全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Treatment of Mild to Moderate Hallux Valgus, Percutaneous Osteotomy versus Distal Chevron Osteotomy

DOI: 10.4236/ojo.2016.66023, PP. 150-157

Keywords: Hallux Valgus, Percutaneous Technique, Chevron Osteotomy, AOFAS

Full-Text   Cite this paper   Add to My Lib

Abstract:

Objective: The aim of this study was to compare two different surgical techniques for treating mild to moderate cases of hallux valgus. Methods: Forty-one patients (58 feet) with mild to moderate hallux valgus were treated by either percutaneous technique (n = 24) patients (33 feet) or by distal chevron osteotomy (n = 17) (25 feet). Results: In the percutaneous group, after a mean follow up of 49.36 months, the mean correction of hallux valgus angle (HV) was 26.69°; in the intermetatarsal angle, average correction was 9.45°. The mean improvement of American Orthopedic Foot and Ankle Score (AOFAS) was 46.45 points. In the chevron osteotomy group, the mean follow up of 51.56 months, the mean correction of hallux valgus angle was 26.78°; in the intermetatarsal angle, average correction was 9°. The mean improvement of AOFAS was 44.76 points. Conclusion: Both techniques gave satisfactory results. However, the percutaneous technique is safer than the distal chevron osteotomy.

References

[1]  Thomas, N., Joseph, M.D. and Kenneth, J.M. (2007) Decision Making in the Treatment of Hallux Valgus. Bulletin of the NYU Hospital for Joint Diseases, 65, 19-23.
[2]  Sandro, G., Francesco, C., Berto, B. and Francesca, V. (2003) Hallux Valgus Surgery: The Minimally Invasive Bunion Correction (SERI). Techniques in Foot and Ankle Surgery, 2, 11-12.
[3]  Roddy, E., Zhang, W. and Doherty, M. (2008) Prevalence and Associations of Hallux Valgus in a Primary Care Population. Arthritis Care & Research, 59, 857-862.
http://dx.doi.org/10.1002/art.23709
[4]  Leemrijse, T., Valtin, B. and Besse, J.L. (2007) Hallux Valgus Surgery in 2005. Conventional, Mini-Invasive or Percutaneous Surgery? Uni- or Bilateral? Hospitalization or One-Day Surgery? Revue de Chirurgie Orthopédique et Réparatrice de l’Appareil Moteur, 94, 111-127.
[5]  Schuh, R., Willegger, M., Holinka, J. and Wanivenhaus, A.H. (2013) Angular Correction and Complications of Proximal First Metatarsal Osteotomies for Hallux Valgus Deformity. International Orthopaedics, 37, 1771-1780.
http://dx.doi.org/10.1007/s00264-013-2012-4
[6]  Botezatu, I., Marinescu, R. and Laptoiu, D. (2015) Minimally Invasive-Percutaneous Surgery—Recent Developments of the Foot Surgery Techniques. Journal of Medicine and Life, 8, 87-93.
[7]  Enan, A., Abo-Hegy, M. and Seife, H. (2010) Early Results of Distal Metatarsal Osteotomy through Minimally Invasive Approach for Mild-to-Moderate Hallux Valgus. Acta Orthopaedica Belgica, 76, 526-535.
[8]  Bonney, G. and Macnab, I. (1952) Hallux Valgus and Hallux Rigidus. A Critical Survey of Operative Results. The Journal of Bone & Joint Surgery (Br), 34, 366-385.
[9]  McBride, E.D. (1967) The McBride Bunion Hallux Valgus Operation. Refinements in the Successive Surgical Steps of the Operation. The Journal of Bone & Joint Surgery (Am), 49, 1675-1683.
[10]  Erturer, E., Aksoy, B., Beki, S. and Ozturk, I. (2004) Radiographic and Functional Results of the Lindgren-Turan Operation in the Treatment of Hallux Valgus. Acta Orthopaedica et Traumatologica Turcica, 38, 125-129.
[11]  Faber, F.W.M., Mulder, P.G.H. and Verhaar, J. (2004) Role of First Ray Hypermobility in the Outcome of the Hohmann and the Lapidus Procedure. A Prospective, Randomized Trial Involving One Hundred and One Feet. The Journal of Bone & Joint Surgery (Am), 86, 486-495.
[12]  Schneider, W., Aigner, N., Pinggera, O. and Knahr, K. (2004) Chevron Osteotomy in Hallux Valgus. Ten-Year Results of 112 Cases. The Journal of Bone & Joint Surgery (Br), 86, 1016-1020
http://dx.doi.org/10.1302/0301-620X.86B7.15108
[13]  Yamamoto, K., Imakiire, A., Katori, Y. and Koizumi, R. (2005) Clinical Results of Modified Mitchell’s Osteotomy for Hallux Valgus Augmented with Oblique Lesser Metatarsal Osteotomy. Journal of Orthopaedic Surgery (Hong Kong), 13, 245-252.
[14]  Valles-Figueroa, J.F., Rodríguez-Reséndiz, F., Caletidel Mazo, E., Malacara-Becerra, M. and Suárez-Ahedo, C.E. (2010) Percutaneous Distal Metatarsal Osteotomy for the Correction of Hallux Valgus. Acta Ortopédica Mexicana, 24, 385-389.
[15]  Bosch, P., Markowski, H. and Rannicher, V. (1990) Technique and Initial Results of Subcutaneous Distal Metatarsal Osteotomy. Orthopadische Praxis, 26, 51-56.
[16]  Magnan, B., Pezzè, L., Rossi, N. and Bartolozzi, P. (2005) Percutaneous Distal Metatarsal Osteotomy for Correction of Hallux Valgus. The Journal of Bone & Joint Surgery (Am), 87, 1191-1199.
http://dx.doi.org/10.2106/jbjs.d.02280
[17]  Kadakia, A.R. Smerek, J.P. and Myerson, M.S. (2007) Radiographic Results after Percutaneous Distal Metatarsal Osteotomy for Correction of Hallux Valgus Deformity. Foot & Ankle International, 28, 355-360.
http://dx.doi.org/10.3113/FAI.2007.0355
[18]  Díaz-Fernández, R. (2015) Treatment of Moderate and Severe Hallux Valgus by Performing Percutaneous Double Osteotomy of the First Metatarsal Bone. Revista Espanola de Cirugía Ortopédica y Traumatología (English Edition), 59, 52-58.
[19]  Akpinar, E., Buyuk, A.F., Cetinkaya, E., Gursu, S., Ucpunar H, and Albayrak A. (2016) Proximal Intermetatarsal Divergence in Distal Chevron Osteotomy for Hallux Valgus: An Overlooked Finding. The Journal of Foot & Ankle Surgery, 55, 504-508.
http://dx.doi.org/10.1053/j.jfas.2016.01.043
[20]  Trnka, H.J., Zembsch, A., Easley, M.E., Salzer, M., Ritschl, P. and Myerson, M.S. (2000) The Chevron Osteotomy for Correction of Hallux Valgus. Comparison of Findings after Two and Five Years of Follow-Up. The Journal of Bone & Joint Surgery (Am), 82-A, 1373-1378.
[21]  Vasso, M., Del Regno, C., D'Amelio, A. and Schiavone Panni, A. (2016) A Modified Austin/Chevron Osteotomy for Treatment of Hallux Valgus and Hallux Rigidus. Journal of Orthopaedics and Traumatology, 17, 89-93.
[22]  Johnson, J.E., Clanton, T.O., Baxter, D.E. and Gottlieb, M.S. (1991) Comparison of Chevron Osteotomy and Modified McBride Bunionectomy for Correction of Mild to Moderate Hallux Valgus Deformity. Foot & Ankle International, 12, 61-68.
http://dx.doi.org/10.1177/107110079101200201
[23]  Radwan, Y.A. and Mansour, A.M. (2012) Percutaneous Distal Metatarsal Osteotomy versus Distal Chevron Osteotomy for Correction of Mild-to-Moderate Hallux Valgus Deformity. Archives of Orthopaedic and Trauma Surgery, 132, 1539-1546.
http://dx.doi.org/10.1007/s00402-012-1585-5
[24]  Green, M.A., Dorris, M.F., Baessler, T.P., Mandel, L.M. and Nachlas, M.J. (1993) Avascular Necrosis Following Distal Chevron Osteotomy of the First Metatarsal. Journal Foot and Ankle Surgery, 32, 617-622.
[25]  Donnelly, R.E., Saltzman, C.L., Kile, T.A. and Johnson, K.A. (1994) Modified Chevron Osteotomy for Hallux Valgus. Foot & Ankle International, 15, 642-645.
http://dx.doi.org/10.1177/107110079401501202

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133