Treatment of Hallux Valgus with Metatarsal Double Osteotomy and Longitudinal Pin Fixation / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 223-229, 2006.
Article
in Korean
| WPRIM
| ID: wpr-170846
ABSTRACT
PURPOSE:
The purpose of this study was to analyze the results of the treatment of hallux valgus with metatarsal double osteotomy and longitudinal pin fixation. MATERIALS ANDMETHODS:
We reviewed 19 patients (21 feet) who had been treated by metatarsal double osteotomy and longitudinal pin fixation for the moderate or severe hallux valgus with increased distal metatarsal articular angle (DMAA), between 1999 and 2004. They were followed prospectively for a minimum of 20 months. Functional outcomes were measured via Hallux metatarsophalangeal-Interphalangeal (HMI) scale and Mayo clinic forefoot scoring system (FFSS). Radiographically, we assessed pre, postoperative and at the last follow-up, the hallux valgus angle (HVA), 1st and 2nd intermetararsal angle (IMA), DMAA.RESULTS:
The average preoperative HVA, IMA, DMAA measured 36.76 degrees, 13.62 degrees, 26.00 degrees, respectively. At the last follow-up, HVA, IMA, DMAA measured 9.57 degrees, 7.14 degrees, 9.33 degrees. The correction of HVA, IMA, DMAA were 27.19 degrees, 6.48 degrees, 16.67 degrees. At the last follow-up, there were no recurrences and complications, except two patients complained of unsatisfactory stiffness in the 1st metatarsophalangeal joint and subjectively rated their results as fair. The others rated that as excellent or good. At the last follow-up, statistically, the mean HMI scale and FFSS improved significantly from pre-operative score.CONCLUSIONS:
In the treatment of moderate or severe hallux valgus with increased DMAA by metatarsal double osteotomy and longitudinal pin fixation, we had good functional and radiological results without recurrences and significant complications. But the stiffness in the 1st metatarsophalangeal joint warrants further study.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Recurrence
/
Metatarsal Bones
/
Hallux
/
Hallux Valgus
/
Prospective Studies
/
Follow-Up Studies
/
Metatarsophalangeal Joint
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Foot and Ankle Society
Year:
2006
Type:
Article
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