Document Detail


The effect of adductor tendon transposition in the modified McBride procedure.
MedLine Citation:
PMID:  19825728     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The modified McBride technique is widely used in bunion surgery. The aim of this report is to analyze the influence that transferring the adductor hallucis tendon had on the first intermetatarsal angle (IMA), hallux abductus angle (HAA), and tibial sesamoid position (TSP) when used to correct the hallux valgus deformity. A prospective study was conducted of 31 hallux abducto valgus patients. A modified McBride procedure was performed to repair the deformity. In 16 patients (group 1), the adductor tendon was transferred, and in 15 (group 2), it was not. The tendon transfer was at random. The preoperative and postoperative variables IMA, HAA, and TSP were measured and analyzed by means of univariate and multivariate statistics. In group 1, the preoperative values of the first IMA and the HAA averaged 13.5 degrees and 30 degrees , respectively, decreasing postoperatively to 10.3 degrees and 10.7 degrees . In group 2, the corresponding preoperative angles were 12.9 degrees and 25.6 degrees , and the postoperative angles were 9.7 degrees and 10 degrees . There were no statistically significant differences between the 2 groups in the correction of the IMA, HAA, and TSP. As measured by the aforementioned radiographic measurements, there is no advantage in transferring the adductor hallucis tendon to the first metatarsophalangeal joint capsule in the correction of hallux valgus.
Authors:
Alfonso Martínez-Nova; Raquel Sánchez-Rodríguez; Beatriz Gómez-Martín; Elena Escamilla Martínez; Antonio Expósito-Arcas; Virginia Novel-Martí
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Foot & ankle specialist     Volume:  1     ISSN:  1938-7636     ISO Abbreviation:  Foot Ankle Spec     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2009-10-14     Completed Date:  2009-11-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101473598     Medline TA:  Foot Ankle Spec     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-9     Citation Subset:  IM    
Affiliation:
Nursing Department, University of Extremadura, Spain. podoalf@unex.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Follow-Up Studies
Hallux Valgus / radiography,  surgery*
Humans
Male
Metatarsophalangeal Joint / radiography,  surgery*
Middle Aged
Prospective Studies
Tendon Transfer / methods*
Tendons / surgery*
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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