La correction chirurgicale de l'hallux valgus modifie-t-elle l'architecture de l'arrière-pied ? (notice n° 746698)
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| fixed length control field | 04256cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250123093014.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Zitouna, K. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | La correction chirurgicale de l'hallux valgus modifie-t-elle l'architecture de l'arrière-pied ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 17 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The valgus deformity of the hallux resonates on the biomechanics of the whole foot. It has been demonstrated that excessive pronation of the rearfoot is associated with this pathology. The purpose of this work was to study the effect of forefoot correction on the rearfoot morphometry. We have collected all records of patients operated for advanced hallux valgus and managed by Scarf osteotomy associated with Weil osteotomies. We compared before and after the correction, 3 parameters on the anterior-posterior foot radiographs (talar uncovering, calcaneal cuboid and intermetatarsal angle) and 4 parameters on the foot lateral radiographs (calcaneal inclination angle, talar declination, talar-first metatarsal, and medial cuneiform height). Our study included 46 patients (47 feet, 37 women and 9 men). The average age of patients was 54.34 years. Comparison of pre- and postoperative radiographs demonstrated that Scarf osteotomy associated with Weil's osteotomy improved the medial longitudinal arch, decreasing the M1M2 intermetatarsal angle and talar-first metatarsal angle. In contrast, the calcaneal inclination, talar declination, talar uncovering and calcaneal cuboid angle were not significantly affected. The Scarf osteotomy associated with Weil osteotomies is currently the Gold Standard in the surgical treatment of advanced hallux valgus. However this technique does not contribute to a significant alignment of the rearfoot to one year of surgery. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La déformation en valgus de l'hallux retentit sur la biomécanique de tout le pied. Il a été en effet démontré qu'une pronation excessive de l'arrière-pied s'associait à cette pathologie. Le but de ce travail était d'étudier l'effet de la correction de l'avant-pied sur la morphométrie de l'arrière-pied. Nous avons colligé tous les dossiers de patients opérés pour hallux valgus évolués et ayant eu une ostéotomie de Scarf associée à des ostéotomies de Weil. Nous avons comparé avant et après la correction, quatre paramètres sur la radiographie du pied de face (l'angle de l'hallux valgus, angle de couverture talonaviculaire, angle calcanéocuboïdien et angle intermétatarsien M1M2) et quatre paramètres sur la radiographie de profil (angle talus–1er métatarsien, pente calcanéenne, angle de déclinaison du talus et hauteur du premier os cunéiforme). Notre série comportait 46 patients (47 pieds, 37 femmes et 9 hommes), ayant un âge moyen de 54,34 ans. La comparaison des radiographies pré- et postopératoires a montré que l'ostéotomie de Scarf associée à l'ostéotomie de Weil améliorait l'arche longitudinale médiale, en diminuant l'angle intermétatarsien M1M2 et l'angle entre le talus et le 1er métatarsien. Par contre, la pente calcanéenne, l'angle de déclinaison du talus, la congruence talonaviculaire et l'angle calcanéocuboïdien n'ont pas été significativement affectés. L'ostéotomie de Scarf associée à des ostéotomies de Weil est actuellement le gold standard dans le traitement chirurgical de l'hallux valgus évolué. Toutefois, cette technique ne contribue pas à un alignement significatif de l'arrière-pied à un an de la chirurgie. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Mesures radiographiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hallux valgus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Arrière-pied |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Morphométrie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Chirurgie de l'avant-pied |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Radiographic measurements |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Forefoot surgery |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Hallux valgus |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Rearfoot |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Morphometry |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Aissaoui, Y. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mosbah, K. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ezzine, H. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Khlif, M.A. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Barsaoui, M. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Médecine et chirurgie du pied | 35 | 3 | 2019-07-09 | p. 47-52 | 0759-2280 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-medecine-et-chirurgie-du-pied-2019-3-page-47?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-medecine-et-chirurgie-du-pied-2019-3-page-47?lang=fr&redirect-ssocas=7080</a> |
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