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Correct arch with HAV surgery?

Discussion in 'Foot Surgery' started by NewsBot, Jun 2, 2007.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Proximal oblique-domed osteotomy of the first metatarsal for the treatment of hallux valgus associate with flat foot: effect to the correction of the longitudinal arch of the foot.
    Takao M, Komatsu F, Oae K, Miyamoto W, Uchio Y, Ochi M,
    Arch Orthop Trauma Surg. 2007 May 31; [Epub ahead of print]
     
  2. Bruce Williams

    Bruce Williams Well-Known Member


    The problem w/ this is that there is no real long-term informaion on follow up are apparently arch height.

    In my opinion you would need to fuse the 1st met-cuneiform joint and possible the 1st met-cun-navicular joint in a plantarflexed posion to really raise the medial arch.

    If you don't address the dorsiflexion stiffness component you will rarely if ever get a true change in arch height. Just plantarflexing the 1st ray in my experience, distal or proximal is not enough.

    IMHO
    Bruce Williams
     
  3. drsarbes

    drsarbes Well-Known Member

    I think the entire premise is incorrect, i.e., that you can "correct" a pes planus by plantarflexing the first metatarsal.
    There is obviously more to a pes planus deformity than a first ray that is dorsiflexed. If, in those rare instances where a simple forefoot varus caused by a dorsally mobile first ray in an otherwise normal foot is causing pronation, than perhaps plantarflexing the first metatarsal will make a difference.
    Dr. Steve
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Radiographic Effects of the Scarf Bunionectomy on Rearfoot Alignment
    Nicholas G. Argerakis, DPM; Lowell Weil Jr, DPM, MBA; Lowell Scott Weil Sr, DPM; Dimitrios Anagnostopoulos, MD; Catherine A. Feuerstein, DPM; Erin E. Klein, DPM, MS; Ashley K. Boccio, BS
    Foot Ankle Spec July 24, 2014
     
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