Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

01-12-2013 | Research | Uitgave 1/2013 Open Access

Journal of Foot and Ankle Research 1/2013

Proximal metatarsal osteotomy for hallux valgus: an audit of radiologic outcome after single screw fixation and full postoperative weightbearing

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2013
Auteurs:
Falk Mittag, Ulf Leichtle, Christoph Meisner, Ingmar Ipach, Nikolaus Wülker, Markus Wünschel
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1186/​1757-1146-6-22) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

FM: participated in collecting data and drafting manuscript. UL: participated in study design. CM: statistics. II: participated in collecting data. NW: participated in study design. MW: participated in study design, final approval. All authors read and approved the final manuscript.

Abstract

Background

Proximal metatarsal osteotomy combined with a distal soft-tissue procedure is a common treatment for moderate to severe hallux valgus. Secure stabilisation of the metatarsal osteotomy is necessary to avoid complications such as delayed union, nonunion or malunion as well as loss of correction. The aim of this study was to report our results using a single screw for stabilisation of the osteotomy.

Methods

We retrospectively reviewed 151 patients with severe hallux valgus who were treated by the above mentioned way with full postoperative weightbearing in a stiff soled shoe. Mean age of patients at time of surgery was 54 years, 19 patients were male and 132 female. Assessment of clinical and radiographic results was performed after 2 days and 6 weeks. Results were also correlated to the experience of the performing surgeon.

Results

Mean preoperative HVA (hallux valgus angle) was 36.4 degrees, and then 3.5 degrees 2 days and 13.4 degrees 6 weeks after the procedure (p < 0.001). Mean preoperative IMA (intermetarsal angle) was 16.8 degrees, and then 6.4 degrees after 2 days and 9.8 degrees after 6 weeks (p < 0.001). Mean preoperative first metatarsal length of 56.4 mm decreased to 53.6 mm after 6 weeks. Possible non-union of the osteotomy was observed in 4 patients (2.6%) after 6 weeks. Performing residents (n = 40) operated in 65 minutes and attending surgeons (n = 111) in 45 minutes, with no significant differences in radiographic measurements between both groups.

Conclusions

Single screw stabilisation of proximal chevron osteotomy is a reliable method for treating severe hallux valgus deformities with satisfactory results.

Onze productaanbevelingen

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Extra materiaal
Authors’ original file for figure 1
13047_2013_562_MOESM1_ESM.jpeg
Authors’ original file for figure 2
13047_2013_562_MOESM2_ESM.jpeg
Authors’ original file for figure 3
13047_2013_562_MOESM3_ESM.jpeg
Authors’ original file for figure 4
13047_2013_562_MOESM4_ESM.jpeg
Authors’ original file for figure 5
13047_2013_562_MOESM5_ESM.ppt
Authors’ original file for figure 6
13047_2013_562_MOESM6_ESM.ppt
Literatuur
Over dit artikel

Andere artikelen Uitgave 1/2013

Journal of Foot and Ankle Research 1/2013 Naar de uitgave