Document Detail

Correction of hallux valgus. Metatarsal osteotomy versus excision arthroplasty.
MedLine Citation:
PMID:  10906874     Owner:  NLM     Status:  MEDLINE    
The long-term retrospective results (followup range, 10-22 years) of an uncontrolled series of basal metatarsal closing wedge osteotomies and Keller's excision arthroplasties performed in patients 14 to 40 years of age are analyzed. In the osteotomy group, 34 patients (50 feet) were available for clinical review and 26 patients (37 feet) were available for radiologic review. In the Keller group, 24 patients (37 feet) were reviewed clinically and 23 patients (34 feet) were reviewed radiologically. Patients were assessed using the Hallux Metatarsophalangeal Interphalangeal Scale of the American Foot and Ankle Society, an additional clinical score, weightbearing radiographs, the patient's record, and clinical investigation. Statistical analysis revealed significantly better results of the clinical and radiologic outcomes after osteotomy. In the osteotomy group, the first metatarsal was elevated dorsally in 14 feet (38%). The incidence of varus deformities was higher with basal osteotomy (18% versus 5.4%). Metatarsalgia occurred similarly in both groups (28% versus 27%). It is known that these techniques should be applied to different patient populations. However, they formerly were used for the same indication. This long-term analysis shows that the Keller arthroplasty should be abandoned for the treatment of hallux valgus in young and active patients. The basal metatarsal closing wedge osteotomy is conceptually the correct treatment for hallux valgus deformity for the younger patient; nevertheless, it is technically demanding and is associated with a higher risk of failure. The long-term results of both procedures are unacceptable for the patient and the surgeon. The short and middle-term results of the newer basal type osteotomies, such as the proximal crescentic osteotomy, the proximal chevron osteotomy, or the proximal oblique osteotomy combined with distal soft tissue releases, suggest a more satisfying long-term outcome.
A Zembsch; H J Trnka; P Ritschl
Related Documents :
7055284 - Gait patterns of depressed patients and normal subjects.
3445224 - Plasma prekallikrein activity in patients with total hip arthroplasty.
17216244 - Long-term results after a triple arthrodesis of the hindfoot: function and satisfaction...
3267654 - Peritalar dislocation: a follow-up report of 21 cases.
12942294 - Hepatic artery pseudoaneurysm in von willebrand's disease.
11707844 - Weekly x 4 induction therapy with the anti-cd20 antibody rituximab: effect on circulati...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-08-02     Completed Date:  2000-08-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  183-94     Citation Subset:  AIM; IM    
Orthopaedic Hospital Gersthof, First Department, Vienna, Austria.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Hallux Valgus / surgery*
Joint Prosthesis*
Metatarsal Bones / surgery*
Treatment Outcome

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

Previous Document:  Distribution of neuropeptides in synovium of the knee with osteoarthritis.
Next Document:  Treatment of myxoid liposarcoma in pregnancy.