Clinical and radiological results after modified distal metatarsal osteotomy for hallux valgus.

Oh, In Suk; Choi, Sung Wook; Kim, Myung Ku; Lee, Seung Yeol; Lee, Joong Sun
Foot & ankle international
2008May ; 29 ( 5 ) :473-7.
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Oh, In Suk -
Choi, Sung Wook -
Kim, Myung Ku -
Lee, Seung Yeol -
Lee, Joong Sun -
ABSTRACT
BACKGROUND: The chevron osteotomy is an acceptable method for correction of mild and moderate hallux valgus, but can result in instability at the osteotomy site. The purpose of this study was to present clinical and radiological results with our modified technique of osteotomy. MATERIALS AND

METHODS: We performed a modified technique of distal osteotomy of the first metatarsal on 77 feet of 46 patients with symptomatic hallux valgus; followed up for an average of 52 months.

RESULTS: All of the patients experienced satisfactory pain relief and acceptable cosmesis. The mean postoperative reduction in the intermetatarsal angle was 6.5 degrees and of the metatarsophalangeal angle was 23.0 degrees. There was no loss of correction and there was no discrepancy in preoperative and postoperative lengths of the first metatarsal during the followup period. CONCLUSION: We found our modified distal metatarsal osteotomy to be an effective method of correcting hallux valgus.
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MESH
Adolescent, Adult, Cohort Studies, Female, Hallux Valgus/*radiography/*surgery, Humans, Male, Metatarsal Bones/*surgery, Middle Aged, Osteotomy/*methods, Patient Satisfaction, Range of Motion, Articular, Retrospective Studies, Treatment Outcome
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The modified distal metatarsal osteotomy was an effective method of correcting hallux valgus.
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DOI
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ICD 03
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