Park, Chul-Hyun; Ahn, Ji-Yong; Kim, Yu-Mi; Lee, Woo-Chun
International orthopaedics
2013Jun ; 37 ( 6 ) :1085-92.
PMID : 23423428
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Park, Chul-Hyun -
Ahn, Ji-Yong -
Kim, Yu-Mi -
Lee, Woo-Chun -
ABSTRACT
PURPOSE: The purpose of this study was to compare the results of hallux valgus surgery between feet fixed with Kirschner wires and those fixed with a plate and screws.
METHODS: Between December 2008 and November 2009, 53 patients (62 feet) were treated with proximal chevron osteotomy and distal soft tissue procedure for symptomatic moderate to severe hallux valgus deformity. Thirty-four patients (41 feet) were stabilised with Kirschner wires (K-wire group) and 19 patients (21 feet) were stabilised with a locking plate (plate group). Clinical results were assessed using American Orthopaedic Foot and Ankle Society (AOFAS) score. Radiographic parameters were compared between these groups. Recurrence rate at the last follow-up was compared between the K-wire and plate groups.
RESULTS: Mean AOFAS score was lower in the plate group, however, the difference between the groups was not statistically significant in AOFAS score at the last follow-up. Hallux valgus angle and intermetatarsal angle were significantly larger in the plate group at the last follow-up. Mean 1-2 metatarsal (MT) distance on immediately postoperative radiographs was significant larger in the plate group. Four (9.8 %) of the 41 feet in the K-wire group and 7 (33.3 %) of the 21 feet in the plate group showed hallux valgus recurrence at the last follow-up. The plate group had a significantly higher risk of recurrence than the K-wire group.
CONCLUSIONS: Fixation of proximal chevron osteotomy using a plate and screws has a greater risk of hallux valgus recurrence than fixation using Kirschner wires.
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MESH
Adult, Aged, *Bone Plates, Bone Screws, *Bone Wires, Female, Follow-Up Studies, Hallux/radiography/surgery, Hallux Valgus/*epidemiology/radiography/*surgery, Humans, *Internal Fixators, Middle Aged, Osteotomy/*methods, Recurrence, Retrospective Studies, Risk Factors, Treatment Outcome
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