Proximal metatarsal osteotomy in hallux valgus correction: A comparison of crescentic and chevron procedures

被引:60
|
作者
Markbreiter, LA [1 ]
Thompson, FM [1 ]
机构
[1] ST LUKES ROOSEVELT HOSP,HOSP SPECIAL SURG,NEW YORK,NY 10021
关键词
D O I
10.1177/107110079701800205
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We retrospectively evaluated the results of 50 hallux valgus reconstructions in 36 patients for moderate to severe deformities, performed by the senior author (F. M. T.). All feet were treated at the metatarsophalangeal joint with a distal soft tissue realignment, The first 25 feet were corrected proximally with a crescentic osteotomy fixed with an AO screw; these cases had an average follow-up of more than 5 years (range, 40-141 months). The second 25 feet underwent a basal osteotomy with a proximally directed chevron osteotomy; these cases had an average follow-up of 21.4 months (range, 12-33 months). The average hallux valgus correction in the crescentic osteotomy group went from 37.6 degrees to 11.4 degrees, and in the chevron osteotomy group, the hallux valgus angle was reduced from 31.3 degrees to 11.6 degrees. The intermetatarsal angle in the crescentic group was corrected from 16.2 degrees to 6 degrees, and in the chevron group the intermetatarsal angle was reduced from 15.1 degrees to 5.4 degrees. The fibular sesamoid subluxation was reduced from 92% to 24% in the crescentic group and from 88% to 18% in the chevron group. All patients were assessed using the American Orthopaedic Foot and Ankle Society scale, in which 100 points are used to compare pre- and postoperative pain, function and range of motion, shoewear comfort and activity levels, and alignment. In the crescentic group, the score improved from 46.8 points to 93.1 points; in the chevron group, the score changed from 53.4 points to 92.7 points. In all parameters studied, there were no statistically significant differences using the Student's t-test. We conclude that the two operative techniques offer equivalent results, which are excellent and predictable. The proximal chevron osteotomy is technically easier, eliminates the proximal dorsal scar, and does not require postoperative metal removal.
引用
收藏
页码:71 / 76
页数:6
相关论文
共 50 条
  • [31] First Metatarsal Proximal Opening Wedge Osteotomy for Correction of Hallux Valgus Deformity: Comparison of Straight versus Oblique Osteotomy
    Han, Seung Hwan
    Park, Eui Hyun
    Jo, Joon
    Koh, Yong Gon
    Lee, Jin Woo
    Choi, Woo Jin
    Kim, Yong Sang
    YONSEI MEDICAL JOURNAL, 2015, 56 (03) : 744 - 752
  • [32] CHEVRON OSTEOTOMY FOR HALLUX VALGUS
    JOHNSON, KA
    COFIELD, RH
    MORREY, BF
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1979, (142) : 44 - 47
  • [33] Stoffella metatarsal I osteotomy for Hallux valgus correction
    Magin, M. N.
    OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE, 2011, 23 (02): : 158 - 166
  • [34] METATARSAL OSTEOTOMY FOR HALLUX VALGUS
    KING, DM
    JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1979, 61 (03): : 385 - 385
  • [35] Correction of hallux valgus deformity with distal soft tissue realignment and proximal metatarsal osteotomy
    Buzzi, R.
    Bertini, F. A.
    Casamorata, F.
    JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY, 2005, 6 (03) : 126 - 131
  • [36] Radiographic Comparison of Open and Minimally Invasive Distal Chevron Metatarsal Osteotomy in Patients With Hallux Valgus
    Kim, Joohak
    Oh, Minjoon
    Kyeong, Tae Hyun
    Choi, Mi Na
    Lee, Seung Yeol
    JOURNAL OF FOOT & ANKLE SURGERY, 2024, 63 (03): : 386 - 391
  • [37] Proximal spherical metatarsal osteotomy for the foot with severe hallux valgus
    Tanaka, Yasuhito
    Takakura, Yoshinori
    Kumai, Tsukasa
    Sugimoto, Kazuya
    Taniguchi, Akira
    Hattori, Koji
    FOOT & ANKLE INTERNATIONAL, 2008, 29 (10) : 1025 - 1030
  • [39] PROXIMAL PHALANGEAL OSTEOTOMY FOR CORRECTION OF HALLUX VALGUS
    SILBERMAN, FS
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1972, (85) : 98 - +
  • [40] Percutaneous distal metatarsal osteotomy versus distal chevron osteotomy for correction of mild-to-moderate hallux valgus deformity
    Yasser A. Radwan
    Ali M. Reda Mansour
    Archives of Orthopaedic and Trauma Surgery, 2012, 132 : 1539 - 1546