Moderate to severe hallux valgus deformity : correction with proximal crescentic osteotomy and distal soft-tissue release
Between 1991 and 1995, 96 patients (114 feet) were treated with a proximal crescentic metatarsal osteotomy and distal soft-tissue procedure for moderate to severe hallux valgus deformity [intermetatarsal (IM) angle > 15 degrees, or hallux valgus (HV) angle > 30 degrees]. At an average follow-u...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2000, Vol.120 (7-8), p.397-402 |
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| description | Between 1991 and 1995, 96 patients (114 feet) were treated with a proximal crescentic metatarsal osteotomy and distal soft-tissue procedure for moderate to severe hallux valgus deformity [intermetatarsal (IM) angle > 15 degrees, or hallux valgus (HV) angle > 30 degrees]. At an average follow-up of 26 months, 8 men and 62 women (86 feet) with a mean age of 53.2 years were retrospectively reviewed. The HV angle averaged 41.1 degrees preoperatively and 14.6 degrees postoperatively. The respective values for the IM angle were 17.8 degrees and 7.8 degrees. Neither the average metatarsal shortening of 3 mm nor the dorsal angulation at the osteotomy site seen in 9% of cases evidenced any clinical significance at follow-up. Patient satisfaction was excellent or good in 91%, and the mean Mayo Clinic Forefoot Score (total 75 points) improved from 37.2 to 61.1 points. Complications included 8 cases of hallux varus and 5 cases of hardware failure. Based on this first study exclusively focusing on moderate to severe hallux valgus deformity, we conclude that proximal first metatarsal osteotomy in combination with a lateral soft-tissue procedure is effective in correcting moderate to severe symptomatic hallux valgus deformity with metatarsus primus varus (IM angle > 15 degrees or HV angle > 30 degrees). |
| doi_str_mv | 10.1007/PL00013769 |
| format | Article |
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At an average follow-up of 26 months, 8 men and 62 women (86 feet) with a mean age of 53.2 years were retrospectively reviewed. The HV angle averaged 41.1 degrees preoperatively and 14.6 degrees postoperatively. The respective values for the IM angle were 17.8 degrees and 7.8 degrees. Neither the average metatarsal shortening of 3 mm nor the dorsal angulation at the osteotomy site seen in 9% of cases evidenced any clinical significance at follow-up. Patient satisfaction was excellent or good in 91%, and the mean Mayo Clinic Forefoot Score (total 75 points) improved from 37.2 to 61.1 points. Complications included 8 cases of hallux varus and 5 cases of hardware failure. Based on this first study exclusively focusing on moderate to severe hallux valgus deformity, we conclude that proximal first metatarsal osteotomy in combination with a lateral soft-tissue procedure is effective in correcting moderate to severe symptomatic hallux valgus deformity with metatarsus primus varus (IM angle > 15 degrees or HV angle > 30 degrees).</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/PL00013769</identifier><identifier>PMID: 10968526</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Bone Screws ; Clinical significance ; Female ; Hallux Valgus - diagnostic imaging ; Hallux Valgus - surgery ; Humans ; Ligaments, Articular - diagnostic imaging ; Ligaments, Articular - surgery ; Male ; Medical sciences ; Metatarsal Bones - diagnostic imaging ; Metatarsal Bones - surgery ; Middle Aged ; Orthopedic surgery ; Osteotomy - methods ; Postoperative Complications - diagnostic imaging ; Radiography ; Retrospective Studies ; Surgery (general aspects). 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At an average follow-up of 26 months, 8 men and 62 women (86 feet) with a mean age of 53.2 years were retrospectively reviewed. The HV angle averaged 41.1 degrees preoperatively and 14.6 degrees postoperatively. The respective values for the IM angle were 17.8 degrees and 7.8 degrees. Neither the average metatarsal shortening of 3 mm nor the dorsal angulation at the osteotomy site seen in 9% of cases evidenced any clinical significance at follow-up. Patient satisfaction was excellent or good in 91%, and the mean Mayo Clinic Forefoot Score (total 75 points) improved from 37.2 to 61.1 points. Complications included 8 cases of hallux varus and 5 cases of hardware failure. Based on this first study exclusively focusing on moderate to severe hallux valgus deformity, we conclude that proximal first metatarsal osteotomy in combination with a lateral soft-tissue procedure is effective in correcting moderate to severe symptomatic hallux valgus deformity with metatarsus primus varus (IM angle > 15 degrees or HV angle > 30 degrees).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Clinical significance</subject><subject>Female</subject><subject>Hallux Valgus - diagnostic imaging</subject><subject>Hallux Valgus - surgery</subject><subject>Humans</subject><subject>Ligaments, Articular - diagnostic imaging</subject><subject>Ligaments, Articular - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metatarsal Bones - diagnostic imaging</subject><subject>Metatarsal Bones - surgery</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Osteotomy - methods</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). 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Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tendons - diagnostic imaging</topic><topic>Tendons - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ZETTL, R</creatorcontrib><creatorcontrib>TRNKA, H.-J</creatorcontrib><creatorcontrib>EASLEY, M</creatorcontrib><creatorcontrib>SALZER, M</creatorcontrib><creatorcontrib>RITSCHL, P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ZETTL, R</au><au>TRNKA, H.-J</au><au>EASLEY, M</au><au>SALZER, M</au><au>RITSCHL, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Moderate to severe hallux valgus deformity : correction with proximal crescentic osteotomy and distal soft-tissue release</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2000</date><risdate>2000</risdate><volume>120</volume><issue>7-8</issue><spage>397</spage><epage>402</epage><pages>397-402</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Between 1991 and 1995, 96 patients (114 feet) were treated with a proximal crescentic metatarsal osteotomy and distal soft-tissue procedure for moderate to severe hallux valgus deformity [intermetatarsal (IM) angle > 15 degrees, or hallux valgus (HV) angle > 30 degrees]. At an average follow-up of 26 months, 8 men and 62 women (86 feet) with a mean age of 53.2 years were retrospectively reviewed. The HV angle averaged 41.1 degrees preoperatively and 14.6 degrees postoperatively. The respective values for the IM angle were 17.8 degrees and 7.8 degrees. Neither the average metatarsal shortening of 3 mm nor the dorsal angulation at the osteotomy site seen in 9% of cases evidenced any clinical significance at follow-up. Patient satisfaction was excellent or good in 91%, and the mean Mayo Clinic Forefoot Score (total 75 points) improved from 37.2 to 61.1 points. Complications included 8 cases of hallux varus and 5 cases of hardware failure. Based on this first study exclusively focusing on moderate to severe hallux valgus deformity, we conclude that proximal first metatarsal osteotomy in combination with a lateral soft-tissue procedure is effective in correcting moderate to severe symptomatic hallux valgus deformity with metatarsus primus varus (IM angle > 15 degrees or HV angle > 30 degrees).</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>10968526</pmid><doi>10.1007/PL00013769</doi><tpages>6</tpages></addata></record> |
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| ispartof | Archives of orthopaedic and trauma surgery, 2000, Vol.120 (7-8), p.397-402 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Biological and medical sciences Bone Screws Clinical significance Female Hallux Valgus - diagnostic imaging Hallux Valgus - surgery Humans Ligaments, Articular - diagnostic imaging Ligaments, Articular - surgery Male Medical sciences Metatarsal Bones - diagnostic imaging Metatarsal Bones - surgery Middle Aged Orthopedic surgery Osteotomy - methods Postoperative Complications - diagnostic imaging Radiography Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tendons - diagnostic imaging Tendons - surgery Treatment Outcome |
| title | Moderate to severe hallux valgus deformity : correction with proximal crescentic osteotomy and distal soft-tissue release |
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