| Transosseous capsuloplasty improves the outcomes of Lindgren-Turan distal metatarsal osteotomy in moderate to severe hallux valgus deformity. | |
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MedLine Citation:
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PMID: 19830440 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Lindgren-Turan osteotomy used in hallux valgus deformity is a subcapital, transverse displacement osteotomy of the first metatarsal without any additional capsular repair. The aims of this study are to describe a transosseous capsuloplasty technique in this procedure and evaluate whether capsuloplasty would improve the clinical and radiological outcomes in patients with moderate to severe hallux valgus deformity. METHODS: Twenty-three feet operated by Lindgren-Turan osteotomy (Group B) and 25 feet operated by the same osteotomy combined with transosseous capsuloplasty (Group A) were evaluated retrospectively for the correction of the hallux valgus, intermetatarsal and distal metatarsal articular angles, sesamoid reduction, American Orthopaedic Foot and Ankle Society (AOFAS) Clinical Rating Scale as well as patient satisfaction. The mean postoperative follow-up was 14 (range 12-28) months. RESULTS: All radiological parameters improved considerably as a result of both groups. However, postoperative improvements in intermetatarsal and distal metatarsal articular angles were greater in Group A. Complete reduction of medial sesamoid was achieved in 52% of patients in Group A, whereas 17.4% of patients in Group B had complete reduction. AOFAS scores and number of patients with complete satisfaction in Group A were significantly greater than that in Group B. CONCLUSION: Better clinical and radiological outcomes can be achieved in patients with moderate to severe hallux valgus deformity operated by Lindgren-Turan distal metatarsal osteotomy, when it combines with transosseous capsuloplasty. |
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Authors:
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Namik Kemal Ozkan; Melih Güven; Budak Akman; Murat Cakar; Adnan Konal; Yalçin Turhan |
Publication Detail:
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Type: Journal Article Date: 2009-10-15 |
Journal Detail:
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Title: Archives of orthopaedic and trauma surgery Volume: 130 ISSN: 1434-3916 ISO Abbreviation: Arch Orthop Trauma Surg Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-20 Completed Date: 2011-01-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9011043 Medline TA: Arch Orthop Trauma Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 1201-7 Citation Subset: IM |
Affiliation:
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Orthopaedics and Traumatology Clinic, Göztepe Training and Research Hospital, Göztepe, Istanbul, Turkey. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Bone Screws Female Hallux / surgery Hallux Valgus / surgery* Humans Joint Capsule / surgery* Male Metatarsal Bones / surgery* Metatarsophalangeal Joint / surgery* Middle Aged Osteotomy / methods* Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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