Document Detail


Closed wedge osteotomy in 66 patients for the treatment of moderate to severe hallux valgus.
MedLine Citation:
PMID:  20152748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Alexander Nedopil; Maximilian Rudert; Reiner Gradinger; Tibor Schuster; Wolfgang Bracker
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Publication Detail:
Type:  Journal Article     Date:  2009-05-15
Journal Detail:
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:
Created Date:  2010-02-15     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609647     Medline TA:  Foot Ankle Surg     Country:  France    
Other Details:
Languages:  eng     Pagination:  9-14     Citation Subset:  IM    
Copyright Information:
Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Orthopaedics and Traumatology, Klinikum rechts der Isar der Technischen Universit?t M?nchen, Ismaninger Str. 22, 81675 M?nchen, Germany.
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MeSH Terms
Descriptor/Qualifier:
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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