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    
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.
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.
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
Aged, 80 and over
Follow-Up Studies
Hallux Valgus / radiography,  surgery*
Middle Aged
Osteotomy / methods*
Pain Measurement
Patient Satisfaction
Postoperative Complications
Retrospective Studies
Treatment Outcome

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