Document Detail

Intraoperative incidence of hallux valgus interphalangeus following basilar first metatarsal osteotomy and distal soft tissue realignment.
MedLine Citation:
PMID:  22224325     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The premise of this study was that after the correction of hallux-metatarsophalangeal pronation, the intraoperative interphalangeal angle (HIA) increases significantly, and that an additional Akin osteotomy (AO) is often needed. Therefore, the purpose of this study was to evaluate whether HIAs in hallux valgus (HV) feet were underestimated, and to assess the need for AO during HV correction.
METHOD: This study was conducted on 54 feet with moderate to severe HV treated from June 2007 to December 2008. HIAs and medial sesamoid subluxations (MSS) were measured initially and intraoperatively after a distal soft tissue procedure (DSTP) and proximal chevron metatarsal osteotomy (PCMO). An intraoperative technique was used to evaluate the incongruency of the metatarsophalangeal joint (MTPJ) to determine the need for additional AO.
RESULTS: After performing DSTP and PCMO, HIAs significantly increased from an average of 9 to 13.3 degrees and MSS reduced from average grade 2.5 to 0.5 (p < 0.05). AO was added in 44 (81%) feet. After an average followup of 13.2 months in Akin group, average VAS pain score decreased from 5.7 to 1.2 and average AOFAS score increased from 57.8 to 90.2 (p < 0.05). Final hallux MTPJ dorsiflexion in the Akin group was significantly larger than in the without-Akin group (p < 0.05).
CONCLUSION: Average HIA significantly increased after DSTP and PCMO for moderate to severe HV necessitating additional AO, to achieve ideal HV correction and, to preserve MTPJ motion.
Jae-Yong Park; Hong-Geun Jung; Tae-Hoon Kim; Min-Seok Kang
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Foot & ankle international     Volume:  32     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2012-01-09     Completed Date:  2012-08-14     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:  962-7     Citation Subset:  IM    
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MeSH Terms
Cohort Studies
Connective Tissue / surgery*
Hallux Valgus / diagnosis,  epidemiology*,  surgery*
Intraoperative Period
Metatarsal Bones / surgery*
Middle Aged
Pronation / physiology
Toe Phalanges*
Treatment Outcome
Weight-Bearing / physiology
Young Adult

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

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