| Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus. | |
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MedLine Citation:
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PMID: 20003873 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Woo Jin Choi; Han Kook Yoon; Hang Seob Yoon; Bom Soo Kim; Jin Woo Lee |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society Volume: 30 ISSN: 1071-1007 ISO Abbreviation: Foot Ankle Int Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-16 Completed Date: 2010-03-04 Revised Date: 2013-02-25 |
Medline Journal Info:
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Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
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Languages: eng Pagination: 1154-60 Citation Subset: IM |
Affiliation:
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Yonsei University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bone Screws Female Hallux Valgus / radiography, surgery* Humans Joint Capsule / surgery Male 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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