title: [Soft tissue techniques in hallux valgus surgery].
abstract: The hallux valgus represents combined bony and soft tissue pathology. In addition to known bony surgical procedures, addressing the soft tissue with regard to the anatomical structures, the surgical technique and the extent of correction are discussed.The goal of the operation is the restoration of the physiological balance between the active and passive stabilizing factors of the MTP-I-joint. The joint capsule, the ligaments and the tendons of the first ray act directly as stabilizing structures, whereas the hind foot and the position of the upper ankle have an indirect influence on the MTP-I-joint.The present work gives an overview of the pathoanatomy of the MTP-I-joint in the hallux valgus pathology. The individual anatomical structures are presented with regard to their physiological and pathological influence and the possible therapeutic options.
authors.affiliation: Klinik für Fuß- und Sprunggelenkchirurgie, Hessing Stiftung, Hessingstraße 17, 86199, Augsburg, Deutschland. hwaizy@yahoo.com.|Labor für Biomechanik und Biomaterialien, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries Str. 1-7, 30625, Hannover, Deutschland. hwaizy@yahoo.com.
authors.forename: H
authors.initials: H
authors.lastname: Waizy
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie Köln Merheim, Ostmerheimer Str. 200, 51109, Köln, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Bouillon
authors.affiliation: Department Fuß- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover (MHH), Anna-von-Borries-Str. 1-7, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Stukenborg-Colsman
authors.affiliation: Department Fuß- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover (MHH), Anna-von-Borries-Str. 1-7, 30625, Hannover, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Claaßen
authors.affiliation: Sporthopaedicum Straubing, Bahnhofplatz 27, 94315, Straubing, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Danniilidis
authors.affiliation: Department Fuß- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover (MHH), Anna-von-Borries-Str. 1-7, 30625, Hannover, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Plaaß
authors.affiliation: Orthopädische Klinik, Fakultät Gesundheit Universität Witten/Herdecke, Klinikum Dortmund, Beurhausstr. 40, 44137, Dortmund, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Arbab
mesh_terms: D001178:Arthroplasty / Q000379:methods; D019317:Evidence-Based Medicine; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D008022:Ligaments / Q000601:surgery*; D008682:Metatarsal Bones / Q000601:surgery*; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D013710:Tendons / Q000601:surgery*; D016896:Treatment Outcome
keywords: Articular capsule; Forefoot; Hallux valgus; Ligaments; Tendons