European Journal of Orthopaedic Surgery & TraumatologySpringer Journals

Published: May 31, 2018

References

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