| Modified biplanar chevron osteotomy. | |
| | |
MedLine Citation:
|
PMID: 20003872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The surgical treatment of hallux valgus with an increased distal metatarsal articular angle (DMAA) should include the correction of this angle to maintain a congruent joint. The purpose of this study was to report our results with this procedure. MATERIALS AND METHODS: From January 2000 until December 2006, 23 feet (13 patients) with an increased DMAA were operated upon by the same surgeon using a biplanar chevron osteotomy. The technique was modified making the plantar cut more horizontal and only removing a wedge from the dorsal cut. Clinical and radiographic evaluation was made after a mean followup of 56 months. The AOFAS score for the hallux was used and angular deformities were measured. The patients had a mean age of 51 years and were all female. RESULTS: A good functional result was achieved with a mean AOFAS score of 87. An improvement of the angular deformities was noted in all patients. The mean hallux valgus angle improved from 28 degrees pre-op to 14 degrees post-op, the intermetatarsal angle from 12 degrees to 7 degrees and the DMAA from 20 degrees to 7 degrees. All patients except one were satisfied with the outcome of the procedure. Minimally symptomatic AVN of the metatarsal head was observed in one foot. CONCLUSIONS: We conclude that this procedure is a good choice for the treatment of symptomatic hallux valgus with an increased DMAA, producing a good clinical and radiographic result. |
| | |
Authors:
|
Nuno M Corte-Real; Rodrigo M Moreira |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
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:
|
Created Date: 2009-12-16 Completed Date: 2010-03-04 Revised Date: 2013-02-25 |
Medline Journal Info:
|
Nlm Unique ID: 9433869 Medline TA: Foot Ankle Int Country: United States |
Other Details:
|
Languages: eng Pagination: 1149-53 Citation Subset: IM |
Affiliation:
|
Hopital de Saint Louis-Hospital de Curry Cabral, Orthopaedic Surgery, Rua da Beneficência 8, Lisboa 1500-461 Lisboa, Portugal. nc-r@netcabo.pt |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Female Follow-Up Studies Hallux Valgus / radiography, surgery* Humans Joint Capsule / surgery Metatarsal Bones / surgery Metatarsophalangeal Joint / surgery Middle Aged Osteotomy / methods* Patient Satisfaction Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The influence of allergic rhinitis on asthma
Next Document: Comparison of the proximal chevron and Ludloff osteotomies for the correction of hallux valgus.