This unique book provides a critical examination of the current traditions and techniques commonly taught regarding hallux valgus correction and contrasts them with new, evidence-based anatomic and surgical concepts that change the entire approach to bunion surgery. Beginning with the history, etiology and epidemiology of the deformity, its clinical implications and physical and radiological assessment are then discussed. An overview of surgical correction strategies is then presented, followed by detailed chapters on the techniques themselves, covering rationale for the approach, anatomic and technical considerations, post-operative management and evidence-based outcomes. Surgical techniques include phalangeal, cresentic and distal metatarsal osteotomies, the scarf and rotational scarf procedure, joint arthrodesis and arthroplasty, among others.
The evaluation and management of the hallux valgus deformity has changed very little over the past several decades despite much discussion, debate, research and new technology. Now, utilizing the most up-to-date evidence and presenting multiple treatment strategies, Evidence-Based Bunion Surgery will be the new standard for the management of hallux valgus for podiatric and orthopedic surgeons, residents and fellows.
Paul Dayton, DPM, MS, FACFAS
College of Podiatric Medicine and Surgery
Des Moines University
Trinity Regional Medical Center
Fort Dodge, IA, USA
Overview of the Condition.- Anatomy and Terminology.- The Etiology of Hallux Abductovalgus Described in Six Pieces.- Clinical Assessment.- Radiographic Assessment.- Clinical and Surgical Implications of First Ray Tri-plane Deformity.- Recurrence and Hallux Varus.- Phalangeal Osteotomy Procedures.- Distal Metatarsal Osteotomy and Capsular Balancing.- Basilar Opening and Closing Wedge Osteotomy Procedures.- Crescentic Osteotomy.- Scarf Procedure and Rotational Scarf Procedure.- Tarsal-metatarsal Joint Arthrodesis.- First MTPJ Arthrodesis.- Juvenile Hallux Valgu.- Arthroplasty With and Without Replacement.