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Journal of the American Podiatric Medical Association
Volume 94 Number 4 341-346 2004
Copyright © 2004 American Podiatric Medical Association

Revisional Hallux Abducto Valgus Surgery Using Tricorrectional Bunionectomy

Allen J. Selner, DPM *, Marc D. Selner, DPM {dagger}, Robert P. Cyr, DPM {dagger} and Wanlop Noiwangmuang, DPM {dagger}

* Department of Podiatric Education, Encino-Tarzana Regional Medical Center, Tarzana, CA; private practice, Medstar Foot and Ankle Center, Studio City, CA.
{dagger} Podiatric Residency Program, Encino-Tarzana Regional Medical Center, Tarzana, CA; private practice, Medstar Foot and Ankle Center, Studio City, CA. Dr. Noiwangmuang is now at the Department of Orthopaedic Podiatry, Kaiser Permanente, Woodland Hills, CA.

Corresponding author: Allen J. Selner, DPM, Medstar Foot and Ankle Center, 4335 Laurel Canyon Blvd, Studio City, CA 91604.

Abstract

We present a radiographic analysis of 91 failed hallux abducto valgus surgeries. Patients were categorized by type of postoperative complication: hallux varus, hallux limitus, or recurrent hallux abducto valgus deformities. All deformities were radiographically evaluated preoperatively and after correction using tricorrectional bunionectomy. Analysis of the surgical revisions showed improvement in radiographic parameters, including the intermetatarsal angle, hallux abductus angle, proximal articular set angle, and tibial sesamoid position. We conclude that tricorrectional bunionectomy is a versatile procedure that can be used when addressing a residual deformity after failed hallux abducto valgus surgery. (J Am Podiatr Med Assoc 94(4): 341–346, 2004)






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Copyright © 2004 by the American Podiatric Medical Association.