Document Detail

Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus.
MedLine Citation:
PMID:  20003873     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Although several studies have described good results of proximal chevron and Ludloff osteotomies, there have been no studies comparing the results of these two techniques at a single institution.
MATERIALS AND METHODS: We consecutively evaluated 46 patients who underwent proximal chevron osteotomies and 52 patients who underwent Ludloff osteotomies. Patients were evaluated by preoperative and postoperative weight bearing radiographs and the American Orthopaedic Foot and Ankle Society (AOFAS) hallux MP score.
RESULTS: Both groups had similarly high AOFAS scores and good correction by radiographic parameters. No statistically significant differences were found with respect to correction of hallux valgus angle (HVA) and intermetatarsal angle (IMA) between the two groups. Significant shortening of the first metatarsal was found after Ludloff osteotomy (p < 0.05). At 6 weeks after surgery, the pain subscore was significantly lower in the proximal chevron group than in the Ludloff group (p < 0.05).
CONCLUSIONS: The proximal chevron and Ludloff osteotomies yielded equivalent clinical and radiological results. The Ludloff osteotomy with lag screw fixation is more stable and does not require postoperative hardware removal, although it is technically demanding and has a tendency toward greater shortening of the first metatarsal.
Woo Jin Choi; Han Kook Yoon; Hang Seob Yoon; Bom Soo Kim; Jin Woo Lee
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Foot & ankle international     Volume:  30     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-04     Revised Date:  2014-08-27    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1154-60     Citation Subset:  IM    
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MeSH Terms
Bone Screws
Hallux Valgus / radiography,  surgery*
Joint Capsule / surgery
Metatarsal Bones / surgery
Metatarsophalangeal Joint / surgery
Middle Aged
Osteotomy / methods*
Pain Measurement
Patient Satisfaction
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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