Document Detail

Transosseous capsuloplasty improves the outcomes of Lindgren-Turan distal metatarsal osteotomy in moderate to severe hallux valgus deformity.
MedLine Citation:
PMID:  19830440     Owner:  NLM     Status:  MEDLINE    
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.
Namik Kemal Ozkan; Melih Güven; Budak Akman; Murat Cakar; Adnan Konal; Yalçin Turhan
Publication Detail:
Type:  Journal Article     Date:  2009-10-15
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  130     ISSN:  1434-3916     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-20     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1201-7     Citation Subset:  IM    
Orthopaedics and Traumatology Clinic, Göztepe Training and Research Hospital, Göztepe, Istanbul, Turkey.
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MeSH Terms
Bone Screws
Hallux / surgery
Hallux Valgus / surgery*
Joint Capsule / surgery*
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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