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Complications after Surgical Correction of Hallux Valgus

무지 외반증 교정 수술 후 합병증

  • Bae, Su-Young (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Lee, Oei-Jong (Department of Orthopedic Surgery, Sanggye Paik Hospital, Inje University School of Medicine)
  • 배서영 (인제대학교 의과대학 상계백병원 정형외과학교실) ;
  • 이의종 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Received : 2017.05.15
  • Accepted : 2017.06.08
  • Published : 2017.06.15

Abstract

The goal of surgical correction for hallux valgus is to achieve a painless, shoe-wearable, and relatively straight toe with a balanced joint motion that results in aesthetically and functionally satisfactory toe. To date, there has not been a consensus on the ultimate surgical procedure for hallux valgus correction. Unfortunately, such a consensus may be difficult since it is not uncommon to encounter complications after hallux valgus correction. Postoperative soft tissue complications include difficult wound healing, infection, hypertrophy, or pain of the scar, joint stiffness, and tendon or sensory nerve damage. Postoperative bony complications include malunion, nonunion, failure of fixation, failure of angle correction, recurred deformity, osteomyelitis, and failure of balance between the metatarsal heads. Herein, we review common complications after surgical correction of hallux valgus, such as stiff joint, bony complications, recurrence of the deformity, and hallux varus.

Keywords

References

  1. Sammarco GJ, Idusuyi OB. Complications after surgery of the hallux. Clin Orthop Relat Res. 2001;(391):59-71.
  2. Schuh R, Willegger M, Holinka J, Ristl R, Windhager R, Wanivenhaus AH. Angular correction and complications of proximal first metatarsal osteotomies for hallux valgus deformity. Int Orthop. 2013;37:1771-80. https://doi.org/10.1007/s00264-013-2012-4
  3. Goforth WD, Kruse D, Brantigan CO, Stone PA. Acute ischemia after revision hallux valgus surgery leading to amputation. J Foot Ankle Surg. 2013;52:757-61. https://doi.org/10.1053/j.jfas.2013.07.002
  4. Jastifer JR, Coughlin MJ, Doty JF, Stevens FR, Hirose C, Kemp TJ. Sensory nerve dysfunction and hallux valgus correction: a prospective study. Foot Ankle Int. 2014;35:757-63. https://doi.org/10.1177/1071100714534216
  5. Goldberg A, Singh D. Treatment of shortening following hallux valgus surgery. Foot Ankle Clin. 2014;19:309-16. https://doi.org/10.1016/j.fcl.2014.02.009
  6. Roukis TS. Nonunion after arthrodesis of the first metatarsalphalangeal joint: a systematic review. J Foot Ankle Surg. 2011;50:710-3. https://doi.org/10.1053/j.jfas.2011.06.012
  7. Raikin SM, Miller AG, Daniel J. Recurrence of hallux valgus: a review. Foot Ankle Clin. 2014;19:259-74. https://doi.org/10.1016/j.fcl.2014.02.008
  8. Rothwell M, Pickard J. The chevron osteotomy and avascular necrosis. Foot (Edinb). 2013;23:34-8. https://doi.org/10.1016/j.foot.2012.10.001
  9. Crawford MD, Patel J, Giza E. Iatrogenic hallux varus treatment algorithm. Foot Ankle Clin. 2014;19:371-84. https://doi.org/10.1016/j.fcl.2014.06.004
  10. Kannegieter E, Kilmartin TE. The combined reverse scarf and opening wedge osteotomy of the proximal phalanx for the treatment of iatrogenic hallux varus. Foot (Edinb). 2011;21:88-91. https://doi.org/10.1016/j.foot.2011.01.011
  11. Plovanich EJ, Donnenwerth MP, Abicht BP, Borkosky SL, Jacobs PM, Roukis TS. Failure after soft-tissue release with tendon transfer for flexible iatrogenic hallux varus: a systematic review. J Foot Ankle Surg. 2012;51:195-7. https://doi.org/10.1053/j.jfas.2011.11.006
  12. Feuerstein C, Weil L Jr, Weil LS Sr, Klein EE, Argerakis N, Fleischer AE. Joint manipulation under anesthesia for arthrofibrosis after hallux valgus surgery. J Foot Ankle Surg. 2016;55:76-80. https://doi.org/10.1053/j.jfas.2015.06.023
  13. Woo K, Yu IS, Kim JH, Sung KS. Effect of lateral soft tissue release on sesamoid position in hallux valgus surgery. Foot Ankle Int. 2015;36:1463-8. https://doi.org/10.1177/1071100715595502
  14. Meier PJ, Kenzora JE. The risks and benefits of distal first metatarsal osteotomies. Foot Ankle. 1985;6:7-17. https://doi.org/10.1177/107110078500600103
  15. Easley ME, Kelly IP. Avascular necrosis of the hallux metatarsal head. Foot Ankle Clin. 2000;5:591-608.
  16. Gutteck N, Wohlrab D, Zeh A, Radetzki F, Delank KS, Lebek S. Immediate fullweightbearing after tarsometatarsal arthrodesis for hallux valgus correction: does it increase the complication rate? Foot Ankle Surg. 2015;21:198-201. https://doi.org/10.1016/j.fas.2014.11.010
  17. Pentikainen I, Piippo J, Ohtonen P, Junila J, Leppilahti J. Role of fixation and postoperative regimens in the long-term outcomes of distal chevron osteotomy: a randomized controlled two-by-two factorial trial of 100 patients. J Foot Ankle Surg. 2015;54:356-60. https://doi.org/10.1053/j.jfas.2014.08.001
  18. Rink-Brune O. Lapidus arthrodesis for management of hallux valgus: a retrospective review of 106 cases. J Foot Ankle Surg. 2004;43:290-5. https://doi.org/10.1053/j.jfas.2004.07.007
  19. Willegger M, Holinka J, Ristl R, Wanivenhaus AH, Windhager R, Schuh R. Correction power and complications of first tarsometatarsal joint arthrodesis for hallux valgus deformity. Int Orthop. 2015;39:467-76. https://doi.org/10.1007/s00264-014-2601-x
  20. Wood EV, Walker CR, Hennessy MS. First metatarsophalangeal arthrodesis for hallux valgus. Foot Ankle Clin. 2014;19:245-58. https://doi.org/10.1016/j.fcl.2014.02.006
  21. Park CH, Cho JH, Moon JJ, Lee WC. Can double osteotomy be a solution for adult hallux valgus deformity with an increased distal metatarsal articular angle? J Foot Ankle Surg. 2016;55:188-92. https://doi.org/10.1053/j.jfas.2015.05.004
  22. Choi KJ, Lee HS, Yoon YS, Park SS, Kim JS, Jeong JJ, et al. Distal metatarsal osteotomy for hallux varus following surgery for hallux valgus. J Bone Joint Surg Br. 2011;93:1079-83.
  23. Dayton P, Sedberry S, Feilmeier M. Complications of metatarsal suture techniques for bunion correction: a systematic review of the literature. J Foot Ankle Surg. 2015;54:230-2. https://doi.org/10.1053/j.jfas.2014.12.012
  24. Ianno B, Familiari F, De Gori M, Galasso O, Ranuccio F, Gasparini G. Midterm results and complications after minimally invasive distal metatarsal osteotomy for treatment of hallux valgus. Foot Ankle Int. 2013;34:969-77. https://doi.org/10.1177/1071100713481453