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Titlebook: Evidence-Based Bunion Surgery; A Critical Examinati Paul D. Dayton Book 2018 Springer International Publishing AG 2018 Bunion.Hallux valgus

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楼主: Radiofrequency
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Kapitel 5: Zusammenfassung in Thesen,typically uncommon in the juvenile patient (Kilmartin et al, Bone Joint J 76(2):210–214, 1994). Further research is needed to clarify not only the etiology and progression but also the effects of treatment. Particularly concerning is the high recurrence rate when common osteotomy procedures are used in the younger population.
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Overview of the Condition,rs examining the current evidence base on bunion surgery. Only through recognition and understanding of the shortcomings of our perspectives can we arrive at a true answer to solve this problem for our patients.
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Clinical Assessment,scussed with a patient based on these clinical findings. Systematic assessment of the deformity should include the first ray, the metatarsophalangeal joint and the hallux. It is also important to assess other associated conditions, such as pes planus, metatarsus adductus, equinus and hammer toe deformities.
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Crescentic Osteotomy,promise surgical outcomes. Risk factors for recurrence are undercorrection, postoperative round sign of the lateral edge of the first metatarsal, and incomplete reduction of the sesamoids. Appropriate surgical technique and recognition of risk factors for complications are essential for obtaining satisfactory results.
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First MTPJ Arthrodesis,acteristics of the procedure make it a very patient-friendly option. This section will review and discuss the technique, outcomes, and anatomic considerations relative to utilizing first MTPJ arthrodesis as a primary procedure for the correction of HAV.
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