Crescentic distal metatarsal osteotomy for the treatment of hallux valgus: a prospective, randomized, controlled study of two different fixation methods

Acta orthopaedica et traumatologica turcica
Murat TonbulH Cihangir Yurdoğlu

Abstract

This study was designed to draw attention to a distal metatarsal osteotomy technique, which has been somewhat overlooked for the treatment of hallux valgus, and to compare the clinical and radiographic results of two different fixation methods. The study included 16 feet of 13 patients (11 women, 2 men) who were treated with crescentic distal metatarsal osteotomy for mild-to-moderate hallux valgus (<35 degrees ). The patients were randomized to two fixation methods with two cross K-wires (group 1; 7 patients, 8 feet) and a compressive screw (group 2; 6 patients, 8 feet). The results were evaluated using the AOFAS (American Orthopaedic Foot and Ankle Society) clinical rating scale for hallux, and a visual analog scale for pain. Radiographic measurements included the hallux valgus angle (HVA), first/second intermetatarsal angle (IMA), and distal metatarsal articular angle (DMAA), before and 12 months after surgery. There were no significant differences between the two groups with regard to pre- and postoperative AOFAS scores and pain scores, which showed significant improvements in both groups at the end of one-year follow-up (p<0.001). The HVA and IMA significantly decreased from 32 degrees to 19 degrees and from 12 degrees to 6...Continue Reading

Citations

Jun 20, 2017·JBI Database of Systematic Reviews and Implementation Reports·Jitka KlugarovaZuzana Kelnarova
Dec 26, 2012·Deutsches Ärzteblatt International·Nikolaus Wülker, Falk Mittag
Jun 11, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Hosam E Matar, Simon R Platt

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