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After Wu's syndesmosis procedure
| 1. 39 y/o female, mild but painful right foot bunion deformity |
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Before surgery :
X-ray : HV angle (12¢X & 18¢X), 1st IMT angle (6¢X & 10¢X), sesamoids subluxation >50%
F-Scan® study : was not available yet |
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After surgery : 1 year, any shoes, no pain, normal gait
Cosmesis : excellent , no bunion, no shortening of great toe
X-ray : HV angle (7¢X), 1st IMT angle (2¢X), sesamoids subluxation (0%)
F-Scan® study : normal force distribution of foot in walking, active usage of great toe in walking, excellent center-of-force trajectory of right foot |
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2. 59 y/o female, c/o painful bunion, painful calluses, easy fatigability, occasionally out of balance in walking, unable to wear high heels
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Before surgery :
X-rays : HV angle (33¢X & 32¢X), 1st IMT angle (16¢X & 17¢X), sesamoids complete dislocation
F-Scan® study : was not available yet |
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Foot tracings before surgery |
Foot tracings after surgery |
Overlaping of tracings |
After surgery : 6 months
X-ray : HV angles (6¢X & 5¢X), 1 st IMT angles (3¢X & 4¢X), Sesamoids sublxation (50% & 10%)
F-Scan® study : was not available yet
Foot tracings : were done by patient's own initiative and on her own |
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After surgery: 4 year, Excellent cosmetic result, no bunion, no shortening of big toes, no signs of recurrence
X-ray : HV angles (9¢X & 7¢X), 1 st IMT angles (5¢X & 5¢X), Sesamoids sublxation (50% & 10%)
F-Scan® study : excellent force distribution and big toe function |
4. 42 y/o female nurse, c/o bunion pain and metatarsalgia at work even in nurse's shoes
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Before surgery :
X-ray : HV angles (34¢X & 43¢X), 1st IMT angles (16¢X & 13¢X), Sesamoids subluxation (85% & 75%)
F-Scan® study : was not available yet |
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After surgery: 7 years, slight hallux valgus recurrence but no pain, no callus, full activities
X-ray : HV angles (24¢X & 14¢X), 1st IMT angles (6¢X & 6¢X), Sesamoids subluxation (25% & 10%)
F-Scan® study : Function has returned to medial side of forefoot, including the all important great toe. |
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5. 40 y/o female underwent surgery for pain in dress shoes at work and intolerable to high heels
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Before surgery :
X-ray : HV angle (25¢X & 32¢X), IMT angle (14¢X & 15¢X)
F-Scan® study : Reduced great toe function |
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After surgery: 2 years, alignment well maintained and able to return to high heels 6 months after surgery
X-ray : HV (16¢X & 14¢X) and IMT angle (7¢X & 6¢X)
F-Scan® study : Normal function returned to great toes |
6. 43 y/o female, bunion pain and unable to wear high heels
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| This 43 y/o female with no known family history had mild bunion deformities but increasing difficulty in wearing high heel shoes and her function scan showed decreased work by her big toes and pressure had been shifted laterally producing the thick and painful calluses under the middle metatarsals. |
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| One year after surgery her corrections were well maintained and function scan showed much improved big toe function as indicated by more force (red color imprint) in walking. She had already been back to wearing high heels with occasional mild discomfort. |
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| This 52 year old man with a strong family history of bunion deformity had no problem with walking in wide and comfort shoes but having increasing discomfort in jogging. He had moderate deformities and not so bad function scan study in walking. |
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| These are images of his feet two years after surgery to show the well realigned first metatarsal bones were maintained and much improved walking pattern of returning usage to the medial aspect (big toe side) of the foot. He had also returned to jogging over a year without any discomfort. |
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| This 26 years old young woman has also a strong family history of bunion condition and hers were noticeable since early teens. Her condition rapidly deteriorated after she started working in an office requiring wearing high heels. X-ray showed severe angulation of big toes and first metatarsals. |
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| Three years after surgery, her corrections were well maintained and her function scan showed perfect return of big toe usage for walking. She was allowed to wear high heels to work six months after surgery and has not had proplems. |
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| This 54 year old lady with family history of sister having bunion deformity had only right foot affected. Her reasons for surgery were painful bunion and increasing difficulties in getting shoes to fit both feet. Her function scan showed the typical non-functioning big toe and lateral shift of loading. |
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| Two years after surgery her correction was maintained and function scan also showed restoration of normal walking pattern. |
For failed McBride procedure
For failed osteotomy procedure
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| This 58 years old Caucasian female had a break-n-shift bunion surgery of her left foot 12 years ago and never since felt any better than before or than her uncorrected yet right bunion foot. The callus under her left forefoot was as large and painful as her unoperated right bunion foot. Her feet x-ray showed typical hallux valgus deformity of her right foot and recurrence of her left foot. The function scan of her feet showed that her left foot was even worse (no red color to indicate any function of big toe) than her uncorrected right bunion foot (as indicated by slight pressure under the big toe for function)
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| One year after the non-osteotomy syndesmosis (bone- preserving) procedure of both feet she had already hiked extensively on mountain trails without any of her pre-operative pain. Her previous large and painful calluses were going away despite much increased usage. Her x-ray showed normal alignment of big toes. The function scan confirmed return of normal function of her big toes.
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