Document Detail


No midterm benefit from low intensity pulsed ultrasound after chevron osteotomy for hallux valgus.
MedLine Citation:
PMID:  19540659     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chevron osteotomy is a widely accepted method for correction of symptomatic hallux valgus deformity. Full weight bearing in regular shoes is not recommended before 6 weeks after surgery. Low intensity pulsed ultrasound is known to stimulate bone formation leading to more stable callus and faster bony fusion. We performed a randomized, placebo-controlled, double-blinded study on 44 participants (52 feet) who underwent chevron osteotomy to evaluate the influence of daily transcutaneous low intensity pulsed ultrasound (LIPUS) treatment at the site of osteotomy. Follow-up at 6 weeks and 1 year included plain dorsoplantar radiographs, hallux-metatarsophalangeal-interphalangeal scale and a questionnaire on patient satisfaction. There was no statistical difference in any pre- or postoperative clinical features, patient satisfaction or radiographic measurements (hallux valgus angle, intermetatarsal angle, sesamoid index and metatarsal index) except for the first distal metatarsal articular angle (DMAA). The DMAA showed statistically significant (p = 0.046) relapse in the placebo group upon comparison of intraoperative radiographs after correction and fixation (5.2 degrees) and at the 6-week follow-up (10.6 degrees). Despite potential impact of LIPUS on bone formation, we found no evidence of an influence on outcome 6 weeks and 1 year after chevron osteotomy for correction of hallux valgus deformity.
Authors:
Max Zacherl; Gerald Gruber; Roman Radl; Peter H Rehak; Reinhard Windhager
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2009-06-21
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  35     ISSN:  1879-291X     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-20     Completed Date:  2009-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1290-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria. max_zacherl@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bone Wires
Braces
Chi-Square Distribution
Combined Modality Therapy
Double-Blind Method
Female
Follow-Up Studies
Hallux Valgus / radiography,  surgery*,  therapy
Humans
Male
Metatarsal Bones / radiography,  surgery*
Middle Aged
Osteotomy / methods*
Postoperative Period
Recovery of Function
Statistics, Nonparametric
Treatment Failure
Ultrasonic Therapy / methods*

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


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