Park, H-W; Lee, K-B; Chung, J-Y; Kim, M-S
The bone & joint journal
2013Apr ; 95-B ( 4 ) :510-6.
PMID : 23539703
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Park, H-W -
Lee, K-B -
Chung, J-Y -
Kim, M-S -
ABSTRACT
Severe hallux valgus deformity is conventionally treated with proximal metatarsal osteotomy. Distal metatarsal osteotomy with an associated soft-tissue procedure can also be used in moderate to severe deformity. We compared the clinical and radiological outcomes of proximal and distal chevron osteotomy in severe hallux valgus deformity with a soft-tissue release in both. A total of 110 consecutive female patients (110 feet) were included in a prospective randomised controlled study. A total of 56 patients underwent a proximal procedure and 54 a distal operation. The mean follow-up was 39 months (24 to 54) in the proximal group and 38 months (24 to 52) in the distal group. At follow-up the hallux valgus angle, intermetatarsal angle, distal metatarsal articular angle, tibial sesamoid position, American Orthopaedic Foot and Ankle Society (AOFAS) hallux metatarsophalangeal-interphalangeal score, patient satisfaction level, and complications were similar in each group. Both methods showed significant post-operative improvement and high levels of patient satisfaction. Our results suggest that the distal chevron osteotomy with an associated distal soft-tissue procedure provides a satisfactory method for correcting severe hallux valgus deformity.
Hallux valgus, Severe deformity, Proximal chevron osteotomy, Distal chevron osteotomy, Lateral soft-tissue release
MESH
Adult, Aged, Hallux Valgus/*surgery, Humans, Middle Aged, Osteotomy/*methods, Prospective Studies, Severity of Illness Index, Treatment Outcome, Young Adult
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