Research progress of metatarsal rotation in hallux valgus
Tang Yiding1,2, Zhang Yan1, Wang Qiong1, Liang Xiaojun1, Zhao Hongmou1
1Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an 710054, China; 2Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Medical College, Xi'an 710054, China
Abstract：Objective This study aims to summarize the research progress of patients with hallux valgus (HV) in the formation and development, imaging evaluation, and surgical treatment of HV. Methods "Hallux valgus," "metatarsal rotation," "hallux valgus corrective surgery," "rotational deformity," "hallux valgus corrective surgery," "rotational deformation," and "metatarsal rotation" were used as keywords for literature retrieval in Wanfang Data, CNKI, and PubMed databases. A total of 396 studies were retrieved; studies with inconsistent content, low quality, low level of evidence, and repeated research were excluded; and 38 studies were finally included. Research on metatarsal rotation in hallux valgus was summarized and discussed. Results The first metatarsal rotation is an important factor in the formation of HV in terms of anatomy and imaging. True and false dislocations of sesamoid bone are closely related to metatarsal rotation and associated with the recurrence of HV. Multiplanar three-dimensional imaging methods based on weight-bearing CT have been used to evaluate and measure the first metatarsal rotation, reveal the relationship between the first metatarsal rotation and HV, guide the surgical improvement in rotation and translation, and reduce the HV postoperative recurrence rate. Conclusion The first metatarsal rotation plays a very important role in the development of HV deformity and is associated with postoperative recurrence of HV. Improved understanding of HV, standardized imaging measurements, and surgical methods are key to correcting HV multiplanar malformations.
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2022, Vol. 27 
