Document Detail

Correction of severe hallux valgus using a basal chevron osteotomy and distal soft tissue release.
MedLine Citation:
PMID:  20655012     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There are many procedures described for the correction of severe hallux valgus. This is the first to examine the role of a basal osteotomy with distal soft tissue release. METHODS: 26 patients with severe hallux valgus underwent a basal chevron osteotomy with distal soft tissue release. All were reviewed at an average of 38 months. RESULTS: The mean AOFAS score improved from 24 to 82 points (p<0.001). The IMA improved from an average of 23.90 to 130 (p<0.01). The HVA improved from an average of 490 to 170 (p<0.005). The correlation coefficient between the AOFAS score and various radiological angles was low (0.47). CONCLUSIONS: Good clinical outcomes in cases of severe hallux valgus can be achieved without full restoration of normal radiological values. Furthermore, a basal chevron osteotomy with a distal soft tissue release offers a high satisfaction rating with regards to both clinical and functional outcomes in the short to medium-term. LEVEL OF EVIDENCE: Level IV - Case series.
Turlough O'Donnell; Niall Hogan; Matthew Solan; Michael M Stephens
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-09-22
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 Sep 
Date Detail:
Created Date:  2010-07-26     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609647     Medline TA:  Foot Ankle Surg     Country:  France    
Other Details:
Languages:  eng     Pagination:  126-31     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
The National Orthopaedic Hospital, 57 Stillorgan Heath, Stillorgan, Co Dublin, Ireland.
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MeSH Terms
Follow-Up Studies
Hallux Valgus / physiopathology,  radiography,  surgery*
Ligaments, Articular / surgery*
Metatarsophalangeal Joint / physiopathology,  radiography,  surgery*
Middle Aged
Osteotomy / methods*
Patient Satisfaction
Range of Motion, Articular
Severity of Illness Index
Tendons / surgery*
Time Factors
Treatment Outcome

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

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