| Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus. | |
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MedLine Citation:
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PMID: 20152748 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The intention of this study was to analyze the long-term results of the proximal closing wedge osteotomy for the correction of hallux valgus deformity, modified by adding a mini L-plate for osteosynthesis. METHODS: The outcome of a proximal first metatarsal closing wedge osteotomy was retrospectively evaluated after a mean follow-up of 52 months. A total of 66 female patients (86 feet) participated in this study. The AOFAS-score was used to evaluate the postoperative results. Pre- and postoperative weight-bearing radiographs were used to evaluate the osseous development. RESULTS: 95.5% of the patients were satisfied, 3 patients (4.5%) were not satisfied with the overall result of the operation. Transfer metatarsalgia was registered in 7 of 50 cases. The mean improvement of the HV-angle was 22.1 degrees (36.4 degrees to 14.3 degrees ) and the intermetatarsal angle was reduced from a mean of 17.6 degrees to a mean of 6.5 degrees . The mean first metatarsal shortening was 3.2mm. The mean AOFAS-score was 78 points. CONCLUSION: The results confirm, that the closing wedge osteotomy is indicated for moderate to severe hallux valgus. The shortening of the first ray is comparable with other well-established operative procedures. The risk of transfer metatarsalgia can only be lightly reduced by this procedure. |
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Authors:
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Alexander Nedopil; Maximilian Rudert; Reiner Gradinger; Tibor Schuster; Wolfgang Bracker |
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Publication Detail:
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Type: Journal Article Date: 2009-05-15 |
Journal Detail:
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Title: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons Volume: 16 ISSN: 1460-9584 ISO Abbreviation: Foot Ankle Surg Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-15 Completed Date: 2010-05-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609647 Medline TA: Foot Ankle Surg Country: France |
Other Details:
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Languages: eng Pagination: 9-14 Citation Subset: IM |
Copyright Information:
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Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Orthopaedics and Traumatology, Klinikum rechts der Isar der Technischen Universit?t M?nchen, Ismaninger Str. 22, 81675 M?nchen, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Female Follow-Up Studies Hallux Valgus / radiography, surgery* Humans Middle Aged Osteotomy / methods* Pain Measurement Patient Satisfaction Postoperative Complications Retrospective Studies Treatment Outcome Weight-Bearing |
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