Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
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Article Type:
Original Articles
Online Publication Date:
Jul 2004

Revisional Hallux Abducto Valgus Surgery Using Tricorrectional Bunionectomy

Allen J. Selner Department of Podiatric Education, Encino-Tarzana Regional Medical Center, Tarzana, CA; private practice, Medstar Foot and Ankle Center, Studio City, CA.

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,
Marc D. Selner 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.

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Robert P. Cyr 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.

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Wanlop Noiwangmuang 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.

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DOI:
https://doi.org/10.7547/0940341
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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)

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