Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus
Background: Foot width reduction is a desirable cosmetic and functional outcome for patients with hallux valgus. Triplanar first tarsometatarsal (TMT) arthrodesis could achieve this goal by 3-dimensional correction of the deformity. The aim of this study was to evaluate changes in bony and soft tiss...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-08-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011420934804 |
| _version_ | 1818319282466979840 |
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| author | Justin Vaida MD Justin J. Ray MD Taylor L. Shackleford MD William T. DeCarbo DPM, FACFAS Daniel J. Hatch DPM, FACFAS Paul Dayton DPM, FACFAS Jody P. McAleer DPM, FACFAS W. Bret Smith DO, MS Robert D. Santrock MD |
| author_facet | Justin Vaida MD Justin J. Ray MD Taylor L. Shackleford MD William T. DeCarbo DPM, FACFAS Daniel J. Hatch DPM, FACFAS Paul Dayton DPM, FACFAS Jody P. McAleer DPM, FACFAS W. Bret Smith DO, MS Robert D. Santrock MD |
| author_sort | Justin Vaida MD |
| collection | DOAJ |
| description | Background: Foot width reduction is a desirable cosmetic and functional outcome for patients with hallux valgus. Triplanar first tarsometatarsal (TMT) arthrodesis could achieve this goal by 3-dimensional correction of the deformity. The aim of this study was to evaluate changes in bony and soft tissue width in patients undergoing triplanar first TMT arthrodesis. Methods: After receiving Institutional Review Board approval, charts were retrospectively reviewed for patients undergoing triplanar first TMT arthrodesis for hallux valgus at 4 institutions between 2016 and 2019. Patients who underwent concomitant first metatarsal head osteotomies (eg, Silver or Chevron) or fifth metatarsal osteotomies were excluded. Preoperative and postoperative anteroposterior weightbearing radiographs were compared to evaluate for changes in bony and soft tissue width. One hundred forty-eight feet from 144 patients (48.1 ± 15.7 years, 92.5% female) met inclusion criteria. Results: Preoperative osseous foot width was 96.2 mm, compared to 85.8 mm postoperatively ( P < .001). Preoperative soft tissue width was 106.6 mm, compared to 99.3 mm postoperatively ( P < .001). Postoperatively, patients had an average 10.4 ± 4.0 mm reduction (10.8% reduction) in osseous width and average 7.3 ± 4.0 mm reduction (6.8% reduction) in soft tissue width. Conclusions: Triplanar first TMT arthrodesis reduced both osseous and soft tissue foot width, providing a desirable cosmetic and functional outcome for patients with hallux valgus. Future studies are needed to determine if patient satisfaction and outcome measures correlate with reductions in foot width. Level of evidence : Level III, retrospective comparative study |
| first_indexed | 2024-12-13T10:06:38Z |
| format | Article |
| id | doaj.art-14eb80c0a5454b00b41139cc78b5c2f1 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-13T10:06:38Z |
| publishDate | 2020-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-14eb80c0a5454b00b41139cc78b5c2f12022-12-21T23:51:32ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142020-08-01510.1177/2473011420934804Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux ValgusJustin Vaida MD0Justin J. Ray MD1Taylor L. Shackleford MD2William T. DeCarbo DPM, FACFAS3Daniel J. Hatch DPM, FACFAS4Paul Dayton DPM, FACFAS5Jody P. McAleer DPM, FACFAS6W. Bret Smith DO, MS7Robert D. Santrock MD8 Department of Orthopaedics, , Morgantown, WV, USA Department of Orthopaedics, , Morgantown, WV, USA Department of Orthopaedics, , Morgantown, WV, USA St Clair Orthopedic Associates, Pittsburgh, PA, USA , Greeley, CO, USA Foot & Ankle Center of Iowa, Midwest Bunion Center, Ankeny, IA, USA , Department of Podiatry, Jefferson City, MO, USA Mercy Orthopedic Associates, Mercy Regional Medical Center, Durango, CO, USA Department of Orthopaedics, , Morgantown, WV, USABackground: Foot width reduction is a desirable cosmetic and functional outcome for patients with hallux valgus. Triplanar first tarsometatarsal (TMT) arthrodesis could achieve this goal by 3-dimensional correction of the deformity. The aim of this study was to evaluate changes in bony and soft tissue width in patients undergoing triplanar first TMT arthrodesis. Methods: After receiving Institutional Review Board approval, charts were retrospectively reviewed for patients undergoing triplanar first TMT arthrodesis for hallux valgus at 4 institutions between 2016 and 2019. Patients who underwent concomitant first metatarsal head osteotomies (eg, Silver or Chevron) or fifth metatarsal osteotomies were excluded. Preoperative and postoperative anteroposterior weightbearing radiographs were compared to evaluate for changes in bony and soft tissue width. One hundred forty-eight feet from 144 patients (48.1 ± 15.7 years, 92.5% female) met inclusion criteria. Results: Preoperative osseous foot width was 96.2 mm, compared to 85.8 mm postoperatively ( P < .001). Preoperative soft tissue width was 106.6 mm, compared to 99.3 mm postoperatively ( P < .001). Postoperatively, patients had an average 10.4 ± 4.0 mm reduction (10.8% reduction) in osseous width and average 7.3 ± 4.0 mm reduction (6.8% reduction) in soft tissue width. Conclusions: Triplanar first TMT arthrodesis reduced both osseous and soft tissue foot width, providing a desirable cosmetic and functional outcome for patients with hallux valgus. Future studies are needed to determine if patient satisfaction and outcome measures correlate with reductions in foot width. Level of evidence : Level III, retrospective comparative studyhttps://doi.org/10.1177/2473011420934804 |
| spellingShingle | Justin Vaida MD Justin J. Ray MD Taylor L. Shackleford MD William T. DeCarbo DPM, FACFAS Daniel J. Hatch DPM, FACFAS Paul Dayton DPM, FACFAS Jody P. McAleer DPM, FACFAS W. Bret Smith DO, MS Robert D. Santrock MD Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus Foot & Ankle Orthopaedics |
| title | Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus |
| title_full | Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus |
| title_fullStr | Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus |
| title_full_unstemmed | Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus |
| title_short | Effect on Foot Width With Triplanar Tarsometatarsal Arthrodesis for Hallux Valgus |
| title_sort | effect on foot width with triplanar tarsometatarsal arthrodesis for hallux valgus |
| url | https://doi.org/10.1177/2473011420934804 |
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