Correction of severe hallux valgus using a basal chevron osteotomy and distal soft tissue release

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
Turlough O'DonnellMichael M Stephens

Abstract

There are many procedures described for the correction of severe hallux valgus. This is the first to examine the role of a basal osteotomy with distal soft tissue release. 26 patients with severe hallux valgus underwent a basal chevron osteotomy with distal soft tissue release. All were reviewed at an average of 38 months. The mean AOFAS score improved from 24 to 82 points (p<0.001). The IMA improved from an average of 23.90 to 130 (p<0.01). The HVA improved from an average of 490 to 170 (p<0.005). The correlation coefficient between the AOFAS score and various radiological angles was low (0.47). Good clinical outcomes in cases of severe hallux valgus can be achieved without full restoration of normal radiological values. Furthermore, a basal chevron osteotomy with a distal soft tissue release offers a high satisfaction rating with regards to both clinical and functional outcomes in the short to medium-term. Level IV - Case series.

References

Jul 1, 1992·Foot & Ankle·D B Thordarson, E O Leventen
Dec 17, 1998·Acta Orthopaedica Scandinavica·W Schneider, K Knahr
Jul 29, 2005·The Journal of Bone and Joint Surgery. British Volume·A H N Robinson, J P Limbers

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Citations

Sep 24, 2015·Foot & Ankle International·Gordon L Bennett, James A Sabetta
Jun 26, 2015·Foot & Ankle International·Shafic Said Al-NammariCallum Clark
Sep 22, 2012·Foot & Ankle International·Jae-Young MoonSung-Taek Jung
Sep 25, 2018·Foot & Ankle International·Gordon L BennettJames A Sabetta
Nov 17, 2020·Journal of the American Podiatric Medical Association·Manuel Coheña-JiménezPedro Montaño-Jiménez

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