Following
is a summary list of Studies published by our Doctors at Medstar
Foot & Ankle
Center. For complete copies of any of these Studies contact
our office at 310-793-1158.
Tricorrectional Bunionectomy with AO Screw Fixation
Scott I. Boggs, DPM
Allen J. Selner, DPM
Ivar E. Roth, DPM
Allan L. Bernstein, DPM, FACFAS
A 16-month preliminary study was performed on 58 patients for
corrective surgery of hallux abducto valgus, with AO' screw
fixation. The procedure is a modification of the bi-plane Austin
procedure, called a
tricorrectional bunionectomy. The authors present the procedure
with objective and subjective findings. The principles of bone
healing and internal fixation
using AO screw fixation are discussed.
-published in "The Journal Of Foot Surgery" vol.
28, no. 3 1989
Tricorrectional Bunionectomy for Surgical Repair of Juvenile
Hallux Valgus
Allen J. Selner,
DPM
Mark D. Selner, DPM
Rick A. Tucker, DPM
Greg Eirech, DPM
The authors propose the use of the tricorrectional bunionectomy as an alternate
correction of severe deformity in juvenile hallux valgus. In the past, hallux
valgus surgery in juveniles has been avoided. A follow-up study of the tricorrectional
bunionectomy as the surgical treatment for juvenile bunion deformity in seven
patients is presented.
-published in "Journal of the American Podiatric Medical Association" vol.
82,
no.
1
january 1992
Tricorrectional
Osteotomy for the Correction of Late-Stage Hallux Limitus/Rigidus
Allen J. Selner,
DPM
Richard Bogdan, DPM, MS
Mark D. Selner, DPM
Ellen K. Bunch, DPM
Roy L. Matthews, DPM
Jay Riley, DPM, MS
The authors propose the use of the tricorrectional osteotomy for treatment
of severe hallux limitus/rigidus as an alternative to joint-destructive procedures.
A study of 19 patients with follow-up treatment ranges of 10 months to 6 years
postoperatively was performed. Data were collected on preoperative and long-term
postoperative x-rays, range of motion assessment, F-scan studies, and subjective
patient questionnaires. High patient satisfaction along with increased range
of motion, minimal complications, and an early return to activities make this
an ideal procedure for grades II, III, and IV hallux limitus/rigidus.
-published in "Journal of the American Podiatric Medical Association"
Tricorrectional
Bunionectomy for Correction of High Intermetatarsal Angles
Allen J. Selner,
DPM
Steven L. Ginex, DPM
Marc D. Selner, DPM
The authors propose the use of the tricorrectional bunionectomy as a viable
procedure for correction of high intermetatarsal angles. The tricorrectional
bunionectomy was performed on 39 patients (51 feet). All patients had intermetatarsal
angles of 16° or greater. The average follow-up period was 12.8 months. The
authors believe this procedure is an excellent alternative to more disabling
base osteotomies.
-published in "Journal of the American Podiatric Medical Association" vol.
84, no. 8, august 1994
Tricorrectional
Bunionectomy for Hallux Abducto Valgus
Allen J. Selner, DPM
Steven A. King, DPM
David I. Samuels, MPA
Marc D. Selner, DPM
Jay Riley, DPM, MS
A longitudinal outcome study of the tricorrectional bunionectomy with AO screw
fixation for the correction of hallux abducto valgus was undertaken involving
84 consecutive patients (121 feet) with a mean age of 48.4 years who underwent
the procedure over a 6-month period. Preoperative and postoperative measurements
of forefoot angles were calculated, with the following mean results obtained:
intermetatarsal angle of 14.46° corrected to 5.72°, hallux abductus angle
of 26.38° corrected to 11.65°, proximal articular set angle of 19.85° corrected
to 6.06°, and tibial sesamoid position of 4.75 corrected to 1.87. The average
time to return to athletic shoes was 12.63 days. Postoperative complications
were minor, with no delayed unions, malunions, hematomas, bone infections, or
hallux varus. Long-term follow-up (mean, 21.33 months) using the American Orthopaedic
Foot and Ankle Society's objective Hallux Metatarsophalangeal-Interphalangeal
Scale revealed an overall mean score of 88.94 points out of a possible 100. An
excellent mean result of 95 points out of a possible 100 on the subjective patient
rating scale was also reported. (J Am Podiatr Med Assoc 89(4): 174-182, 1999)
-published in "Journal of the American Podiatric Medical Association" vol.
89, no. 4, april 1999
Revisional Hallux Abducto Valgus Surgery Using Tricorrectional Bunionectomy
Allen J. Selner, DPM
Marc D. Selner, DPM
Robert P. Cry, DPM
Wanlop Noiwangmauang
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 evalutated 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 atricular 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)
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