Analysis of Factors Influencing Corrective Power of Akin's Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Analysis of Factors Influencing Corrective Power of Akin’s Osteotomy in 2D Plain Radiographs: What to Consider to Obtain Good Correction in Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

Background/Objectives: Akin osteotomy, in the context of corrective surgery for hallux valgus, is an effective tool available to surgeons. However, few studies have thoroughly investigated the anatomical and technical characteristics to be considered in order to perform an optimal osteotomy. This cross-sectional observational study aims to identify the ideal site for performing Akin osteotomy and to identify the factors that influence its corrective power. Methods: To this end, an analysis was…

Augmentation of the medial collateral ligament using suture tape reduces the recurrence after corrective surgery for severe hallux valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

Augmentation of the medial collateral ligament using suture tape reduces the recurrence after corrective surgery for severe hallux valgus – Summary by Liv Harley Street Hospital

CONCLUSION: The medial joint capsule in severe HV deformity showed the degenerative change and the MCL reconstruction using suture tape combined with osteotomy provides a strong medial constraint to prevent the recurrence of the deformity in severe hallux valgus.

Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing - Summary by Liv Harley Street Hospital
Bunion Surgery London

Postoperative Opioid Consumption Following Hallux Valgus and Rigidus Surgery: A Guide to Postoperative Prescription Writing – Summary by Liv Harley Street Hospital

Prescribing postoperative pain medications is essential to foot and ankle surgery; however, prescribing an amount that results in an excess of pills has shown to lead to opioid abuse. The opioid epidemic has forced surgeons to analyze how we manage postoperative pain with a goal to prescribe the optimal number of pills that will reduce a patient’s pain while limiting the amount that is left over. The purpose of this study was to develop a guideline for prescribing postoperative pain medication…

Lower limb kinematic changes during gait after hallux valgus surgery: A prospective observational study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Lower limb kinematic changes during gait after hallux valgus surgery: A prospective observational study – Summary by Liv Harley Street Hospital

BACKGROUND: Patients with hallux valgus are known to alter lower limb joint kinematics during gait. However, little information is available about gait changes following hallux valgus surgery. We aimed to longitudinally investigate lower limb kinematic changes at the mid and terminal stances of gait after hallux valgus surgery.

Comparison of modified U-shaped and inverted L-shaped medial capsulorrhaphy in hallux valgus surgery: a prospective, randomized controlled trial of 75 patients - Summary by Liv Harley Street Hospital
Bunion Surgery London

Comparison of modified U-shaped and inverted L-shaped medial capsulorrhaphy in hallux valgus surgery: a prospective, randomized controlled trial of 75 patients – Summary by Liv Harley Street Hospital

CONCLUSION: Compared to the inverted L-shaped capsulorrhaphy, the modified U-shaped capsulorrhaphy provided a better ROM of the first MTP joint; at 1 year following surgery, the modified U-shaped capsulorrhaphy maintained the normal HVA better.

Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery - Summary by Liv Harley Street Hospital
Bunion Surgery London

Retrospective Comparison of Preoperative and Postoperative Foot Width in Minimally Invasive Hallux Valgus Surgery – Summary by Liv Harley Street Hospital

Minimally invasive surgery (MIS) has gained popularity for hallux valgus correction in the adult population. The advantage of reproducibility of this procedure can aid in lower operating room costs, quicker recovery, and fewer complications. The purpose of this retrospective study was to compare preoperative versus postoperative foot widths in patients that underwent MIS hallux valgus correction. The average preoperative foot width was 101.1 ± 5.67 mm and postoperatively the foot width measured…

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study – Summary by Liv Harley Street Hospital

CONCLUSION: No significant differences were observed in the duration of motor and sensory blockade between patients in both groups. Additionally, both groups showed good pain control with a low rate of adverse effects, even if there was no clinical difference between the groups. However, patients who received dexamethasone reported experiencing less interference with their sleep, daily activities and overall emotional well-being, and overall pain control.

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study - Summary by Liv Harley Street Hospital
Bunion Surgery London

Dexamethasone versus Dexmedetomidine as Adjuvants in Ultrasound Popliteal Sciatic Nerve Block for Hallux Valgus Surgery: A Mono-Centric Retrospective Comparative Study – Summary by Liv Harley Street Hospital

CONCLUSION: No significant differences were observed in the duration of motor and sensory blockade between patients in both groups. Additionally, both groups showed good pain control with a low rate of adverse effects, even if there was no clinical difference between the groups. However, patients who received dexamethasone reported experiencing less interference with their sleep, daily activities and overall emotional well-being, and overall pain control.

Early Radiological Outcome of Hallux Valgus Corrective Surgery With an Intramedullary Plate: A Single-Center Case Series - Summary by Liv Harley Street Hospital
Bunion Surgery London

Early Radiological Outcome of Hallux Valgus Corrective Surgery With an Intramedullary Plate: A Single-Center Case Series – Summary by Liv Harley Street Hospital

CONCLUSION: Mini-open hallux valgus surgery using an intramedullary plate is a safe and effective technique that can lead to significant improvement in pain and function for mild to moderate hallux valgus. The modified placement of the plate into the medullary canal allows for a smaller incision while providing correction of the hallux valgus deformity.

Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

Learning Curve for Minimally Invasive Surgery (MIS) for the Treatment of Hallux Valgus – Summary by Liv Harley Street Hospital

IntroductionCorrection of hallux valgus through minimally invasive surgery (MIS) has grown in popularity in recent years. Despite the increase in use, there has been limited research into the learning curve associated with the procedure, which has been documented extensively for other MIS procedures. Our study looked to determine the learning curve associated with MIS hallux valgus surgery.MethodsA retrospective review was conducted of patients who underwent MIS hallux valgus surgery, performed…

A Multi-Dimensional Systematic Review of Minimally Invasive Bunion Surgery (MIBS) - Summary by Liv Harley Street Hospital
Bunion Surgery London

A Multi-Dimensional Systematic Review of Minimally Invasive Bunion Surgery (MIBS) – Summary by Liv Harley Street Hospital

Background/Objectives: Hallux valgus, or a bunion, is a prevalent foot deformity associated with pain, limited mobility, and reduced quality of life. Surgical treatments include minimally invasive and traditional open techniques, but the optimal approach remains debated. This systematic review evaluates long-term outcomes, patient satisfaction, cost-effectiveness, the influence of patient-specific factors, rehabilitation protocols, and complication rates for these methods. Methods: A…

A Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus - Summary by Liv Harley Street Hospital
Bunion Surgery London

A Novel Simulation Model and Training Program for Minimally Invasive Surgery of Hallux Valgus – Summary by Liv Harley Street Hospital

CONCLUSION: This study validated a simulation model and training program, allowing nonexperienced HV MIS foot and ankle surgeons to enhance their surgical proficiency and effectively complete a substantial portion of the learning curve at the fifth session, and this performance was successfully transferred to a cadaver model.