The Effect of Second Toe Valgus on Correction Loss of Hallux Valgus Angle in Surgical Treatment / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 135-138, 2017.
Article
in Korean
| WPRIM
| ID: wpr-26239
ABSTRACT
PURPOSE:
The purpose of this study is to determine the correlation between the correction loss of hallux valgus angle and the severity of valgus angle of the second toe. MATERIALS ANDMETHODS:
We selected 312 cases from 268 surgical patients with hallux valgus deformity receiving distal chevron osteotomy. For a radiological evaluation, we analyzed the changes in the hallux valgus angles, first to second intermetatarsal angles, and valgus angle of the second toe post index operations. All patients were women; the mean age was 46 years. The mean follow-up period was 17 months.RESULTS:
The mean hallux valgus angle was 33.6° preoperatively (range, 25.7°~44.8°), 13.1° (range, 8.4°~16.4°) after 4 weeks of postoperative period, and 17.1° (range, 9.4°~28.5°) at their final follow-up. The mean valgus angle of the second toe was 8.4° preoperatively (range, 2.0°~25.8°) and 8.3° (range, 1.7°~24.9°) at the final follow-up. Preoperatively, there was a positive correlation between the valgus angle of the second toe and hallux valgus angle (r=0.747, p=0.001). The correction loss of hallux valgus angle had a significant correlation with the severity of valgus angle of the second toe (r=0.802, p=0.001).CONCLUSION:
The existence of the second toe valgus deformity may present itself as a cause of correction loss of hallux valgus angle. The preoperative measurement of the second toe valgus angle may be a good predictor of correction loss; therefore, thorough preoperative warning on the possibility of correction loss should be conducted to maximize patient satisfaction after the procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteotomy
/
Postoperative Period
/
Congenital Abnormalities
/
Hallux
/
Hallux Valgus
/
Toes
/
Follow-Up Studies
/
Patient Satisfaction
Type of study:
Observational study
/
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Journal of Korean Foot and Ankle Society
Year:
2017
Type:
Article
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